Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Research Article Volume 4 Issue 8

Internet-based Cognitive Behavioural Therapy (ICBT) as an Effective Treatment Alternative to Tinnitus Management - An Empirical Research

Kei-Wee Tay Michael*

Universidad Isabel I de Castilla, School of Advanced Studies, Research and Accreditation (SAERA), Spain

*Corresponding Author: Kei-Wee Tay Michael, Universidad Isabel I de Castilla, School of Advanced Studies, Research and Accreditation (SAERA), Spain.

Received: June 16, 2022; Published: July 27, 2022

Abstract

Tinnitus is a type of chronic hearing disorder often described as ringing in the ears. With the global pandemic in 2020, a shift was observed to telemedicine. Cost-effectiveness aside, Internet-based Cognitive Behavioral Therapy (ICBT) has gained popularity as a convenient and accessible alternative to face-to-face treatments. However, its usage has yet to gain traction in Indonesia.

Objectives of this study is to determine the effectiveness of ICBT and its possibility to be used as a feasible audiologist-guided intervention tool. This study is targeted at existing tinnitus patients who have yet to receive any form of intervention previously.

Method: Thirty-six patients were chosen from the existing pool of patients diagnosed with tinnitus by Ear Nose and Throat (ENT) practitioners. Their baseline tinnitus perception and QOL measures were determined using the Tinnitus Reaction Questionnaire (TRQ), the Tinnitus Functional Index (TFI), and the Tinnitus Handicap Inventory (THI). These patients were subjected to ICBT. A post-intervention measurement was taken at the 3-months and 6-months mark respectively.

This Randomized Control Trial (RCT) seeks to determine the effectiveness of ICBT in improving the overall QOL of patients and to find out how effective ICBT is in alleviating tinnitus-associated distresses.

Results and Conclusion: The effectiveness of ICBT was established in this study in alleviating tinnitus-related distress in patients and contributing to overall improvement of patient QOL and other negative tinnitus-related effects. The results were consistent throughout the 6 months of this study. Results suggest that patients experienced greater relief from tinnitus-linked comorbidities and better QOL improvement vis-à-vis the baseline results.

Keywords: Tinnitus; icbt; cbt; Telemedicine; Teleaudiology

References

  1. Aazh H., et al. “Telehealth tinnitus therapy during the Covid-19 outbreak in the UK: Uptake and related factors”. International Journal of Audiology5 (2021): 322-327.
  2. Al-Samarraie H., et al. “Telemedicine in Middle Eastern countries: Progress, barriers, and policy recommendations”. International Journal of Medical Informatics 141 (2020): 104232.
  3. Andersson G. “Psychological aspects of tinnitus and the application of cognitive-behavioral therapy”. Clinical Psychology Review7 (2002): 977-990.
  4. Andersson G. “Clinician-supported internet-delivered psychological treatment of tinnitus”. American Journal of Audiology3 (2015): 299-301.
  5. Baguley D., et al. “Tinnitus”. The Lancet9004 (2013): 1600-1607.
  6. Beukes E., et al. “Audiologist-guided internet-based cognitive behavior therapy for adults with tinnitus in the united kngdom: a randomized controlled trial”. Ear and Hearing3 (2017): 423-433.
  7. Beukes E., et al. “Situationally influenced tinnitus coping strategies: a mixed methods approach”. Disability and Rehabilitation24 (2018): 2884-2894.
  8. Cederroth C., et al. “Hearing loss and tinnitus- are funders and industry listening?” Nature Biotechnology11 (2013): 972-974.
  9. “The Consolidated Library of Information and Knowledge (CLIK)”. Retrieved from Australian Government Department of Veterans’ Affairs (2020).
  10. Daoud E., et al. “The Utility of Economic Measures to Quantify the Burden of Tinnitus: A Scoping Review”. PharmacoEconomics-Open (2021): 1-12.
  11. Frackrell K., et al. “Integrating Distribution-Based and Anchor-Based Techniques to Identify Minimal Important Change for the Tinnitus Functional Index (TFI) Questionnaire”. Brain Sciences6 (2022): 726.
  12. Hailey D., et al. “Systematic review of evidence for the benefits of telemedicine”. Journal of Telemedicine and Telecare 8 (2002): 1-7.
  13. Henry J., et al. “Tinnitus Functional Index: Development, validation, outcomes research, and clinical application”. Hearing Research 334 (2016): 58-64.
  14. Jasper K., et al. “Internet-based guided self-help versus group cognitive behavioral therapy for chronic tinnitus: A randomized controlled trial”. Psychotherapy and Psychosomatics4 (2014): 234-246.
  15. “Why is there no cure for tinnitus?” Retrieved from Jacksonville Hearing and Balance Institute At Center One (2022).
  16. Langguth B., et al. “Therapeutic approaches to the treatment of tinnitus”. Annual Review of Pharmacology and Toxicity 59 (2019): 291-313.
  17. Mahes I., et al. “Tinnitus: a cost study”. Ear and Hearing4 (2013): 508-514.
  18. McFerran D., et al. “Why is there no cure for tinnitus?” Frontiers in Neuroscience (2019): 802.
  19. Meikle M., et al. “The tinnitus functional index: development of a new clinical measure for chronic, intrusive tinnitus”. Ear and Hearing2 (2012): 153-176.
  20. Newman C., et al. “Development of the tinnitus handicap inventory”. Archives of Otolaryngology–Head and Neck Surgery2 (1996): 143-148.
  21. NHS Scotland. “Tinnitus”. (2021).
  22. Oh T., et al. “Telemedicine in Malaysia and Indonesia: The Importance, Opportunities And Challenges”. Journal of Mechanics in Medicine and Biology4 (2006): 337-348.
  23. Patterson M and Balough B. “Review of pharmacological therapy for tinnitus”. International Tinnitus Journal 2 (2006): 149.
  24. Piaggio G., et al. “Reporting of noninferiority and equivalence randomized trials: extension of the CONSORT 2010 statement”. JAMA24 (2012): 2594-604.
  25. Rabau S., et al. “Validation and translation of the Dutch tinnitus functional index”. B-ent4 (2014): 251-258.
  26. Ruwaard J., et al. “The effectiveness of online cognitive behavioral treatment in routine clinical practice”. PLoS One7 (2012): e40089.
  27. Singh A., et al. “A review of telemedicine applications in otorhinolaryngology: considerations during the coronavirus disease of 2019 pandemic”. The Laryngoscope4 (2021): 744-759.
  28. Stockdale D., et al. “An economic evaluation of the healthcare cost of tinnitus management in the UK”. BMC Health Services Research1 (2017): 1-9.
  29. Traynor RM. “Heard But Not Seen: innitus and Auditory Hallucinations” (2018).
  30. Trochidia I., et al. “Systematic Review on Healthcare and Societal Costs of Tinnitus”. International Journal of Environmental Research and Public Health 6881 (2021): 1-11.
  31. Tunkel D., et al. “Clinical practice guideline: tinnitus”. Otolaryngology-head and Neck Surgery2 (2014): S1-S40.
  32. Wilson P., et al. “Tinnitus reaction questionnaire: psychometric properties of a measure of distress associated with tinnitus”. Journal of Speech, Language and Hearing Research1 (1991): 197-201.

Citation

Citation: Kei-Wee Tay Michael. “Internet-based Cognitive Behavioural Therapy (ICBT) as an Effective Treatment Alternative to Tinnitus Management - An Empirical Research".Acta Scientific Otolaryngology 4.8 (2022): 67-75.

Copyright

Copyright: © 2022 Kei-Wee Tay Michael. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

Indexed In







News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 10, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US