Tags

Type your tag names separated by a space and hit enter

The effect of tinnitus retraining therapy on chronic tinnitus: A controlled trial.
Laryngoscope Investig Otolaryngol. 2017 08; 2(4):166-177.LI

Abstract

OBJECTIVES

The goal of this study was to compare treatment outcomes for chronic bothersome tinnitus after Tinnitus Retraining Therapy (TRT) versus standard of care treatment (SC) and to determine the longevity of the effect over an 18-month period.

STUDY DESIGN

A randomized controlled trial comparing TRT to SC for chronic tinnitus.

METHODS

Adults with subjective, stable, bothersome chronic tinnitus associated with hearing loss amenable to aural rehabilitation with hearing aids were recruited. The Tinnitus Handicap Inventory (THI) was the primary outcome measure and the Tinnitus Functional Index (TFI) the secondary outcome measure of tinnitus severity and impact. Data were collected at screening, entry (0 months), and 6, 12, and 18 months after the beginning of treatment, using an integrated digitized suite of evaluation modules. TRT consisted of directive counseling and acoustic enrichment using combination hearing aids and sound generators; SC consisted of general aural rehabilitation counseling and hearing aids.

RESULTS

Significant improvement in tinnitus impact occurred after both TRT and SC therapy, with a larger treatment effect obtained in the TRT group. Lasting therapeutic benefit was evident at 18 months in both groups. THI initial scores were unstable in 10% of enrolled participants, showing moderate bidirectional fluctuation between screening and baseline (0 month) assessment.

CONCLUSION

Adults with moderate to severe tinnitus and hearing loss amenable to amplification, benefit from either TRT or SC treatment when combined with hearing aid use. TRT benefit may exceed that of SC. The global improvement in tinnitus severity that accrued over an 18-month period appeared to be robust and clinically significant.

LEVEL OF EVIDENCE

I.

Authors+Show Affiliations

Southern Illinois University School of Medicine Springfield Illinois.Southern Illinois University School of Medicine Springfield Illinois.Southern Illinois University School of Medicine Springfield Illinois.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28894836

Citation

Bauer, Carol A., et al. "The Effect of Tinnitus Retraining Therapy On Chronic Tinnitus: a Controlled Trial." Laryngoscope Investigative Otolaryngology, vol. 2, no. 4, 2017, pp. 166-177.
Bauer CA, Berry JL, Brozoski TJ. The effect of tinnitus retraining therapy on chronic tinnitus: A controlled trial. Laryngoscope Investig Otolaryngol. 2017;2(4):166-177.
Bauer, C. A., Berry, J. L., & Brozoski, T. J. (2017). The effect of tinnitus retraining therapy on chronic tinnitus: A controlled trial. Laryngoscope Investigative Otolaryngology, 2(4), 166-177. https://doi.org/10.1002/lio2.76
Bauer CA, Berry JL, Brozoski TJ. The Effect of Tinnitus Retraining Therapy On Chronic Tinnitus: a Controlled Trial. Laryngoscope Investig Otolaryngol. 2017;2(4):166-177. PubMed PMID: 28894836.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of tinnitus retraining therapy on chronic tinnitus: A controlled trial. AU - Bauer,Carol A, AU - Berry,Jennifer L, AU - Brozoski,Thomas J, Y1 - 2017/05/28/ PY - 2016/12/10/received PY - 2017/02/13/revised PY - 2017/02/21/accepted PY - 2017/9/13/entrez PY - 2017/9/13/pubmed PY - 2017/9/13/medline KW - chronic KW - hearing aids KW - randomized controlled trial KW - retraining therapy KW - tinnitus SP - 166 EP - 177 JF - Laryngoscope investigative otolaryngology JO - Laryngoscope Investig Otolaryngol VL - 2 IS - 4 N2 - OBJECTIVES: The goal of this study was to compare treatment outcomes for chronic bothersome tinnitus after Tinnitus Retraining Therapy (TRT) versus standard of care treatment (SC) and to determine the longevity of the effect over an 18-month period. STUDY DESIGN: A randomized controlled trial comparing TRT to SC for chronic tinnitus. METHODS: Adults with subjective, stable, bothersome chronic tinnitus associated with hearing loss amenable to aural rehabilitation with hearing aids were recruited. The Tinnitus Handicap Inventory (THI) was the primary outcome measure and the Tinnitus Functional Index (TFI) the secondary outcome measure of tinnitus severity and impact. Data were collected at screening, entry (0 months), and 6, 12, and 18 months after the beginning of treatment, using an integrated digitized suite of evaluation modules. TRT consisted of directive counseling and acoustic enrichment using combination hearing aids and sound generators; SC consisted of general aural rehabilitation counseling and hearing aids. RESULTS: Significant improvement in tinnitus impact occurred after both TRT and SC therapy, with a larger treatment effect obtained in the TRT group. Lasting therapeutic benefit was evident at 18 months in both groups. THI initial scores were unstable in 10% of enrolled participants, showing moderate bidirectional fluctuation between screening and baseline (0 month) assessment. CONCLUSION: Adults with moderate to severe tinnitus and hearing loss amenable to amplification, benefit from either TRT or SC treatment when combined with hearing aid use. TRT benefit may exceed that of SC. The global improvement in tinnitus severity that accrued over an 18-month period appeared to be robust and clinically significant. LEVEL OF EVIDENCE: I. SN - 2378-8038 UR - https://www.unboundmedicine.com/medline/citation/28894836/The_effect_of_tinnitus_retraining_therapy_on_chronic_tinnitus:_A_controlled_trial_ DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.