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Effectiveness of Specialised Cognitive Behavioural Therapy (CBT) for Tinnitus.

Completed
Conditions
Tinnitus, Subjective
Interventions
Behavioral: CBT 1
Behavioral: CBT 2
Registration Number
NCT04310605
Lead Sponsor
Maastricht University
Brief Summary

This is an observational study of specialised CBT for tinnitus for adults delivered in routine care.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
403
Inclusion Criteria
  • Tinnitus is the primary complaint and reason for seeking help
  • Participant is at least 17 years of age,
Exclusion Criteria
  • Unable to read and write in Dutch
  • Tinnitus is not the primary complaint
  • Person is under 17 years of age
  • Participant has a health condition that prevents them from attending treatment centre
  • An Ear Nose Throat (ENT) physician assesses the participant as having ontological condition that requires medical treatment

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Step 1 and 2CBT 1Participants who receive both Step 1 and Step 2 of speciliased CBT for tinnitus.
Step 1 and 2CBT 2Participants who receive both Step 1 and Step 2 of speciliased CBT for tinnitus.
Step 1 onlyCBT 1Participants in the study who only receive Step 1 of specialised CBT
Primary Outcome Measures
NameTimeMethod
Health Utilities Index-III12 months

The Health Utilities Index (HUI; Feeny et al., 2002; Horsman, Furlong, Feeny, \& Torrance, 2003) is a 17-item measure designed to assess health related quality of life.

Secondary Outcome Measures
NameTimeMethod
Tinnitus Handicap Inventory (THI)12 months

The THI (Newman, Jacobson, \& Spitzer, 1996; Newman, Sandridge, \& Jacobson, 1998).is a 25 items measure of the impact of tinnitus on daily life that includes three subscales. The subscales cover functional (mental, social/occupational and physical functioning), emotional impact and catastrophic responses to tinnitus.

Hospital Anxiety and Depression Scale (HADS; Zigmond & Snaith, 1983).12 months

The HADS is a widely used measure of psychological distress in people experiencing a concurrent physical health condition. It has 14 items and respondents use a Likert-type scale to indicate how often they have had a particular feeling in the previous week (e.g. "I feel tense or wound up").

Fear of Tinnitus Questionnaire (FTQ)12 months

The FTQ is a 17-item self-report measure intended and designed to assess respondents' level of fear regarding their tinnitus. Items in the questionnaire are presented as a series of statements (e.g. "I am afraid that my tinnitus will become worse") from which respondents are asked to indicate if it is applicable to their current situation. Each statement receives a score of 1 when applicable. The total score is the sum of all applicable statements and provides an overall rating of fear of tinnitus and ranges from 0 to 17.

Tinnitus Catastrophizing Scale (TCS)12 months

Tinnitus Catastrophizing Scale (TCS; Cima, Crombez, \& Vlaeyen, 2011). The TCS was used to assess the degree to which people thought or expected the worst about tinnitus (i.e. catastrophizing). The TCS is a 13-item measure based on the Pain Catastrophizing Scale (Sullivan, Bishop, \& Pivik, 1995) and respondents use a five point scale to indicate the degree to which statements applies to them (e.g. It's terrible and I think it's never going to get any better). The total score on the TCS ranges from 0 to 65.

Tinnitus Questionnaire (TQ)12 months

The Tinnitus Questionnaire (TQ; Hallam, Jakes, \& Hinchcliffe, 1988) is a self-report questionnaire designed to asses distress and interference in daily activities that is associated with tinnitus. It has 52 items and uses a three-point scale to indicate levels of distress on six subscales. The total possible score on the TQ ranges from 0-84.

Tinnitus Disability Index (TDI)12 months

The Tinnitus Disability Index (TDI; Cima, Vlaeyen, Maes, Joore, \& Anteunis, 2011) is a seven-item self-report questionnaire that assesses the level of interferences in daily activities (such as occupational, social, and recreational) attributed to tinnitus. Respondents use an 11-point scale to indicate the level of interference ranging from 0 no disability, to 10 total disability. The total score ranges from 0 to 70 with higher scores indicating higher levels of interference.

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