Evaluating the Effectiveness of a Non-invasive Tinnitus Device in Reducing Symptoms of Tinnitus and Mental Health Difficulties in Military Veterans: A Pilot Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Symptoms of mental health difficulties measured using the General Health Questionnaire-12
研究概览
简要总结
The prevalence of tinnitus in military veterans is notably higher than the non-veteran population and can significantly disrupt the lives of veterans. Given the profound impact of tinnitus on the lives of veterans, along with the considerable economic burden and barriers to treatment, it is crucial to explore the feasibility of new approaches. Wearable sound technologies offer a non-invasive and easily accessible approach. As such, this waitlist-controlled trial aims to assess the efficacy of this new non-invasive white noise wearable device in reducing tinnitus symptoms between baseline and the one-month post-randomisation among veterans who have experienced tinnitus for at least three months.
详细描述
The presence of tinnitus has been significantly associated with depression, anxiety, sleep difficulties and job performance in addition to poorer general physical health.. However, to our knowledge, there is currently no intervention for tinnitus that is supported as effective for most people. As such, there is a need to explore alternative approaches. Sound therapy offers an easily accessible, non-invasive, low-cost option. As such, this study aims to explore the effectiveness of a non-invasive white noise device in reducing symptoms of tinnitus and mental health difficulties in military veterans. A total of 20 military veterans who have self-reported experiencing tinnitus for at least three months will be recruited. : In this waitlist-controlled trial, the tinnitus device will be compared to the waitlist-controlled group who will receive the device one-month post-randomisation. The trial will be conducted in a veteran population (n = 20) that was recruited from a prior study that had aimed to explore the impact of tinnitus on wellbeing within a veteran population. Once the participants receive the tinnitus device, they will be asked to use the device for a period of one month. The primary outcome is the change in self-reported tinnitus symptoms and mental health difficulties between baseline (day 0) and the one-month post-randomisation (day 28). The outcome variables of interest will be assessed at all timepoints (baseline, one-month post-randomisation, and two-months post-randomisation) and the predictor variables will only be assessed at baseline to reduce participant burden. It is hypothesised that the non-invasive device will result in significant reductions in symptoms of tinnitus (as indicated using the TFI) and mental health difficulties (as measured using the gHQ-12) from baseline to one-month post-intervention in comparison to a waitlist control.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Fluent in speaking and reading English.
- •United Kingdom Armed Forces veteran
- •Persistent tinnitus for at least three months (participants with tinnitus had to confirm experience of constant ringing or buzzing [bilateral or unilateral] lasting longer than three months).
- •Able to receive the TinniSoothe device to their registered address
- •Able to follow study instructions
- •Sign the written consent form prior to any study-related procedures being performed
排除标准
- •Below 18 years of age
- •Significant severe hearing loss without hearing aids
- •Individuals who have already habituated to tinnitus
- •Veterans receiving concurrent treatment for tinnitus (e.g., other wearable devices or ongoing audiological therapies)
- •Active self-harm or suicidal ideation
- •Severe psychotic disorder, dissociative identity disorder or other severe mental health difficulty
- •Current alcohol or drug-use disorder or dependency requiring further support or treatment that would significantly impact treatment engagement, as assessed clinician
- •Unwilling and/or unable to provide informed consent
研究组 & 干预措施
Immediate intervention arm
All participants will receive the non-invasive device to their registered address and will be asked to use it for a period of one month. This will involve wearing the device around ones neck or body during the day and docking it at night for 24/7 relief. Participants can alter the volume and frequency of the device to fit into their individual experience.
干预措施: White noise device (Device)
Waitlist control arm
The WL control group will receive the device one-month post-randomisation
干预措施: White noise device (Device)
结局指标
主要结局
Symptoms of mental health difficulties measured using the General Health Questionnaire-12
时间窗: [Time Frame: Change from baseline General Health Questionnaire-12 score at one-month post-randomisation and two-months post-randomisation]
Scores range from 0-36, with higher scores indicating greater psychological distress
Symptoms of tinnitus measured using the Tinnitus Functional Index (TF)
时间窗: [Time Frame: Change from baseline TFI score at one-month post-randomisation and two-months post-randomisation]
Scores range from 0-250, with higher scores indicating greater tinnitus symptoms
次要结局
- Satisfaction of life as measured using the Satisfaction with life Scale (SWLS)([Time Frame: Change from baseline SWLS score at one-month post-randomisation and two-months post-randomisation])
- Sleep as measured using the Insomnia Severity Index (ISI)([Time Frame: Change from baseline ISI score at one-month post-randomisation and two-months post-randomisation])