Randomized clinical trial: Group counseling based on tinnitus retraining therapy

James A. Henry, Carl Loovis, Melissa Montero, Christine Kaelin, Kathryn Anne Anselmi, Rebecca Coombs, June Hensley, Kenneth E. James

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

The main component of tinnitus retraining therapy (TRT) is structured counseling. We conducted a randomized clinical trial to test the hypothesis that group educational counseling based on TRT principles would effectively treat veterans who have clinically significant tinnitus. Veterans with clinically significant tinnitus were randomized into one of three groups: educational counseling, traditional support, and no treatment. Subjects in the first two groups attended four 1.5 h group sessions each week. All subjects completed outcome questionnaires at baseline and at 1, 6, and 12 mo. A total of 269 subjects participated: 94 in the educational counseling group, 84 in the traditional support group, and 91 in the no-treatment group. Statistical analyses showed that educational counseling provided significantly more benefit than either traditional support or no treatment, as measured by the Tinnitus Severity Index. Results suggest that group educational counseling can significantly benefit many tinnitus patients and could be integral to a "progressive intervention" approach to tinnitus clinical management.

Original languageEnglish (US)
Pages (from-to)21-31
Number of pages11
JournalJournal of Rehabilitation Research and Development
Volume44
Issue number1
DOIs
StatePublished - Jun 14 2007

Keywords

  • Auditory
  • Clinical trial
  • Educational counseling
  • Hearing disorders
  • Intervention
  • Outcomes
  • Rehabilitation
  • Tinnitus
  • Tinnitus Severity Index
  • Tinnitus retraining therapy

ASJC Scopus subject areas

  • Rehabilitation

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