Eldré W Beukes1, Vinaya Manchaiah2,3,4,5, David M Baguley1,6,7, Peter M Allen1,8, Gerhard Andersson9,10. 1. a Department of Vision and Hearing Sciences , Anglia Ruskin University , Cambridge , UK. 2. b Department of Speech and Hearing Sciences , Lamar University , Beaumont , TX , USA. 3. c Department of Behavioral Science and Learning, Linnaeus Centre HEAD, Swedish Institute for Disability Research , Linköping University , Linköping , Sweden. 4. d Audiology India , Mysore , India. 5. e Department of Speech and Hearing, School of Allied Health Sciences , Manipal University , Manipal , India. 6. f National Institute for Health Research [NIHR] , Nottingham Biomedical Research Centre , Nottingham , UK. 7. g Otology and Hearing Group, Division of Clinical Neuroscience, School of Medicine , University of Nottingham Nottingham , UK. 8. h Vision and Eye Research Unit , Anglia Ruskin University , Cambridge , UK. 9. i Department of Behavioral Sciences and Learning , Linköping University , Linköping , Sweden , and. 10. j Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institute , Stockholm , Sweden.
Abstract
OBJECTIVE: The research objective was to identify processes that could either facilitate or hinder clinical implementation of an Internet-based cognitive behavioural therapy intervention for tinnitus in the UK. This was done by exploring the research context, the intervention components and the factors that contributed to the outcomes obtained. DESIGN: This study investigated eight processes including the recruitment strategies, reach, research context, treatment dose delivered and received, implementation fidelity, barriers to implementation and effectiveness of the intervention. STUDY SAMPLE: Of the 169 registered participants, 146 were randomly assigned to the experimental or control groups (23 were excluded). The mean age was 55.57 years with an average tinnitus duration of 11.63 years. RESULTS: The intended sample of people with distressing tinnitus who were underserved with evidence-based tinnitus interventions was reached. The full guided intervention was delivered. The recommended modules were read more than the optional modules. Intervention components such as the easily readable format and the benefits of the applied relaxation programme facilitated significant positive post-intervention outcomes. Barriers hampering the intervention application included time pressures and low self-motivation. CONCLUSIONS: Results of this process evaluation together with the outcome data can be used to facilitate translating this research into clinical practice.
RCT Entities:
OBJECTIVE: The research objective was to identify processes that could either facilitate or hinder clinical implementation of an Internet-based cognitive behavioural therapy intervention for tinnitus in the UK. This was done by exploring the research context, the intervention components and the factors that contributed to the outcomes obtained. DESIGN: This study investigated eight processes including the recruitment strategies, reach, research context, treatment dose delivered and received, implementation fidelity, barriers to implementation and effectiveness of the intervention. STUDY SAMPLE: Of the 169 registered participants, 146 were randomly assigned to the experimental or control groups (23 were excluded). The mean age was 55.57 years with an average tinnitus duration of 11.63 years. RESULTS: The intended sample of people with distressing tinnitus who were underserved with evidence-based tinnitus interventions was reached. The full guided intervention was delivered. The recommended modules were read more than the optional modules. Intervention components such as the easily readable format and the benefits of the applied relaxation programme facilitated significant positive post-intervention outcomes. Barriers hampering the intervention application included time pressures and low self-motivation. CONCLUSIONS: Results of this process evaluation together with the outcome data can be used to facilitate translating this research into clinical practice.
Authors: Eldré W Beukes; Marc Fagelson; Elizabeth Parks Aronson; Maria F Munoz; Gerhard Andersson; Vinaya Manchaiah Journal: Am J Audiol Date: 2020-02-26 Impact factor: 1.493
Authors: Eldré W Beukes; Peter M Allen; David M Baguley; Vinaya Manchaiah; Gerhard Andersson Journal: Am J Audiol Date: 2018-11-19 Impact factor: 1.493