Eldré W Beukes1,2, Vinaya Manchaiah2,3,4,5,6, Gerhard Andersson7,8,9, David W Maidment10. 1. Vision and Hearing Sciences Research Group, School of Psychology and Sports Sciences, Anglia Ruskin University, Cambridge, United Kingdom. 2. Virtual Hearing Lab, Collaborative Initiative between University of Colorado School of Medicine and University of Pretoria, Aurora. 3. Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Aurora. 4. UCHealth Hearing and Balance, University of Colorado Hospital, Aurora. 5. Department of Speech-Language Pathology and Audiology, University of Pretoria, Gauteng, South Africa. 6. Department of Speech and Hearing, Manipal College of Health Professions, Manipal Academy of Higher Education, India. 7. Department of Behavioral Sciences and Learning, Linköping University, Sweden. 8. Department of Biomedical and Clinical Sciences, Linköping University, Sweden. 9. Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Sweden. 10. School of Sport, Exercise and Health Sciences, Loughborough University, United Kingdom.
Abstract
PURPOSE: Although experiencing tinnitus can lead to many difficulties, these can be reduced by using techniques derived from cognitive behavioral therapy. Internet-based cognitive behavioral therapy (ICBT) has been developed to provide an accessible intervention. The aim of this study was to describe how ICBT can facilitate tinnitus management by identifying the active ingredients of the intervention from the perspective of health behavior change. METHOD: The ICBT intervention was evaluated using the Behavior Change Wheel in eight steps across the following three stages: (1) understanding the behavior, (2) identifying intervention options, and (3) identifying content and implementation options. RESULTS: Target behaviors identified to reduce tinnitus distress, as well as additional problems associated with tinnitus, included goal setting, an increased understanding of tinnitus, encouraging deep breathing and progressive muscle relaxation, identifying and restructuring unhelpful thoughts, engaging in positive imagery, and reducing avoidance behaviors. ICBT provided the required components for individuals to be physically and psychologically capable of adapting to tinnitus, providing social and environmental opportunities to manage hearing loss through practice and training, and facilitated automatic and reflective motivation. CONCLUSION: Understanding ICBT in the context of the Behavior Change Wheel has helped identify how its effectiveness can be improved and can be used for future tinnitus intervention planning. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.19555213.
PURPOSE: Although experiencing tinnitus can lead to many difficulties, these can be reduced by using techniques derived from cognitive behavioral therapy. Internet-based cognitive behavioral therapy (ICBT) has been developed to provide an accessible intervention. The aim of this study was to describe how ICBT can facilitate tinnitus management by identifying the active ingredients of the intervention from the perspective of health behavior change. METHOD: The ICBT intervention was evaluated using the Behavior Change Wheel in eight steps across the following three stages: (1) understanding the behavior, (2) identifying intervention options, and (3) identifying content and implementation options. RESULTS: Target behaviors identified to reduce tinnitus distress, as well as additional problems associated with tinnitus, included goal setting, an increased understanding of tinnitus, encouraging deep breathing and progressive muscle relaxation, identifying and restructuring unhelpful thoughts, engaging in positive imagery, and reducing avoidance behaviors. ICBT provided the required components for individuals to be physically and psychologically capable of adapting to tinnitus, providing social and environmental opportunities to manage hearing loss through practice and training, and facilitated automatic and reflective motivation. CONCLUSION: Understanding ICBT in the context of the Behavior Change Wheel has helped identify how its effectiveness can be improved and can be used for future tinnitus intervention planning. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.19555213.
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; Vinaya Manchaiah; Gerhard Andersson; Peter M Allen; Paige M Terlizzi; David M Baguley Journal: Disabil Rehabil Date: 2017-08-09 Impact factor: 3.033
Authors: Viktor Kaldo; Sofia Cars; Miriam Rahnert; Hans Christian Larsen; Gerhard Andersson Journal: J Psychosom Res Date: 2007-08 Impact factor: 3.006
Authors: Eldré W Beukes; Vinaya Manchaiah; David M Baguley; Peter M Allen; Gerhard Andersson Journal: Int J Audiol Date: 2017-10-09 Impact factor: 2.117
Authors: Susan Michie; Michelle Richardson; Marie Johnston; Charles Abraham; Jill Francis; Wendy Hardeman; Martin P Eccles; James Cane; Caroline E Wood Journal: Ann Behav Med Date: 2013-08