Auditory and Vestibular Research 2016. 25(1):14-23.

A comparison between tinnitus retraining therapy and a simplified version in treatment of tinnitus in adults
Hashir Aazh, Brian C. J. Moore

Abstract


Background and Aim: Tinnitus retraining therapy (TRT) comprises comprehensive edu­cational counseling and sound therapy. The aim of this study was to compare the eff­ectiveness of TRT relative to a simplified version of TRT (sTRT). Simplified TRT is different from TRT in the duration and type of the educational counseling (shorter) but is similar to TRT in the application of sound therapy.
Methods: This was a retrospective service eva­luation survey and the data were collected from 12 consecutive patients who received TRT and 12 patients who received sTRT. The average duration of tinnitus was six years (SD=7.9) with a range between one month and 30 years. All patients received between three and six months of treatment, which typically involved three to four appointments.
Results: The results showed that scores on the Tinnitus Handicap Inventory (THI) and the visual analog scale of tinnitus loudness, annoyance and effect on life declined sig­nificantly (improved) for both TRT and sTRT groups (p<0.05). 75% of the patients receiving TRT and 83% of patients receiving sTRT exhibited a decline of 25 or more in THI score. The mean decline in the THI scores was 34 (SD=14) for the TRT group, and 41 (SD=21) for the sTRT group, and the difference in means was not statistically significant (p=0.34).
Conclusion: The results suggest that the dura­tion and type of counseling does not play a critical role in treatment outcome and sTRT may be used when time constraints do not allow the full treatment.


Keywords


Tinnitus retraining therapy; tinnitus rehabilitation; decreased sound tolerance; hearing disorder

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References


Jastreboff PJ, Hazell JW. A neurophysiological approach to tinnitus: clinical implications. Br J Audiol. 1993;27(1):7-17.

Jastreboff PJ, Jastreboff MM. Tinnitus retraining therapy for patients with tinnitus and decreased sound tolerance. Otolaryngol Clin North Am. 2003;36(2):321-36.

Kandel ER, Schwartz JH, Jessel TM. Principles of Neural Science. 4th ed. New York: McGraw-Hill; 2000.

Jastreboff PJ. 25 years of tinnitus retraining therapy. HNO. 2015;63(4):307-11.

Herraiz C, Hernandez FJ, Plaza G, de los Santos G. Long-term clinical trial of tinnitus retraining therapy. Otolaryngol Head Neck Surg. 2005;133(5):774-9.

Henry JA, Schechter MA, Zaugg TL, Griest S, Jastreboff PJ, Vernon JA, et al. Outcomes of clinical trial: tinnitus masking versus tinnitus retraining therapy. J Am Acad Audiol. 2006;17(2):104-32.

Aazh H, Moore BCJ, Glasberg BR. Simplified form of tinnitus retraining therapy in adults: a retrospective study. BMC Ear Nose Throat Disord. 2008;8:7.

Department of Health. Provision of services for adults with tinnitus: a good practice guide. London: UK Department of Health; 2009.

Jastreboff PJ, Hazell JWP. Tinnitus retraining therapy: implementing the neurophysiological model. 1st ed. New York: Cambridge University Press; 2004.

British Society of Audiology. Pure tone air and bone conduction threshold audiometry with and without masking and determination of uncomfortable loudness levels. 2004.

Aazh H, McFerran D, Salvi R, Prasher D, Jastreboff M, Jastreboff P. Insights from the First International Conference on Hyperacusis: causes, evaluation, diagnosis and treatment. Noise Health. 2014;16(69):123-6.

Dillon H. NAL-NL1: a new procedure for fitting non-linear hearing aids. Hear J. 1999;52(4):10,12,14,16.

Aazh H, Moore BCJ. The value of routine real ear measurement of the gain of digital hearing aids. J Am Acad Audiol. 2007;18(8):653-64.

Aazh H, Moore BCJ, Prasher D. The accuracy of matching target insertion gains with open-fit hearing aids. Am J Audiol. 2012;21(2):175-80.

Gatehouse S. A self-report outcome measure for the evaluation of hearing aid fittings and services. Health Bull (Edinb). 1999;57(6):424-36.

Newman CW, Jacobson GP, Spitzer JB. Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg. 1996;122(2):143-8.

Huskisson E. Visual analogue scales. Pain measurement and assessment. New York: Raven Press; 1983.

Tyler RS, Noble W, Coelho CB, Ji H. Tinnitus retraining therapy: mixing point and total masking are equally effective. Ear Hear. 2012;33(5):588-94.

Pocock SJ. Clinical trials: a practical approach. 1st ed. Chichester: Wiley; 1983.

Vandenbroucke JP, von Elm E, Altman DG, Gøtzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. PLoS Med. 2007;4(10):e297.


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