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Internet-based cognitive–behavioural therapy for tinnitus: secondary analysis to examine predictors of outcomes

OBJECTIVES: The current study examined predictors of outcomes of internet-based cognitive–behavioural therapy (ICBT) for individuals with tinnitus. DESIGN: Secondary analysis of intervention studies. SETTING: Internet-based guided tinnitus intervention provided in the UK. PARTICIPANTS: 228 individua...

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Autores principales: Rodrigo, Hansapani, Beukes, Eldré W, Andersson, Gerhard, Manchaiah, Vinaya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8381319/
https://www.ncbi.nlm.nih.gov/pubmed/34417217
http://dx.doi.org/10.1136/bmjopen-2021-049384
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author Rodrigo, Hansapani
Beukes, Eldré W
Andersson, Gerhard
Manchaiah, Vinaya
author_facet Rodrigo, Hansapani
Beukes, Eldré W
Andersson, Gerhard
Manchaiah, Vinaya
author_sort Rodrigo, Hansapani
collection PubMed
description OBJECTIVES: The current study examined predictors of outcomes of internet-based cognitive–behavioural therapy (ICBT) for individuals with tinnitus. DESIGN: Secondary analysis of intervention studies. SETTING: Internet-based guided tinnitus intervention provided in the UK. PARTICIPANTS: 228 individuals who underwent ICBT. INTERVENTIONS: ICBT. PRIMARY AND SECONDARY OUTCOME MEASURES: The key predictor variables included demographic, tinnitus, hearing-related and treatment-related variables as well as clinical factors (eg, anxiety, depression, insomnia), which can have an impact on the treatment outcome. A 13-point reduction in Tinnitus Functional Index (TFI) scores has been defined as a successful outcome. RESULTS: Of the 228 subjects who were included in the study, 65% had a successful ICBT outcome. As per the univariate analysis, participants with a master’s degree or above had the highest odds of having a larger reduction in tinnitus severity (OR 3.47; 95% CI 1.32 to 12.51), compared with the participants who had education only up to high school or less. Additionally, the baseline tinnitus severity was found to be a significant variable (OR 2.65; 95% CI 1.50 to 4.67) contributing to a successful outcome with the intervention. Both linear and logistic regression models have identified education level and baseline tinnitus severity to be significant predictor variables contributing to a reduction in tinnitus severity post-ICBT. As per the linear regression model, participants who had received disability allowance had shown a 25.3-point lower TFI reduction compared with those who did not experience a decrease in their workload due to tinnitus after adjusting for baseline tinnitus severity and their education level. CONCLUSIONS: Predictors of intervention outcome can be used as a means of triaging patients to the most suited form of treatment to achieve optimal outcomes and to make healthcare savings. Future studies should consider including a heterogeneous group of participants as well as other predictor variables not included in the current study. ClinicalTrial.gov Registration: NCT02370810 (completed); NCT02665975 (completed)
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spelling pubmed-83813192021-09-08 Internet-based cognitive–behavioural therapy for tinnitus: secondary analysis to examine predictors of outcomes Rodrigo, Hansapani Beukes, Eldré W Andersson, Gerhard Manchaiah, Vinaya BMJ Open Ear, Nose and Throat/Otolaryngology OBJECTIVES: The current study examined predictors of outcomes of internet-based cognitive–behavioural therapy (ICBT) for individuals with tinnitus. DESIGN: Secondary analysis of intervention studies. SETTING: Internet-based guided tinnitus intervention provided in the UK. PARTICIPANTS: 228 individuals who underwent ICBT. INTERVENTIONS: ICBT. PRIMARY AND SECONDARY OUTCOME MEASURES: The key predictor variables included demographic, tinnitus, hearing-related and treatment-related variables as well as clinical factors (eg, anxiety, depression, insomnia), which can have an impact on the treatment outcome. A 13-point reduction in Tinnitus Functional Index (TFI) scores has been defined as a successful outcome. RESULTS: Of the 228 subjects who were included in the study, 65% had a successful ICBT outcome. As per the univariate analysis, participants with a master’s degree or above had the highest odds of having a larger reduction in tinnitus severity (OR 3.47; 95% CI 1.32 to 12.51), compared with the participants who had education only up to high school or less. Additionally, the baseline tinnitus severity was found to be a significant variable (OR 2.65; 95% CI 1.50 to 4.67) contributing to a successful outcome with the intervention. Both linear and logistic regression models have identified education level and baseline tinnitus severity to be significant predictor variables contributing to a reduction in tinnitus severity post-ICBT. As per the linear regression model, participants who had received disability allowance had shown a 25.3-point lower TFI reduction compared with those who did not experience a decrease in their workload due to tinnitus after adjusting for baseline tinnitus severity and their education level. CONCLUSIONS: Predictors of intervention outcome can be used as a means of triaging patients to the most suited form of treatment to achieve optimal outcomes and to make healthcare savings. Future studies should consider including a heterogeneous group of participants as well as other predictor variables not included in the current study. ClinicalTrial.gov Registration: NCT02370810 (completed); NCT02665975 (completed) BMJ Publishing Group 2021-08-20 /pmc/articles/PMC8381319/ /pubmed/34417217 http://dx.doi.org/10.1136/bmjopen-2021-049384 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Ear, Nose and Throat/Otolaryngology
Rodrigo, Hansapani
Beukes, Eldré W
Andersson, Gerhard
Manchaiah, Vinaya
Internet-based cognitive–behavioural therapy for tinnitus: secondary analysis to examine predictors of outcomes
title Internet-based cognitive–behavioural therapy for tinnitus: secondary analysis to examine predictors of outcomes
title_full Internet-based cognitive–behavioural therapy for tinnitus: secondary analysis to examine predictors of outcomes
title_fullStr Internet-based cognitive–behavioural therapy for tinnitus: secondary analysis to examine predictors of outcomes
title_full_unstemmed Internet-based cognitive–behavioural therapy for tinnitus: secondary analysis to examine predictors of outcomes
title_short Internet-based cognitive–behavioural therapy for tinnitus: secondary analysis to examine predictors of outcomes
title_sort internet-based cognitive–behavioural therapy for tinnitus: secondary analysis to examine predictors of outcomes
topic Ear, Nose and Throat/Otolaryngology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8381319/
https://www.ncbi.nlm.nih.gov/pubmed/34417217
http://dx.doi.org/10.1136/bmjopen-2021-049384
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