Effectiveness of Specialised Cognitive Behavioural Therapy (CBT) for Tinnitus.

Tinnitus, Subjective Clinical Trial

Official title:

Cognitive Behaviour Therapy (CBT) for Tinnitus Treatment: Implementation and Validity

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04310605
• Other study ID #: ECP-152 05_12_2014
• Status: Completed
• Start date: January 1, 2014
• Est. completion date: November 16, 2016

Study information

• Verified date: March 2020
• Source: Maastricht University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This is an observational study of specialised CBT for tinnitus for adults delivered in routine care.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 403
• Est. completion date: November 16, 2016
• Est. primary completion date: November 16, 2016
• Gender: All
• Age group: 17 Years and older

Eligibility

Inclusion Criteria:

• Tinnitus is the primary complaint and reason for seeking help

• Participant is at least 17 years of age,

Exclusion Criteria:

• Unable to read and write in Dutch

• Tinnitus is not the primary complaint

• Person is under 17 years of age

• Participant has a health condition that prevents them from attending treatment centre

• An Ear Nose Throat (ENT) physician assesses the participant as having ontological condition that requires medical treatment

Related Conditions & MeSH terms

• Tinnitus
• Tinnitus, Subjective

Intervention

Behavioral:
• CBT 1
CBT for tinnitus (Step 1) comprised: individual audiometric assessment, and counselling about hearing and tinnitus (1hr) with an audiologist; a one-off educational group session (a max 10 participants and partners) (2hrs); an assessment session with a psychologists (1 hr).
• CBT 2
Step 2 group sessions were 2 hrs long over a 12-week period. Two therapists (a psychologist and physiotherapist) were present at any one time for Step 2 sessions. Step 2 included: psycho-education; exposure therapy; mindfulness exercises; cognitive restructuring; attention redirecting techniques; stress reduction; and, relaxation techniques. Evening sessions were also provided for participants to attend with family or partners.

Locations

Country	Name	City	State
n/a

Sponsors (5)

Lead Sponsor	Collaborator
Maastricht University	Flemish Government, Belgium, Libra Revalidatie en Audiologie, SWOL Limburgs Fonds voor Revalidatie, The Netherlands Organization for Scientific Research (NWO)

References & Publications (1)

Cima RF, Maes IH, Joore MA, Scheyen DJ, El Refaie A, Baguley DM, Anteunis LJ, van Breukelen GJ, Vlaeyen JW. Specialised treatment based on cognitive behaviour therapy versus usual care for tinnitus: a randomised controlled trial. Lancet. 2012 May 26;379(9830):1951-9. doi: 10.1016/S0140-6736(12)60469-3. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Health Utilities Index-III	The Health Utilities Index (HUI; Feeny et al., 2002; Horsman, Furlong, Feeny, & Torrance, 2003) is a 17-item measure designed to assess health related quality of life.	12 months
Secondary	Tinnitus Handicap Inventory (THI)	The THI (Newman, Jacobson, & Spitzer, 1996; Newman, Sandridge, & Jacobson, 1998).is a 25 items measure of the impact of tinnitus on daily life that includes three subscales. The subscales cover functional (mental, social/occupational and physical functioning), emotional impact and catastrophic responses to tinnitus.	12 months
Secondary	Hospital Anxiety and Depression Scale (HADS; Zigmond & Snaith, 1983).	The HADS is a widely used measure of psychological distress in people experiencing a concurrent physical health condition. It has 14 items and respondents use a Likert-type scale to indicate how often they have had a particular feeling in the previous week (e.g. "I feel tense or wound up").	12 months
Secondary	Tinnitus Catastrophizing Scale (TCS)	Tinnitus Catastrophizing Scale (TCS; Cima, Crombez, & Vlaeyen, 2011). The TCS was used to assess the degree to which people thought or expected the worst about tinnitus (i.e. catastrophizing). The TCS is a 13-item measure based on the Pain Catastrophizing Scale (Sullivan, Bishop, & Pivik, 1995) and respondents use a five point scale to indicate the degree to which statements applies to them (e.g. It's terrible and I think it's never going to get any better). The total score on the TCS ranges from 0 to 65.	12 months
Secondary	Fear of Tinnitus Questionnaire (FTQ)	The FTQ is a 17-item self-report measure intended and designed to assess respondents' level of fear regarding their tinnitus. Items in the questionnaire are presented as a series of statements (e.g. "I am afraid that my tinnitus will become worse") from which respondents are asked to indicate if it is applicable to their current situation. Each statement receives a score of 1 when applicable. The total score is the sum of all applicable statements and provides an overall rating of fear of tinnitus and ranges from 0 to 17.	12 months
Secondary	Tinnitus Questionnaire (TQ)	The Tinnitus Questionnaire (TQ; Hallam, Jakes, & Hinchcliffe, 1988) is a self-report questionnaire designed to asses distress and interference in daily activities that is associated with tinnitus. It has 52 items and uses a three-point scale to indicate levels of distress on six subscales. The total possible score on the TQ ranges from 0-84.	12 months
Secondary	Tinnitus Disability Index (TDI)	The Tinnitus Disability Index (TDI; Cima, Vlaeyen, Maes, Joore, & Anteunis, 2011) is a seven-item self-report questionnaire that assesses the level of interferences in daily activities (such as occupational, social, and recreational) attributed to tinnitus. Respondents use an 11-point scale to indicate the level of interference ranging from 0 no disability, to 10 total disability. The total score ranges from 0 to 70 with higher scores indicating higher levels of interference.	12 months