Journal of Rehabilitation Research & Development (JRRD)

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Volume 49 Number 7, 2012
   Pages 1025 — 1042

Abstract — Pilot study to develop telehealth tinnitus management for persons with and without traumatic brain injury

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James A. Henry, PhD;1-2* Tara L. Zaugg, AuD;1 Paula J. Myers, PhD;3 Caroline J. Schmidt, PhD;4 Susan Griest, MPH;1-2 Marcia W. Legro, PhD;1 Christine Kaelin, MBA;1 Emily J. Thielman, MS;1 Daniel M. Storzbach, PhD;5 Garnett P. McMillan, PhD;1 Kathleen F. Carlson, PhD6

1Department of Veterans Affairs (VA) Rehabilitation Research and Development National Center for Rehabilitative Auditory Research, VA Medical Center, Portland, OR; 2Department of Otolaryngology/Head and Neck Surgery, Oregon Health & Science University (OHSU), Portland, OR; 3James A. Haley Veterans’ Hospital, Tampa, FL; 4VA Connecticut Healthcare System, West Haven, CT; and Department of Psychiatry, Yale School of Medicine, New Haven, CT; 5Neuropsychology Clinic, VA Medical Center, Portland, OR; and Departments of Psychiatry and Neurology, OHSU, Portland, OR; 6VA Health Services Research and Development Portland Center for the Study of Chronic, Comorbid Mental and Physical Disorders, VA Medical Center, Portland, OR; and Department of Public Health and Preventive Medicine, OHSU, Portland, OR

Abstract — Tinnitus, or “ringing in the ears,” affects 10%-15% of adults; cases can be problematic and require lifelong management. Many people who have experienced traumatic brain injury (TBI) also experience tinnitus. We developed Progressive Tinnitus Management (PTM), which uses education and counseling to help patients learn how to self-manage their reactions to tinnitus. We adapted PTM by delivering the intervention via telephone and by adding cognitive-behavioral therapy. A pilot study was conducted to evaluate the feasibility and potential efficacy of this approach for individuals with and without TBI. Participants with clinically significant tinnitus were recruited into three groups: probable symptomatic mild TBI (n = 15), moderate to severe TBI (n = 9), and no symptomatic TBI (n = 12). Participants received telephone counseling (six sessions over 6 months) by an audiologist and a psychologist. Questionnaires were completed at baseline, 12 weeks, and 24 weeks. All groups showed trends reflecting improvement in self-perceived functional limitations due to tinnitus. A follow-up randomized clinical study is underway.

Key words: blast injury, clinical trial, cognitive-behavioral therapy, education, hearing disorders, military Veterans, rehabilitation, telehealth, tinnitus, traumatic brain injury.


View HTML  ¦  View PDF  ¦  Contents Vol. 49, No. 7

This article and any supplementary material should be cited as follows:
Henry JA, Zaugg TL, Myers PJ, Schmidt CJ, Griest S, Legro MW, Kaelin C, Thielman EJ, Storzbach DM, McMillan GP, Carlson KF. Pilot study to develop telehealth tinnitus management for persons with and without traumatic brain injury. J Rehabil Res Dev. 2012;49(7): 1025-42.
http://dx.doi.org/10.1682/JRRD.2010.07.0125

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Last Reviewed or Updated  Wednesday, October 24, 2012 12:30 PM

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