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N/A N=40 Randomized Single-blind Treatment

A Comparison of Three Psychoeducational Group Interventions for Veterans With Tinnitus

Tinnitus

Enrolled (actual)
40
Serious AEs
0.0%
Results posted
Nov 2018
Primary outcome: Primary: Coping — 34.3; 31.6; 33.2; 30.0 units on a scale

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Coping Effectiveness Training (Behavioral); Cognitive-behavioral therapy (Behavioral); Acceptance and Commitment Therapy (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
VA Office of Research and Development
Primary completion
Aug 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Coping
34.3; 31.6; 33.2; 30.0; 9.6; 7.4

Summary

Tinnitus (i.e., ringing in the ears) is currently the most prevalent disability among Veterans. A range of clinical interventions has been created to systematically address the range of issues caused by tinnitus. While numerous interventions purport to promote coping strategies for tinnitus-related problems, few studies directly target and measure coping outcomes. The present pilot study proposes a comparison of coping outcomes after 3 psycho-educational groups: a cognitive-behavioral therapy (CBT) intervention, a Coping Effectiveness Training (CET) intervention, or an Acceptance and Commitment Therapy intervention among Veterans with tinnitus. These groups will be compared to a usual care group among Veterans and civilians with tinnitus. The proposed study will be the first application of CET to tinnitus. The primary goals of this study are to develop a CET protocol for tinnitus and to evaluate the effectiveness of CBT, CET, and ACT interventions to a usual care group. The long-term goal of this study is to improve the quality of life among individuals with tinnitus.

Eligibility Criteria

Inclusion Criteria

Development Phase (Phase 1)-focus groups:

Inclusion criteria are the following (more details are provided below):

  • 1) Veterans;
  • 2) have chronic tinnitus that is sufficiently bothersome to warrant intervention-see below for explanation;
  • 3) able to communicate in English;
  • 4) willing and able to give written informed consent;
  • 5) use hearing aids if needed; and
  • 6) have participated in the PTM program at the VA Portland Healthcare System.

Testing Phase (Phase 2)-interventions:

Inclusion criteria are the following:

  • 1) Veterans and civilians;
  • 2) have a score of at least 25 on the Tinnitus Functional Index ([TFI]; Meikle, J.A. Henry, et al., 2012);
  • 3) have two errors or less on a six-item cognitive screening instrument (Callahan, Unverzagt, Hui, Perkins, & Hendrie, 2002);
  • 4) able to communicate in English;
  • 5) willing and able to give written informed consent; and
  • 6) use hearing aids if needed.

Exclusion Criteria

Development Phase (Phase 1)-focus groups:

Exclusion criteria are:

  • Not meeting inclusion criteria 1-6,
  • nor have any other factor that would preclude full participation in the study.

Testing Phase (Phase 2)-interventions:

Exclusion criteria are:

  • Not meeting inclusion criteria 1-6,
  • having participated in the PTM program or Phase 1 of this study,
  • or having any other factor that would preclude full participation in the study. Recruitment for Phase 2 will begin in year 1 once the CET protocol is finalized.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02293512). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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