Outcomes of Clinical Trial: Tinnitus Masking versus Tinnitus Retraining Therapy

2006 ◽  
Vol 17 (02) ◽  
pp. 104-132 ◽  
Author(s):  
James A. Henry ◽  
Martin A. Schechter ◽  
Tara L. Zaugg ◽  
Susan Griest ◽  
Pawel J. Jastreboff ◽  
...  
Keyword(s):  
Military Veterans ◽  
Severity Index ◽  
Tinnitus Retraining Therapy ◽  
Tinnitus Severity ◽  
Retraining Therapy ◽  
Clinically Significant ◽  
Intent To Treat ◽  
Tinnitus Masking ◽  
Controlled Clinical Study ◽  
Time Aware

A controlled clinical study was conducted to evaluate prospectively the clinical efficacy of tinnitus masking (TM) and tinnitus retraining therapy (TRT) in military veterans having clinically significant tinnitus. Qualifying patients were placed into the two groups in an alternating manner (to avoid selection bias), and treatment was administered at 0, 3, 6, 12, and 18 months. Outcomes of treatment were evaluated using three self-administered tinnitus questionnaires (Tinnitus Handicap Inventory, Tinnitus Handicap Questionnaire, Tinnitus Severity Index) and the verbally administered TRT interview forms. Findings are presented from the three written questionnaires, and from two of the interview questions (percentage time aware of, and annoyed by, tinnitus). Outcomes were analyzed on an intent-to-treat basis, using a multilevel modeling approach. Of the 123 patients enrolled, 118 were included in the analysis. Both groups showed significant declines (improvements) on these measures, with the TRT decline being significantly greater than for TM. The greater declines in TRT compared to TM occurred most strongly in patients who began treatment with a "very big" tinnitus problem. When patients began treatment with a "moderate" tinnitus problem, the benefits of TRT compared to TM were more modest.

Comparison of Tinnitus Masking and Tinnitus Retraining Therapy

2002 ◽  
Vol 13 (10) ◽  
pp. 559-581 ◽  
Author(s):  
James A. Henry ◽  
Martin A. Schechter ◽  
Stephen M. Nagler ◽  
Stephen A. Fausti
Keyword(s):  
Clinical Application ◽  
Basic Component ◽  
Tinnitus Retraining Therapy ◽  
Basic Approach ◽  
Sound Therapy ◽  
The World ◽  
Considerable Confusion ◽  
International Attention ◽  
Retraining Therapy ◽  
Tinnitus Masking

Two methods for treating tinnitus are compared. Tinnitus masking has been used for over 25 years, and although this method is used in clinics around the world, there are many misconceptions regarding the proper protocol for its clinical application. Tinnitus retraining therapy has been used clinically for over 12 years and has received considerable international attention. Although these methods are distinctive in their basic approach to tinnitus management, certain aspects of treatment appear similar. These aspects of treatment have created considerable confusion and controversy, especially regarding the use of "sound therapy" as a basic component of treatment. It is the objective of this article to clarify the major differences that exist between these two forms of treatment.

Clinical trial to compare tinnitus masking and tinnitus retraining therapy

2006 ◽  
Vol 126 (sup556) ◽  
pp. 64-69 ◽  
Author(s):  
J.A. Henry ◽  
M.A. Schechter ◽  
T.L. Zaugg ◽  
S. Griest ◽  
P.J. Jastreboff ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Tinnitus Retraining Therapy ◽  
Retraining Therapy ◽  
Tinnitus Masking

Clinical Guide for Audiologic Tinnitus Management II

2005 ◽  
Vol 14 (1) ◽  
pp. 49-70 ◽  
Author(s):  
James A. Henry ◽  
Tara L. Zaugg ◽  
Martin A. Schechter
Keyword(s):  
Treatment Outcomes ◽  
Hearing Aids ◽  
Treatment Method ◽  
Mp3 Players ◽  
Retraining Therapy ◽  
Clinically Significant ◽  
Uniform Manner ◽  
Procedural Components ◽  
Tinnitus Masking ◽  
Assessment Procedures

Purpose: This article is the second of 2 that address the need for basic procedures that can be used commonly by audiologists to manage patients with clinically significant tinnitus, as well as hyperacusis. The method described is termed audiologic tinnitus management (ATM). Method: ATM was developed specifically for use by audiologists. Although certain procedural components were adapted from the methods of tinnitus masking and tinnitus retraining therapy, ATM is uniquely and specifically defined. A detailed description of the ATM assessment procedures is provided in the companion article (J. A. Henry, T. L. Zaugg, & M. A. Schechter, 2005). The present article describes a specific clinical protocol for providing treatment with ATM. Results: The treatment method described for ATM includes structured informational counseling and an individualized program of sound enhancement that can include the use of hearing aids, ear-level noise generators, combination instruments (noise generator and hearing aid combined), personal listening devices (wearable CD, tape, and MP3 players), and augmentative sound devices (e.g., tabletop sound generators). Ongoing treatment appointments involve primarily the structured counseling, evaluation, and adjustment of the use of sound devices, and assessment of treatment outcomes. The informational counseling protocol and an interview form for determining treatment outcomes are each described in step-by-step detail for direct clinical application. Conclusion: This article can serve as a practical clinical guide for audiologists to provide treatment for tinnitus in a uniform manner.

scholarly journals A comparative study between tinnitus masking and tinnitus retraining therapy on perceived tinnitus handicap and cognition

2020 ◽  
Vol 6 (6) ◽  
pp. 1091
Author(s):  
Indranil Chatterjee ◽  
Geeta Gore
Keyword(s):  
Prior History ◽  
Tinnitus Retraining Therapy ◽  
Long Term Effect ◽  
Initial Stage ◽  
Days Of Therapy ◽  
Retraining Therapy ◽  
History Of ◽  
Tinnitus Treatment ◽  
Group 2 ◽  
Tinnitus Masking

<p class="abstract"><strong>Background:</strong> Since last one decade there were no such studies done in India on the efficacy of tinnitus retraining therapy (TRT) on tinnitus treatment. Here, in this study we try to find out whether TRT is an effective tool than tinnitus masking as a treatment procedure of tinnitus in Indian context.</p><p class="abstract"><strong>Methods:</strong> A total of 60 participants (with no prior history of presence of hearing loss) were divided into two groups. Group 1 was consisted of 30 subjects provided tinnitus masking using relief app at the ease of their home environment for 2 months. Group 2 was consisted of another 30 subjects have been provided tinnitus retraining therapy (TRT) for 2months (60 sessions). The design is experimental design. The study was carried out in eight phases.  </p><p class="abstract"><strong>Results:</strong> The findings of this study suggested that both the tinnitus masking therapy as well as TRT helped tinnitus sufferers to improve after 60 days of therapy continuation at initial stage. But a significant marked difference was found in terms of performance in participants from group 2 who had undergone TRT i.e., they performed very well after one month of post transfer therapeutic sessions than those who had undergone tinnitus masking therapy.</p><p class="abstract"><strong>Conclusions:</strong> The findings of this study are suggestive of that TRT is more effective than tinnitus masking therapy in tinnitus individuals even after one month of stopping therapy sessions. It also suggests that TRT has a long-term effect on tinnitus management than tinnitus masking.</p>

scholarly journals Noise Induced Hearing Loss with Tinnitus: Does TRT Help?

2017 ◽  
Vol 25 (1) ◽  
pp. 39-45
Author(s):  
Nidhi Vohra Maggon ◽  
Ashwani Sethi ◽  
Atul Gupta
Keyword(s):  
Hearing Loss ◽  
Noise Induced Hearing Loss ◽  
Post Intervention ◽  
Tinnitus Retraining Therapy ◽  
Profound Hearing Loss ◽  
Tinnitus Severity ◽  
Retraining Therapy ◽  
A Prospective Study ◽  
Patients Experience ◽  
Loss Severity

Introduction To determine if hearing augmentation and tinnitus retraining therapy (TRT) helps in cases of Tinnitus with Noise induced hearing loss (NIHL) and does degree of hearing loss, severity or duration of tinnitus affect recovery  Materials and Methods A prospective study was done on 100 patients of NIHL with tinnitus from Jan 14-Jul 15. Degree of hearing loss was assessed. Tinnitus severity was scored on Tinnitus handicap inventory (THI) scale as Slight, Mild, Moderate, severe or catastrophic and patients were subjected to TRT. Patients scored after 1 year of TRT. A relation between tinnitus severity, duration and degree of hearing loss on recovery from tinnitus was analysed. Result 62 of the 100 patients improved following TRT. Discussion In 100 patients THI scores improved from a mean of 63.12 (SD-21.12) to 38.16 (SD-18.21). Mean difference between pre and post-intervention THI scores was 24.96 (SD-17.97). Improvement was significant in severe or profound hearing loss (P<.001). Tinnitus severity was slight, mild, moderate, severe or catastrophic on THI. Following TRT, 82.35% with Catastrophic, 70.96% with severe, 52.63% with moderate, 20% with mild tinnitus improved. 1 patient with slight tinnitus did not improve. Based on duration of tinnitus three groups made; 0-6 months, 6-12 months and >12 months. All groups showed improvement. Reduction in Post-TRT THI was significant but did not show any difference among groups. Conclusion TRT helps in tinnitus with NIHL particularly if hearing loss is severe. Severe or catastrophic tinnitus patients experience greater improvement. Duration of tinnitus has no impact.

Clinical efficacy of tinnitus retraining therapy and cognitive behavioural therapy in the treatment of subjective tinnitus: a systematic review

2014 ◽  
Vol 128 (12) ◽  
pp. 1028-1033 ◽  
Author(s):  
R Grewal ◽  
P M Spielmann ◽  
S E M Jones ◽  
S S M Hussain
Keyword(s):  
Systematic Review ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Tinnitus Retraining Therapy ◽  
Validated Questionnaires ◽  
Cognitive Behavioural ◽  
Retraining Therapy ◽  
Randomised Control Trials ◽  
Human Participants ◽  
Tinnitus Masking

AbstractObjective:This study aimed to compare the outcomes of two frequently employed interventions for the management of tinnitus: tinnitus retraining therapy and cognitive behavioural therapy.Method:A systematic review of literature published up to and including February 2013 was performed. Only randomised control trials and studies involving only human participants were included.Results:Nine high-quality studies evaluating the efficacy of tinnitus retraining therapy and cognitive behavioural therapy were identified. Of these, eight assessed cognitive behavioural therapy relative to a no-treatment control and one compared tinnitus retraining therapy to tinnitus masking therapy. Each study used a variety of standardised and validated questionnaires. Outcome measures were heterogeneous, but both therapies resulted in significant improvements in quality of life scores. Depression scores improved with cognitive behavioural therapy.Conclusion:Both cognitive behavioural therapy and tinnitus retraining therapy are effective for tinnitus, with neither therapy being demonstrably superior. Further research using standardised, validated questionnaires is needed so that objective comparisons can be made.

Tinnitus Retraining Therapy

2004 ◽  
Author(s):  
Pawel J. Jastreboff ◽  
Jonathan W. P. Hazell
Keyword(s):  
Tinnitus Retraining Therapy ◽  
Retraining Therapy

Assessment and Treatment of Tinnitus Patients Using a "Masking Approach"

2002 ◽  
Vol 13 (10) ◽  
pp. 545-558 ◽  
Author(s):  
Martin A. Schechter ◽  
James A. Henry
Keyword(s):  
Hearing Aids ◽  
Historical Review ◽  
Evaluation Process ◽  
Direct Patient Care ◽  
Tinnitus Questionnaire ◽  
Care Experience ◽  
Treatment Services ◽  
Assessment And Treatment ◽  
Retraining Therapy ◽  
Tinnitus Masking

Audiology clinics are increasingly being asked to provide tinnitus treatment services to patients who are severely distressed by tinnitus. It is unclear what levels of tinnitus care are available at different audiology clinics across the nation. Some clinics have staff who are experienced with the tinnitus masking technique or with tinnitus retraining therapy (TRT), whereas other clinics may limit their care to the provision of hearing aids. This article is an attempt to provide some basic information for those clinicians who would like to provide at least a minimum level of care for their tinnitus patients using the tinnitus masking approach. The most important requirement is a commitment by the clinician to assemble some basic resources and to structure the clinical schedule so that adequate time is available for historical review, evaluation, trial and selection of devices, and tinnitus counseling. A minimum set of measurements is recommended for inclusion in the tinnitus evaluation process. This informal review summarizes a variety of clinical observations culled from years of direct patient care experience. A tinnitus questionnaire is provided to help clinicians review potentially relevant issues.

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