a Department of Vision and Hearing Sciences , Anglia Ruskin University , Cambridge , UK.
b Department of Speech and Hearing Sciences , Lamar University , Beaumont , TX , USA.
Int J Audiol. 2018 Feb;57(2):98-109. doi: 10.1080/14992027.2017.1384858. Epub 2017 Oct 9.
The research objective was to identify processes that could either facilitate or hinder clinical implementation of an Internet-based cognitive behavioural therapy intervention for tinnitus in the UK. This was done by exploring the research context, the intervention components and the factors that contributed to the outcomes obtained.
This study investigated eight processes including the recruitment strategies, reach, research context, treatment dose delivered and received, implementation fidelity, barriers to implementation and effectiveness of the intervention.
Of the 169 registered participants, 146 were randomly assigned to the experimental or control groups (23 were excluded). The mean age was 55.57 years with an average tinnitus duration of 11.63 years.
The intended sample of people with distressing tinnitus who were underserved with evidence-based tinnitus interventions was reached. The full guided intervention was delivered. The recommended modules were read more than the optional modules. Intervention components such as the easily readable format and the benefits of the applied relaxation programme facilitated significant positive post-intervention outcomes. Barriers hampering the intervention application included time pressures and low self-motivation.
Results of this process evaluation together with the outcome data can be used to facilitate translating this research into clinical practice.
本研究旨在确定能够促进或阻碍基于互联网的认知行为疗法治疗耳鸣在英国临床应用的过程。通过探讨研究背景、干预措施以及导致研究结果产生的因素来实现这一目标。
本研究调查了包括招募策略、覆盖范围、研究背景、提供和接受的治疗剂量、实施保真度、实施障碍以及干预效果在内的 8 个过程。
在 169 名已注册的参与者中，146 名被随机分配到实验组或对照组（23 名被排除在外）。平均年龄为 55.57 岁，耳鸣平均持续时间为 11.63 年。
达到了那些未得到基于证据的耳鸣干预措施充分服务、有困扰性耳鸣的目标人群。完整的指导干预得以实施。建议模块的阅读量超过了可选模块。干预措施的易用性和应用放松计划的益处促进了显著的积极干预后结果。阻碍干预应用的障碍包括时间压力和低自我激励。
本过程评估的结果以及研究结果可以用于促进该研究向临床实践的转化。
