Beukes Eldré W, Vlaescu George, Manchaiah Vinaya, Baguley David M, Allen Peter M, Kaldo Viktor, Andersson Gerhard
Department of Vision and Hearing Sciences, Anglia Ruskin University, Cambridge CB1 1PT, United Kingdom.
Department of Behavioral Sciences and Learning, Linköping University, Linköping SE-581 83, Sweden.
Internet Interv. 2016 Aug 14;6:6-15. doi: 10.1016/j.invent.2016.08.002. eCollection 2016 Nov.
Creative approaches to improve access to evidence-based tinnitus treatments are required. The purpose of this study was to develop an Internet-based cognitive behavioural therapy (iCBT) intervention, for those experiencing tinnitus in the United Kingdom (UK). Furthermore, it aimed, through technical functionality testing, to identify specific aspects of the iCBT that require improving.
An innovative iCBT intervention for treating tinnitus in the UK has been developed using a cognitive-behavioural theoretical framework. This iCBT was evaluated by two user groups during this developmental phase. Initially, five expert reviews evaluated the intervention, prior to evaluation by a group of 29 adults experiencing significant levels of tinnitus distress. Both groups evaluated iCBT in an independent measures design, using a specifically designed satisfaction outcome measure.
Overall, similar ratings were given by the expert reviewers and adults with tinnitus, showing a high level of satisfaction regarding the content, suitability, presentation, usability and exercises provided in the intervention. The iCBT intervention has been refined following technical functionality testing.
Rigorous testing of the developed iCBT intervention has been undertaken. These evaluations provide confidence that further clinical trials can commence in the UK, to assess the feasibility and effectiveness of this iCBT intervention for tinnitus.
需要创新方法来改善获得循证耳鸣治疗的途径。本研究的目的是为英国耳鸣患者开发一种基于互联网的认知行为疗法(iCBT)干预措施。此外,其旨在通过技术功能测试,确定iCBT中需要改进的具体方面。
利用认知行为理论框架,为英国耳鸣治疗开发了一种创新的iCBT干预措施。在这个开发阶段,两个用户组对这种iCBT进行了评估。最初,在一组29名有严重耳鸣困扰的成年人进行评估之前,先由五名专家对干预措施进行了审查。两组均采用独立测量设计,使用专门设计的满意度结果测量方法对iCBT进行评估。
总体而言,专家评审员和耳鸣成年人给出了相似的评分,表明他们对干预措施中提供的内容、适用性、呈现方式、可用性和练习非常满意。在进行技术功能测试后,对iCBT干预措施进行了改进。
已对所开发的iCBT干预措施进行了严格测试。这些评估让人们有信心在英国开展进一步的临床试验,以评估这种iCBT耳鸣干预措施的可行性和有效性。