Audiology Section, The University of Auckland, Auckland, New Zealand.
Eisdell Moore Centre, The University of Auckland, Auckland, New Zealand.
Int J Audiol. 2020 May;59(5):374-382. doi: 10.1080/14992027.2020.1719436. Epub 2020 Feb 3.
The objective of this study was to provide proof-of-concept of a single session of tinnitus instruction and counselling with and without homework. A mixed-method design using questionnaires and thematic evaluation of qualitative data was implemented.: Sixteen participants received instruction in a single, one-to-one counselling session; eight participants additionally undertook homework consisting of either positive visualisation augmented by sound or a workbook of written and drawing activities supporting the instruction provided in the counselling session. All participants completed questionnaires just before and 3 weeks after the intervention, half were interviewed 3 weeks following the intervention. Average tinnitus functional index (TFI) scores were 45 (SD 25) before and 29 (SD 23) following counselling, with a change of 4.8 or greater recorded in 75% and change of 13 points or greater in 50% of participants. Both counselling and counselling with homework showed similar changes in the TFI. This finding was supported by the qualitative analysis from which a model consisting of the themes of counselling benefit, content, application and homework benefit was derived. This study provides proof-of-concept of a single tinnitus instruction and counselling session, based on an ecological model of tinnitus.
本研究旨在提供单次耳鸣指导和咨询的概念验证，包括有和没有家庭作业的情况。采用问卷调查和定性数据主题评估的混合方法设计：16 名参与者接受了一对一咨询的单次指导；8 名参与者另外完成了家庭作业，包括增强声音的积极可视化或支持咨询中提供的书面和绘图活动的工作簿。所有参与者在干预前和干预后 3 周完成问卷，一半在干预后 3 周接受访谈。平均耳鸣功能指数（TFI）评分在咨询前为 45（SD 25），咨询后为 29（SD 23），75%的参与者记录到 4.8 或更大的变化，50%的参与者记录到 13 点或更大的变化。咨询和咨询加家庭作业都显示 TFI 有类似的变化。这一发现得到了定性分析的支持，从中得出了一个由咨询益处、内容、应用和家庭作业益处主题组成的模型。本研究基于耳鸣的生态模型，提供了单次耳鸣指导和咨询的概念验证。
