Beukes Eldre W, Andersson Gerhard, Manchaiah Vinaya
Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, United States.
Vision and Hearing Sciences Research Centre, School of Psychology and Sport Sciences, Anglia Ruskin University, Cambridge, United Kingdom.
Front Med (Lausanne). 2021 Nov 17;8:771646. doi: 10.3389/fmed.2021.771646. eCollection 2021.
An internet-based cognitive behavioral therapy (ICBT) offers a way to increase access to evidence-based tinnitus care. To increase the accessibility of this intervention, the materials were translated into Spanish to reach Spanish as well as English speakers. A clinical trial indicated favorable outcomes of ICBT for tinnitus for the population of the United States. In view of later dissemination, a way to increase the applicability of this intervention is required. Such understanding is best obtained by considering the perspectives and experiences of participants of an intervention. This study aimed to identify the processes that could facilitate or hinder the clinical implementation of ICBT in the United States. This study evaluated the processes regarding enrolment, allocation, intervention delivery, the outcomes obtained, and the trial implementation. The study sample consisted of 158 participants who were randomly assigned to the experimental and control group. Although the recruitment was sufficient for English speakers, recruiting the Spanish participants and participants belonging to ethnic minority groups was difficult despite using a wide range of recruitment strategies. The allocation processes were effective in successfully randomizing the groups. The intervention was delivered as planned, but not all the participants chose to engage with the materials provided. Compliance for completing the outcome measures was low. The personal and intervention factors were identified as barriers for the implementation whereas the facilitators included the support received, being empowering, the accessibility of the intervention, and its structure. An understanding regarding the factors contributing to the outcomes obtained, the barriers and facilitators of the results, engagement, and compliance were obtained. These insights will be helpful in preparing for the future dissemination of such interventions. www.ClinicalTrials.gov, identifier: NCT04004260. Registered on 2 July 2019.
基于互联网的认知行为疗法（ICBT）提供了一种增加循证耳鸣护理可及性的方法。为提高这种干预措施的可及性，相关材料被翻译成西班牙语，以覆盖说西班牙语和英语的人群。一项临床试验表明，ICBT对美国人群的耳鸣治疗效果良好。鉴于后续的推广，需要一种方法来提高这种干预措施的适用性。这种理解最好通过考虑干预参与者的观点和经验来获得。本研究旨在确定可能促进或阻碍ICBT在美国临床实施的过程。这项研究评估了关于入组、分配、干预实施、所获结果以及试验开展的过程。研究样本包括158名参与者，他们被随机分配到实验组和对照组。尽管说英语的参与者招募充足，但尽管采用了多种招募策略，招募说西班牙语的参与者和少数族裔参与者仍很困难。分配过程有效地成功将各组分随机化。干预按计划实施，但并非所有参与者都选择参与所提供的材料。完成结果测量的依从性较低。个人因素和干预因素被确定为实施的障碍，而促进因素包括所获得的支持、赋能作用、干预措施的可及性及其结构。对导致所获结果的因素、结果、参与度和依从性的障碍及促进因素有了一定理解。这些见解将有助于为未来此类干预措施的推广做好准备。 临床试验注册编号：NCT04004260。于2019年7月2日注册。
