Department of Veterans Affairs, Audiology and Speech Pathology Service, Bay Pines VA Health Care System, FL.
Department of Veterans Affairs, VA Portland Health Care System, VA National Center for Rehabilitative Auditory Research, OR.
Am J Audiol. 2022 Sep;31(3):567-578. doi: 10.1044/2022_AJA-22-00003. Epub 2022 Aug 16.
The purpose of this study was to examine progressive tinnitus management (PTM) Level 3 skill utilization among Veterans in the Bay Pines Veterans Affairs Healthcare System 6-10 years after completing the PTM workshops.
In fiscal year 2020, the Tinnitus Workshop Follow-Up form was mailed to Veterans who completed the workshops during fiscal years 2010-2014. Veterans were identified as receiving care via the traditional face-to-face method or clinical video telehealth (CVT). Data were compiled to determine which, if any, PTM skills were being used 6-10 years later and the impact on self-reported ratings of well-being.
More than half of the respondents reported using all four self-management skills up to 10 years postcompletion; relaxation was utilized by more Veterans than the other three skills. Approximately 69% reported improved ability to control reactions to tinnitus. At least half reported ratings of improved well-being. Eighty-eight percent of the respondents said they would recommend the workshops to someone with bothersome tinnitus. Veterans who received care via CVT reported using fewer skills than those who received care face-to-face; however, the CVT respondents reported the same or slightly better ability to cope with tinnitus, less bothersome tinnitus, and improved ratings of well-being. Finally, most participants who responded to an open-ended question about their workshop experience reported it as positive.
This clinical focus project suggests that PTM Level 3 skills continue to be utilized up to 10 years after participation in the workshops. Although there were reductions in the number of skills used, Veterans' ability to manage reactions to tinnitus and improvement in self-reported ratings of well-being indicate successful ongoing tinnitus management efforts. Respondents who received care via CVT did not report lower self-reported ratings of well-being or appear less likely to recommend Level 3 group PTM to other Veterans with bothersome tinnitus.
本研究旨在探讨在完成渐进性耳鸣管理（PTM）培训课程 6-10 年后，海湾滩退伍军人事务医疗系统中的退伍军人对 PTM 第 3 级技能的使用情况。
在 2020 财年，向在 2010-2014 财年期间完成培训课程的退伍军人邮寄了耳鸣工作坊随访表。通过传统的面对面方法或临床视频远程医疗（CVT）来确定退伍军人是否接受治疗。收集数据以确定 6-10 年后是否使用了任何 PTM 技能，以及这些技能对自我报告的幸福感评分的影响。
超过一半的受访者报告在完成课程后长达 10 年内使用了所有四项自我管理技能；与其他三项技能相比，更多的退伍军人使用了放松技能。大约 69%的人报告说他们控制耳鸣反应的能力有所提高。至少有一半的人报告说他们的幸福感有所提高。88%的受访者表示他们会向有耳鸣困扰的人推荐这些课程。通过 CVT 接受治疗的退伍军人报告使用的技能少于面对面接受治疗的退伍军人；然而，CVT 受访者报告说他们应对耳鸣的能力相同或略有提高，耳鸣问题更少，幸福感评分更高。最后，大多数对工作坊体验的开放式问题做出回应的参与者表示，他们的体验是积极的。
本临床重点项目表明，在参加培训课程后长达 10 年内，仍在继续使用 PTM 第 3 级技能。尽管使用的技能数量有所减少，但退伍军人管理对耳鸣反应的能力以及自我报告的幸福感评分的提高表明正在进行成功的耳鸣管理工作。通过 CVT 接受治疗的受访者报告的自我报告幸福感评分或向其他有耳鸣困扰的退伍军人推荐第 3 级团体 PTM 的可能性并不低。
