Tang Dongmei, Wang Kunkun, Ye Zhengqiang, Gu Dantong, Ye Lei, Sun Shan, Li Huawei
NHC Key Laboratory of Hearing Medicine (Fudan University), ENT institute and Department of Otorhinolaryngology,Eye & ENT Hospital, Fudan University, Shanghai, 200031, China.
Information center, Eye & ENT Hospital, Fudan University, Shanghai, 200031, China.
Internet Interv. 2022 Jul 27;29:100564. doi: 10.1016/j.invent.2022.100564. eCollection 2022 Sep.
Tinnitus is highly prevalent in the population, but there are currently few effective therapeutic interventions. Mobile applications (apps) might be helpful in tinnitus diagnosis and treatment by offering sound or music tools as well as questionnaires. We assessed the efficacy of a free, publicly available smartphone app (Fudan Tinnitus Relieving System, FTRS) for self-management of tinnitus and related symptoms.
Among a total of 3564 participants recruited primarily online, 2744 patients had complete information at baseline and were an average of 37 years old and were 59.84 % male. Web-administered self-report measures THI, HADS, AIS, and other multi-dimensional scales were conducted at baseline and at 1 month and 2 months following treatment. Data from 54 participants who completed continuous follow-up were used for the final efficacy analysis and longitudinal analysis.
Following the intent-to-treat principle, -tests revealed that the distribution of patients and the tinnitus features of patients of different genders were heterogeneous. One-way ANOVA showed that after using the FTRS app, THI scores showed a decreasing trend ( < 0.001).
FTRS use resulted in significantly greater improvements in tinnitus and other outcomes relative to their baseline condition before treatment. Given the ubiquity of smartphones, FTRS may provide a wide-reaching and convenient public health intervention for individuals with tinnitus symptoms.
耳鸣在人群中非常普遍,但目前有效的治疗干预措施很少。移动应用程序(应用)通过提供声音或音乐工具以及问卷,可能有助于耳鸣的诊断和治疗。我们评估了一款免费的、公开可用的智能手机应用程序(复旦耳鸣缓解系统,FTRS)对耳鸣及相关症状自我管理的疗效。
在主要通过网络招募的3564名参与者中,2744名患者在基线时拥有完整信息,平均年龄为37岁,男性占59.84%。在基线时以及治疗后1个月和2个月进行网络管理的自我报告测量,包括耳鸣 handicap 量表(THI)、医院焦虑抑郁量表(HADS)、耳鸣致残量表(AIS)和其他多维度量表。来自54名完成连续随访的参与者的数据用于最终疗效分析和纵向分析。
按照意向性分析原则,检验显示不同性别的患者分布和耳鸣特征存在异质性。单因素方差分析表明,使用FTRS应用后,THI评分呈下降趋势(P<0.001)。
与治疗前的基线状况相比,使用FTRS能使耳鸣及其他指标有显著更大的改善。鉴于智能手机的普及,FTRS可能为有耳鸣症状的个体提供广泛且便捷的公共卫生干预措施。