Manchaiah Vinaya, Beukes Eldré W, Andersson Gerhard, Bateman Emily, Swanepoel De Wet, Uhler Kristin
Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Aurora, CO 80045, USA.
UCHealth Hearing and Balance, University of Colorado Hospital, Aurora, CO 80045, USA.
Clin Pract. 2024 Aug 21;14(4):1615-1624. doi: 10.3390/clinpract14040130.
This study aimed to examine whether individuals with chronic tinnitus report more positive experiences following internet-based cognitive behavioral therapy (CBT).
A mixed-methods design was used, nested in clinical trials evaluating internet interventions for tinnitus. Participants ( = 164) completed online questionnaires (both structured and open-ended) providing demographic information as well as health variables (e.g., tinnitus distress, anxiety, depression, insomnia). An open-ended question listing positive effects or outcomes related to having tinnitus was also included. Responses to the open-ended questions were analyzed using qualitative content analysis.
Of the 164 eligible participants, 32.3% ( = 53) provided at least 1 positive experience both at pre- and post-intervention, with 9.1% ( = 19) providing positive experiences only at pre-intervention, 49 (29.9%) providing positive experiences only at post-intervention, and 28.7% ( = 47) of the participants did not provide any positive experiences on either measurement occasion. Significantly more positive experiences were reported following the intervention in the overall sample ( < 0.0001, paired sample -test). In addition, participants who reported positive experiences in both pre- and post-intervention also reported more positive experiences following intervention ( = 0.008, paired sample -test).
Internet-based CBT can help individuals with tinnitus to think more positively by changing unhelpful thought patterns. Open-ended questions can supplement structured questionnaires to measure treatment outcomes.
本研究旨在探讨慢性耳鸣患者在接受基于互联网的认知行为疗法（CBT）后是否报告了更多积极体验。
采用混合方法设计，嵌套于评估耳鸣互联网干预措施的临床试验中。参与者（n = 164）完成了在线问卷（包括结构化和开放式问卷），提供人口统计学信息以及健康变量（如耳鸣困扰、焦虑、抑郁、失眠）。还包括一个列出与患有耳鸣相关的积极影响或结果的开放式问题。使用定性内容分析法对开放式问题的回答进行分析。
在164名符合条件的参与者中，32.3%（n = 53）在干预前和干预后均至少提供了1次积极体验，9.1%（n = 19）仅在干预前提供了积极体验，49名（29.9%）仅在干预后提供了积极体验，28.7%（n = 47）的参与者在任何一次测量中均未提供任何积极体验。总体样本在干预后报告的积极体验明显更多（P < 0.0001，配对样本t检验）。此外，在干预前和干预后均报告了积极体验的参与者在干预后也报告了更多积极体验（P = 0.008，配对样本t检验）。
基于互联网的CBT可以通过改变无益的思维模式帮助耳鸣患者更积极地思考。开放式问题可以补充结构化问卷以测量治疗结果。
