Sia Egidio, Tirelli Giancarlo, Gatto Annalisa, Mineo Chiara Angela, Curlin Kaveri, Abouzari Mehdi
Department of Medical, Surgical and Health Sciences, Section of Otolaryngology, University of Trieste, 34149 Trieste, Italy.
Division of Neurotology and Skull Base Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, CA 92697, USA.
J Pers Med. 2024 Jul 31;14(8):813. doi: 10.3390/jpm14080813.
Tinnitus presents a major public health challenge, impacting quality of life. With conventional therapies being often time-consuming and costly, interest in Internet-based treatments, such as auditory treatments and Internet-based cognitive behavioral therapy, has grown due to their improved patient adherence. This meta-analysis aims to review existing scientific literature to assess the effectiveness of Internet-based therapies (IBTs) in treating tinnitus.
Studies up to February 2024 using the Tinnitus Functional Index (TFI), Tinnitus Handicap Inventory (THI), or Tinnitus Reactions Questionnaire (TRQ) to monitor tinnitus before and after IBTs were searched in PubMed, Google Scholar, Web of Science, and the Cochrane Central Register of Controlled Trials. Variation of the score with time was analyzed and a comparison was made with non-IBT studies. Treatment effects were analyzed using Cohen's d model.
A total of 14 articles were considered, with a total of 1574 patients. Significant improvements in questionnaire scores were noted post-treatment. In the IBT group, THI and TFI decreased by 17.97 and 24.56 points, respectively (Cohen's d THI: 0.85; TFI: 0.80). In the control group, THI and TFI decreased by 13.7 and 4.25 points, respectively (Cohen's d THI: 0.55; TFI: 0.10).
Internet-based therapies showed reliable effectiveness, possibly due to improved patient compliance, accessibility, cost-effectiveness, and customization.
耳鸣是一项重大的公共卫生挑战，会影响生活质量。由于传统疗法通常耗时且昂贵，基于互联网的治疗方法，如听觉治疗和基于互联网的认知行为疗法，因其能提高患者依从性而受到更多关注。本荟萃分析旨在回顾现有科学文献，以评估基于互联网的疗法（IBT）治疗耳鸣的有效性。
在PubMed、谷歌学术、科学网和Cochrane对照试验中央注册库中检索截至2024年2月使用耳鸣功能指数（TFI）、耳鸣残疾评定量表（THI）或耳鸣反应问卷（TRQ）监测IBT前后耳鸣情况的研究。分析分数随时间的变化，并与非IBT研究进行比较。使用科恩d模型分析治疗效果。
共纳入14篇文章，涉及1574名患者。治疗后问卷分数有显著改善。在IBT组中，THI和TFI分别下降了17.97分和24.56分（科恩d值THI：0.85；TFI：0.80）。在对照组中，THI和TFI分别下降了13.7分和4.25分（科恩d值THI：0.55；TFI：0.10）。
基于互联网的疗法显示出可靠的有效性，这可能归因于患者依从性提高、可及性、成本效益和个性化定制。
Zotero 插件
