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The TinMan study: feasibility trial of a psychologically informed, audiologist-delivered, manualised intervention for tinnitus

Taylor, John A.; Thompson, Dean M.; Hall, Deborah A.; Walker, Dawn-Marie; McMurran, Mary; Casey, Amanda; Featherstone, Debbie; MacDonald, Carol; Stockdale, David; Hoare, Derek J.

Authors

John A. Taylor

Dean M. Thompson

Deborah A. Hall

Dawn-Marie Walker

Mary McMurran

Amanda Casey

Debbie Featherstone

Carol MacDonald

David Stockdale

DEREK HOARE derek.hoare@nottingham.ac.uk
Associate Professor in Hearing Sciences



Abstract

Objective
To develop a manualised psychological treatment for tinnitus that could enhance audiologist usual care, and to test feasibility of evaluating it in a randomised controlled trial.

Design
Feasibility trial, random allocation of patients to manualised treatment or treatment as usual, and mixed-methods evaluation.
Study sample: Senior audiologists, and adults with chronic tinnitus.

Results
Recruitment reached 63% after 6 months (feasibility pre-defined as 65%). Only nine patients (47%) were retained for the duration of the trial. Patients reported that the treatment was acceptable and helped reassure them about their tinnitus. Audiologists reported mixed feelings about the kinds of techniques that are presented to them as ‘psychologically informed’. Audiologists also reported lacking confidence because the training they had was brief, and stated that more formal supervision would have been helpful to check adherence to the treatment manual.

Conclusions
The study indicate potential barriers to audiologist use of the manual, and that a clinical trial of the intervention is not yet feasible. However, positive indications from outcome measures suggest that further development work would be worthwhile. Refinements to the manual are indicated, and training and supervision arrangements to better support audiologists to use the intervention in the clinic are required.

Citation

Taylor, J. A., Thompson, D. M., Hall, D. A., Walker, D., McMurran, M., Casey, A., …Hoare, D. J. (2020). The TinMan study: feasibility trial of a psychologically informed, audiologist-delivered, manualised intervention for tinnitus. International Journal of Audiology, 59(12), 905-914. https://doi.org/10.1080/14992027.2020.1788730

Journal Article Type Article
Acceptance Date Jun 25, 2020
Online Publication Date Jul 17, 2020
Publication Date Jul 17, 2020
Deposit Date Jul 18, 2020
Journal International Journal of Audiology
Print ISSN 1499-2027
Electronic ISSN 1708-8186
Publisher Taylor & Francis Open
Peer Reviewed Peer Reviewed
Volume 59
Issue 12
Pages 905-914
DOI https://doi.org/10.1080/14992027.2020.1788730
Keywords Speech and Hearing; Linguistics and Language; Language and Linguistics
Public URL https://nottingham-repository.worktribe.com/output/4772601
Publisher URL https://www.tandfonline.com/doi/full/10.1080/14992027.2020.1788730
Additional Information This is an Accepted Manuscript of an article published by Taylor & Francis in International Journal of Audiology on 17.07.20, available online: http://www.tandfonline.com/10.1080/14992027.2020.1788730