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Tinnitus Handicap Inventory (THI)

What Is the Best Approach to Tinnitus Management?

Numerous protocols and approaches are used by audiologists in the management of tinnitus, including but not limited to Tinnitus Retraining Therapy (TRT), Tinnitus Activities Treatment, and Progressive Tinnitus Management.

Tinnitus in 10: What Every Audiologist Should Know to Provide Research-Based Care

Tinnitus is an invisible condition affecting 10 percent to 15 percent of adults (Hoffman and Reed, 2004). Chronic tinnitus is defined as the persistent perception of sound when there is no external source (Jastreboff, 1990). It generally is accepted that tinnitus is manageable and not bothersome for about 80 percent of those who experience it (Davis and Refaie, 2000; Hoffman and Reed, 2004; Jastreboff and Hazell, 1998). That is, most people who experience tinnitus tend to ignore it and are not interested in receiving specialized clinical services.

Topic(s): Hearing, Tinnitus, Sensorineural Hearing Loss, Meniere’s Disease (MD), tinnitus retraining therapy (TRT), Tinnitus Handicap Inventory (THI), Tinnitus Functional Index (TFI), tinnitus education (TED), tinnitus masking (TM)

Author(s):

Candice Manning

Publication Issue: Audiology Today May/June 2019

Motivational Interviewing: Something to Consider When Fitting Hearing Aids to Patients with Tinnitus?

Zarenoe and colleagues (2016) evaluated motivational interviewing (MI) as a supplement to the traditional hearing fitting delivery model for patients with both hearing loss and tinnitus. MI is a counseling style designed to enhance one’s motivation towards making a behavior change (Miller and Rollnick, 2012).

In this study, 50 patients were originally enrolled into the study, with 25 randomized to receive MI and 25 randomized to “standard practice (SP).” None of these subjects had prior use of hearing aids.

Tinnitus Intervention

The evidence for the efficacy of tinnitus intervention has been plagued by poorly designed trials without appropriate randomization and controls. Henry et al. (2016) performed a multi-site randomized control trial (RCT) to compare two methods of tinnitus intervention to two control conditions. The study was completed at four Veterans Affairs Hospital sites. The two intervention methods included tinnitus masking (TM) and tinnitus retraining therapy (TRT). The two controls included a tinnitus education (TED) group and wait-list control (WLC).