Tinnitus management retrospective (Edmonds et al., 2017)

Purpose: The primary purpose of this study was to determine whether progressive tinnitus management Level 3 skills education workshops conducted at the Bay Pines and Boston Veterans Affairs hospitals result in consistent use of the presented tinnitus management strategies by patients 1–5 years after completing the workshops.Method: In fiscal year (FY) 2015, the tinnitus workshop follow-up form was mailed to all veterans who completed the Level 3 workshops between FY 2010 and FY 2014. Data were compiled to determine which, if any, of the skills taught in the workshops were being used 1–5 years after completion of the workshops and the impact on quality-of-life indicators.Results: All self-management skills were being utilized up to 5 years postcompletion; therapeutic sound was utilized the most. The majority of patients reported an improved ability to manage reactions to tinnitus and improved quality-of-life indicators. Over 90% of patients from both sites recommended the program to others with tinnitus.Conclusion: The self-management skills taught in the progressive tinnitus management Level 3 workshops are sustained over time even when limited resources prevent the full complement of workshops or the involvement of mental health services. The workshops can also be successfully implemented through remote delivery via videoconferencing (telehealth).Supplemental Material S1. Six-week post-workshop telephone interview script. Supplemental Material S2. Self-Efficacy for Managing Reactions to Tinnitus (SMRT) questionnaire. Supplemental Material S3. Tinnitus workshop follow-up questionnaire. Supplemental Material S4. Return rate of tinnitus workshop follow-up (TWF) questionnaires, by site, for participants in progressive tinnitus management (PTM) Level 3 skills education workshops in years 2010–2014.Supplemental Material S5. Patients’ report of number of self-management skills they are using on the tinnitus workshop follow-up (TWF) questionnaire. For four self-management skills, patients are asked whether or not they are using those skills. For each respondent, the number of "yes" responses is totaled.Supplemental Material S6. Summary of responses regarding change in managing reactions to tinnitus since participating in progressive tinnitus management (PTM) Level 3 workshops.Supplemental Material S7. Summary of responses regarding change in ability to cope with tinnitus since participating in progressive tinnitus management (PTM) Level 3 workshops.Supplemental Material S8. Summary of responses regarding change in quality of life since participating in progressive tinnitus management (PTM) Level 3 workshops.Supplemental Material S9. Summary of responses regarding change in how much bothered by tinnitus since participating in progressive tinnitus management (PTM) Level 3 workshops.Supplemental Material S10. This table shows the number of respondents who would recommend the progressive tinnitus management (PTM) workshops to someone else with tinnitus. The first line in each section summarizes the responses of all participants. Below that, the responses are of those who were doing the same or worse on the item indicated.Supplemental Material S11. Percentage of respondents reporting use of self-management skills on the tinnitus workshop follow-up (TWF) questionnaire. Yes = the number who reported using the skill; N = the total number who answered the question. Percentages (%) are based on the number of individuals who answered each item.Edmonds, C. M., Ribbe, C., Thielman, E. J., & Henry, J. A. (2017). Progressive tinnitus management Level 3 skills education: A 5-year clinical retrospective. American Journal of Audiology, 26, 242–250. https://doi.org/10.1044/2017_AJA-16-0085

本研究的主要目的在于探究，在 Bay Pines 和 Boston 退伍军人事务医院举办的渐进式耳鸣管理三级技能教育研讨会，是否能在研讨会完成后的1至5年内，使患者持续一致地采用所展示的耳鸣管理策略。研究方法：在2015财年，将耳鸣研讨会后续调查表邮寄给在2010至2014财年间完成三级研讨会的所有退伍军人。通过数据汇编，以确定在研讨会完成后的1至5年内，是否有传授的技能被使用，以及这些技能对生活质量指标的影响。结果：所有自我管理技能在完成后的5年内均得到应用；治疗性声音的使用最为频繁。大多数患者报告称，他们在管理耳鸣反应的能力以及生活质量指标方面均有改善。超过90%的患者推荐该计划给其他患有耳鸣的人。结论：在渐进式耳鸣管理三级研讨会上传授的自我管理技能，即便在资源有限、无法完整开展研讨会或涉及心理健康服务的情况下，也能在长时间内得到维持。此外，研讨会还可以通过远程视频会议（远程医疗）的方式成功实施。补充材料S1：研讨会结束后的六周电话访谈脚本。补充材料S2：耳鸣反应管理自我效能感（SMRT）问卷。补充材料S3：耳鸣研讨会后续调查问卷。补充材料S4：按地点划分，2010至2014年间参加渐进式耳鸣管理（PTM）三级技能教育研讨会参与者耳鸣研讨会后续（TWF）问卷的返回率。补充材料S5：患者报告在耳鸣研讨会后续（TWF）问卷中使用的自我管理技能数量。对于四种自我管理技能，患者被询问是否使用这些技能。对于每位受访者，将所有“是”的回答数量汇总。补充材料S6：关于自参加渐进式耳鸣管理（PTM）三级研讨会以来管理耳鸣反应变化回应的总结。补充材料S7：关于自参加渐进式耳鸣管理（PTM）三级研讨会以来应对耳鸣能力变化回应的总结。补充材料S8：关于自参加渐进式耳鸣管理（PTM）三级研讨会以来生活质量变化回应的总结。补充材料S9：关于自参加渐进式耳鸣管理（PTM）三级研讨会以来受耳鸣困扰程度变化回应的总结。补充材料S10：此表格展示了建议将渐进式耳鸣管理（PTM）研讨会推荐给其他耳鸣患者的受访者数量。每个部分的第1行总结了所有参与者的回应。以下是那些在所指项目上表现相同或更差的人的回应。Edmonds, C. M., Ribbe, C., Thielman, E. J., & Henry, J. A. (2017). 渐进式耳鸣管理三级技能教育：一项为期5年的临床回顾。美国听觉学杂志，26，242–250. https://doi.org/10.1044/2017_AJA-16-0085