Patients’ and Clinicians’ Views of the Psychological Components of Tinnitus Treatment That Could Inform Audiologists’ Usual Care: A Delphi Survey

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

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: The aim of this study was to determine which components of psychological therapies are most important and appropriate to inform audiologists’ usual care for people with tinnitus. Design: A 39-member panel of patients, audiologists, hearing therapists, and psychologists completed a three-round Delphi survey to reach consensus on essential components of audiologist-delivered psychologically informed care for tinnitus. Results: Consensus (≥80% agreement) was reached on including 76 of 160 components. No components reached consensus for exclusion. The components reaching consensus were predominantly common therapeutic skills such as Socratic questioning and active listening, rather than specific techniques, for example, graded exposure therapy or cognitive restructuring. Consensus on educational components to include largely concerned psychological models of tinnitus rather than neurophysiological information. Conclusions: The results of this Delphi survey provide a tool to develop audiologists’ usual tinnitus care using components that both patients and clinicians agree are important and appropriate to be delivered by an audiologist for adults with tinnitus-related distress. Research is now necessary to test the added effects of these components when delivered by audiologists.

Original languageEnglish
Pages (from-to)367-377
Number of pages11
JournalEar and Hearing
Volume39
Issue number2
DOIs
Publication statusPublished - 1 Mar 2018

Bibliographical note

Copyright © 2017 The Authors. Ear & Hearing is published on behalf of
the American Auditory Society, by Wolters Kluwer Health, Inc. This is an
open-access article distributed under the terms of the Creative Commons
Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible
to download, share, remix, transform, and buildup the work provided
it is properly cited. The work cannot be used commercially without permission
from the journal.

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