A Comparison of Three Psychoeducational Group Interventions for Veterans With Tinnitus
NCT ID: NCT02293512
Last Updated: 2018-12-24
Study Results
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View full resultsBasic Information
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COMPLETED
NA
40 participants
INTERVENTIONAL
2015-09-01
2016-11-30
Brief Summary
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Detailed Description
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The present study proposes a development of a CET protocol for tinnitus and a pilot study that assesses the effectiveness of the CET and ACT interventions compared to the current clinical practice of using a CBT intervention. All 3 psycho-educational interventions will be compared to a usual care group. The overarching goal of the proposed pilot study is to gain information that can be used to provide individuals with tinnitus with the best care for helping them to more successfully cope with tinnitus.
The aims of this research are to: 1) develop a CET protocol for tinnitus by means of information gathered from two focus groups and from CET consultants; 2) to examine whether a 3-session CET psycho-educational intervention is more effective than a 3-session CBT psycho-educational intervention or a 3-session ACT psycho-educational intervention, as compared to a usual care, in increasing coping strategies among individuals with tinnitus.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Coping Effectiveness Training
Coping Effectiveness Training (CET) is provided in a 3-session intervention to facilitate coping strategies among individuals with tinnitus. The CET psychoeducational intervention teaches coping skills to increase understanding of stress and coping with tinnitus, and to help individuals better know how to match appropriate coping strategies, based on whether the stressful situation is changeable or not.
Coping Effectiveness Training
A CET psychoeducational intervention is provided to increase understanding of stress and coping with tinnitus, and to better learn how to match appropriate coping strategies, based on whether the stressful situation is changeable or not.
Cognitive-behavioral therapy
Cognitive-behavioral therapy (CBT) is provided in a 3-session psychoeducational intervention to reduce negative affectivity triggered by tinnitus. CBT treatments for tinnitus target the reduction of psychopathology by altering cognitive distortions, automatic thoughts, and core beliefs, as well as behavioral techniques to reduce physiological arousal.
Cognitive-behavioral therapy
CBT treatments for tinnitus target the reduction of psychopathology by altering cognitive distortions, automatic thoughts, and core beliefs, as well as behavioral techniques to reduce physiological arousal.
Acceptance and Commitment Therapy
Acceptance and Commitment Therapy (ACT) is provided in a 3-session psychoeducational intervention to decrease resistance to tinnitus and increase committed action based on values, despite having tinnitus.
Acceptance and Commitment Therapy
An ACT psycho-educational intervention to reduce distress and resistance about having tinnitus and to increase committed actions based on one's values.
Wait-list control group
Wait-list control group involves no intervention. This is a 'usual care' group.
No interventions assigned to this group
Interventions
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Coping Effectiveness Training
A CET psychoeducational intervention is provided to increase understanding of stress and coping with tinnitus, and to better learn how to match appropriate coping strategies, based on whether the stressful situation is changeable or not.
Cognitive-behavioral therapy
CBT treatments for tinnitus target the reduction of psychopathology by altering cognitive distortions, automatic thoughts, and core beliefs, as well as behavioral techniques to reduce physiological arousal.
Acceptance and Commitment Therapy
An ACT psycho-educational intervention to reduce distress and resistance about having tinnitus and to increase committed actions based on one's values.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* 1\) Veterans;
* 2\) have chronic tinnitus that is sufficiently bothersome to warrant intervention-see below for explanation;
* 3\) able to communicate in English;
* 4\) willing and able to give written informed consent;
* 5\) use hearing aids if needed; and
* 6\) have participated in the PTM program at the VA Portland Healthcare System.
Testing Phase (Phase 2)-interventions:
* 1\) Veterans and civilians;
* 2\) have a score of at least 25 on the Tinnitus Functional Index (\[TFI\]; Meikle, J.A. Henry, et al., 2012);
* 3\) have two errors or less on a six-item cognitive screening instrument (Callahan, Unverzagt, Hui, Perkins, \& Hendrie, 2002);
* 4\) able to communicate in English;
* 5\) willing and able to give written informed consent; and
* 6\) use hearing aids if needed.
* nor have any other factor that would preclude full participation in the study.
Testing Phase (Phase 2)-interventions:
* having participated in the PTM program or Phase 1 of this study,
* or having any other factor that would preclude full participation in the study. Recruitment for Phase 2 will begin in year 1 once the CET protocol is finalized.
Exclusion Criteria
18 Years
ALL
No
Sponsors
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VA Office of Research and Development
FED
Responsible Party
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Principal Investigators
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Erin C Martz, PhD
Role: PRINCIPAL_INVESTIGATOR
VA Portland Health Care System, Portland, OR
Locations
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VA Portland Health Care System, Portland, OR
Portland, Oregon, United States
Countries
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Related Links
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VAPORHCS National Center for Rehabilitative Auditory Research (NCRAR)
Other Identifiers
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RX001578
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
C1578-P
Identifier Type: -
Identifier Source: org_study_id