Evidence map›Paper›PMID 34040997›Full record

ArticleInternet interventions2021

Dismantling internet-based cognitive behavioral therapy for tinnitus. The contribution of applied relaxation: A randomized controlled trial.

Eldré W Beukes, Gerhard Andersson, Marc A Fagelson, Vinaya Manchaiah

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Internet interventions, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04335812 (Internet-based Cognitive Behavioral Therapy for Tinnitus Sufferers), which is not on this map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04335812 nacompletednot on this map

Internet-based Cognitive Behavioral Therapy for Tinnitus Sufferers: Comparing the Full CBT Program With Relaxation Only Program

TypeinterventionalSponsorLamar UniversityRan2020 to 2020Enrolled135ConditionsTinnitusArmsInternet-based Cognitive Behavior Therapy
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 4 countries.

Eldré W BeukesDepartment of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA.
Gerhard AnderssonDepartment of Behavioral Sciences and Learning, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Marc A FagelsonDepartment of Audiology and Speech-Language Pathology, East Tennessee State University, Johnson City, TN, USA.
Vinaya ManchaiahDepartment of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA.
Anglia Ruskin University · GBEast Tennessee State University · USKarolinska Institutet · SELamar University · US

Funding

Cognitive Behavior Therapy based self-help delivered via the Internet for tinnitus suffers: Efficacy trial in the U.S. populationR21DC017214 · NIDCD · LAMAR UNIVERSITY · PI MANCHAIAH, VINAYA · 2018 to 2020
$398k
NIDCD NIH HHS R21 DC017214
6 · The paper itself

Abstract

backgroundInternet-based cognitive behavioral therapy (ICBT) for tinnitus is an evidence-based intervention. The components of ICBT for tinnitus have, however, not been dismantled and thus the effectiveness of the different therapeutic components is unknown. It is, furthermore, not known if heterogeneous tinnitus subgroups respond differently to ICBT.

aimsThis dismantling study aimed to explore the contribution of applied relaxation within ICBT for reducing tinnitus distress and comorbidities associated with tinnitus. A secondary aim was to assess whether outcomes varied for three tinnitus subgroups, namely those with significant tinnitus severity, those with low tinnitus severity, and those with significant depression.

methodsA parallel randomized controlled trial design (

resultsEngagement was low which compromised results as the full intervention was undertaken by few participants. Both the ICBT and applied relaxation resulted in large reduction of tinnitus severity (within-group effect sizes

conclusionDue to poor compliance partly attributed to the COVID-19 pandemic results were compromised. Further studies employing strategies to improve compliance and engagement are required. The intervention's effectiveness increased with initial level of tinnitus distress; those with the highest scores at intake experienced the most substantial changes on the outcome measures. This may suggest tailoring of interventions according to tinnitus severity. Larger samples are needed to confirm this.

Indexed as

Applied relaxationCBT, Cognitive Behavioral TherapyCognitive behavioral therapyCONSORT, Consolidated Standards of Reporting TrialsDigital therapeuticsGAD-7, Generalized Anxiety DisorderHHIA-S, Hearing Handicap Inventory for Adults - ScreeningICBT, Internet-based Cognitive Behavioral Therapy InterventionInternet interventionISI, Insomnia Severity IndexPHQ-9, Patient Health QuestionnaireRCI, Reliable Change IndexTelehealthTFI, Tinnitus Functional IndexTinnitusUS, United States

Identifiers

PMID34040997
PMCPMC8141772
OpenAlexW3161239159

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.