Journal ArticleDOI
The tinnitus functional index: development of a new clinical measure for chronic, intrusive tinnitus.
Mary B. Meikle,James A. Henry,Susan Griest,Barbara J. Stewart,Harvey B. Abrams,Rachel McArdle,Paula J. Myers,Craig W. Newman,Sharon A. Sandridge,Dennis C. Turk,Robert L. Folmer,Eric J. Frederick,John W. House,Gary P. Jacobson,Sam E. Kinney,William Hal Martin,Stephen M. Nagler,Gloria E. Reich,Grant D. Searchfield,Robert W. Sweetow,Jack Vernon +20 more
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TLDR
The TFI should be useful in both clinical and research settings because of its responsiveness to treatment-related change, validity for scaling the overall severity of tinnitus, and comprehensive coverage of multiple domains of t Finnitus severity.Abstract:
Objectives Chronic subjective tinnitus is a prevalent condition that causes significant distress to millions of Americans. Effective tinnitus treatments are urgently needed, but evaluating them is hampered by the lack of standardized measures that are validated for both intake assessment and evaluation of treatment outcomes. This work was designed to develop a new self-report questionnaire, the Tinnitus Functional Index (TFI), that would have documented validity both for scaling the severity and negative impact of tinnitus for use in intake assessment and for measuring treatment-related changes in tinnitus (responsiveness) and that would provide comprehensive coverage of multiple tinnitus severity domains. Design To use preexisting knowledge concerning tinnitus-related problems, an Item Selection Panel (17 expert judges) surveyed the content (175 items) of nine widely used tinnitus questionnaires. From those items, the Panel identified 13 separate domains of tinnitus distress and selected 70 items most likely to be responsive to treatment effects. Eliminating redundant items while retaining good content validity and adding new items to achieve the recommended minimum of 3 to 4 items per domain yielded 43 items, which were then used for constructing TFI Prototype 1.Prototype 1 was tested at five clinics. The 326 participants included consecutive patients receiving tinnitus treatment who provided informed consent-constituting a convenience sample. Construct validity of Prototype 1 as an outcome measure was evaluated by measuring responsiveness of the overall scale and its individual items at 3 and 6 mo follow-up with 65 and 42 participants, respectively. Using a predetermined list of criteria, the 30 best-functioning items were selected for constructing TFI Prototype 2.Prototype 2 was tested at four clinics with 347 participants, including 155 and 86 who provided 3 and 6 mo follow-up data, respectively. Analyses were the same as for Prototype 1. Results were used to select the 25 best-functioning items for the final TFI. Results Both prototypes and the final TFI displayed strong measurement properties, with few missing data, high validity for scaling of tinnitus severity, and good reliability. All TFI versions exhibited the same eight factors characterizing tinnitus severity and negative impact. Responsiveness, evaluated by computing effect sizes for responses at follow-up, was satisfactory in all TFI versions.In the final TFI, Cronbach's alpha was 0.97 and test-retest reliability 0.78. Convergent validity (r = 0.86 with Tinnitus Handicap Inventory [THI]; r = 0.75 with Visual Analog Scale [VAS]) and discriminant validity (r = 0.56 with Beck Depression Inventory-Primary Care [BDI-PC]) were good. The final TFI was successful at detecting improvement from the initial clinic visit to 3 mo with moderate to large effect sizes and from initial to 6 mo with large effect sizes. Effect sizes for the TFI were generally larger than those obtained for the VAS and THI. After careful evaluation, a 13-point reduction was considered a preliminary criterion for meaningful reduction in TFI outcome scores. Conclusions The TFI should be useful in both clinical and research settings because of its responsiveness to treatment-related change, validity for scaling the overall severity of tinnitus, and comprehensive coverage of multiple domains of tinnitus severity.read more
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Clinical practice guideline: sudden hearing loss.
Robert J. Stachler,Sujana S. Chandrasekhar,Sanford M. Archer,Richard M. Rosenfeld,Seth R. Schwartz,David M. Barrs,Steven R. Brown,Terry D. Fife,Peg Ford,Theodore G. Ganiats,Deena B Hollingsworth,Christopher Lewandowski,Joseph J. Montano,James E. Saunders,Debara L. Tucci,Michael Valente,Barbara E Warren,Kathleen Yaremchuk,Peter J. Robertson +18 more
TL;DR: This guideline provides evidence-based recommendations for the diagnosis, management, and follow-up of patients who present with sudden sensorineural hearing loss in adult patients (aged 18 and older), with particular emphasis on managing SSNHL.
Journal ArticleDOI
A systematic review of the reporting of tinnitus prevalence and severity.
TL;DR: Deriving global estimates of the prevalence of tinnitus involves combining results from studies which are consistent in their definition and measurement of t Finnitus, survey methodology and in the reporting and analysis of the results.
Journal ArticleDOI
Clinical Practice Guideline: Tinnitus
David E. Tunkel,Carol A. Bauer,Gordon H. Sun,Richard M. Rosenfeld,Sujana S. Chandrasekhar,Eugene R. Cunningham,Sanford M. Archer,Brian W. Blakley,John M. Carter,Evelyn C. Granieri,James A. Henry,Deena B Hollingsworth,Fawad A. Khan,Scott Mitchell,Ashkan Monfared,Craig W. Newman,Folashade Omole,C. Douglas Phillips,Shannon K. Robinson,Malcolm B. Taw,Richard S. Tyler,Richard W. Waguespack,Elizabeth J. Whamond +22 more
TL;DR: This guideline provides clinicians with a logical framework to improve patient care and mitigate the personal and social effects of persistent, bothersome tinnitus.
Journal ArticleDOI
Cognitive behavioural therapy for tinnitus
TL;DR: Cognitive behavioural therapy (CBT) is a collection of psychological treatments based on the cognitive and behavioural traditions in psychology and often used to treat people suffering from tinnitus as discussed by the authors.
Journal ArticleDOI
Towards a Unified Testing Framework for Single-Sided Deafness Studies: A Consensus Paper
Paul Van de Heyning,Dayse Távora-Vieira,Griet Mertens,Vincent Van Rompaey,Gunesh P. Rajan,Joachim Müller,John Martin Hempel,Daniel Leander,Daniel Polterauer,Mathieu Marx,Shin ichi Usami,Ryosuke Kitoh,Maiko Miyagawa,Hideaki Moteki,Kari Smilsky,Wolf Dieter Baumgartner,Thomas Keintzel,Georg Mathias Sprinzl,Astrid Wolf-Magele,Susan Arndt,Thomas Wesarg,Stefan Zirn,Uwe Baumann,Tobias Weissgerber,Tobias Rader,Rudolf Hagen,Anja Kurz,Kristen Rak,Robert J. Stokroos,Erwin L. J. George,Ruben Polo,María del Mar Medina,Yael Henkin,Ohad Hilly,David Ulanovski,Ranjith Rajeswaran,Mohan Kameswaran,Maria Fernanda Di Gregorio,Mario E. Zernotti +38 more
TL;DR: A protocol for the assessment of treatment options and outcomes in recipients with SSD and AHL aims at harmonizing assessment methods across centers and thus at generating a growing body of high-level evidence for those treatment options.
References
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Book
Using multivariate statistics
TL;DR: In this Section: 1. Multivariate Statistics: Why? and 2. A Guide to Statistical Techniques: Using the Book Research Questions and Associated Techniques.
Journal ArticleDOI
The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.
John E. Ware,Cathy D. Sherbourne +1 more
TL;DR: A 36-item short-form survey designed for use in clinical practice and research, health policy evaluations, and general population surveys to survey health status in the Medical Outcomes Study is constructed.