Intervention planning for the Tinnitus E-Programme 2.0, an internet-based cognitive behavioural intervention for tinnitus
Intervention planning for the Tinnitus E-Programme 2.0, an internet-based cognitive behavioural intervention for tinnitus
Purpose: The purpose of this study is to comprehensively describe the intervention planning process for the Tinnitus E-Programme 2.0, an Internet-based cognitive behavioral intervention for tinnitus. Method: Theory-, evidence-, and person-based approaches to intervention development were used. In Phase 1, quantitative systematic reviews were used to identify potentially effective intervention techniques and design features. Primary mixed-methods research involving adults with tinnitus explored the acceptability of the first version of the intervention. In Phase 2, person-based guiding principles highlighted key intervention design objectives and features to address needs of the intervention’s target group (identified in Phase 1) to maximize its acceptability, feasibility of delivery, and effectiveness. Theory-based “behavioral analysis” and “logic modeling” comprehensively described intervention content and potential mechanisms of action. From this planning work, a prototype intervention was developed. Results: The intervention design objectives outlined in the guiding principles were to (a) normalize tinnitus, (b) support users to maintain a regular relaxation practice, (c) minimize the worsening of users’ tinnitus sensation, and (d) ensure the intervention is accessible to those with hearing loss. Behavioral analysis and logic modeling identified intervention processes (e.g., illness perceptions, beliefs about consequences, skills, goals) and purported mediators (acceptance of tinnitus, negative thinking, use of the cognitive skills tools for managing negative thoughts, and practicing regular relaxation) hypothesized to facilitate reductions in tinnitus symptom severity. Conclusions: The guiding principles highlight key design objectives and features to consider when developing interventions for tinnitus. The logic model offers hypothesized mechanisms of action that can be tested in future process analyses.
241-254
Greenwell, Kate
4bac64bd-059f-4d7d-90d3-5c0bccb7ffb2
Sereda, Magdalena
ed765297-068c-4c80-ba69-18d67c9085cc
Bradbury, Katherine
87fce0b9-d9c5-42b4-b041-bffeb4430863
Geraghty, Adam
2c6549fe-9868-4806-b65a-21881c1930af
Coulson, Neil
eaee5265-b3a5-4560-a48f-1684bb8e0b59
Hoare, Derek
413e5905-a6f9-44e7-859a-766c9af2cf6d
June 2021
Greenwell, Kate
4bac64bd-059f-4d7d-90d3-5c0bccb7ffb2
Sereda, Magdalena
ed765297-068c-4c80-ba69-18d67c9085cc
Bradbury, Katherine
87fce0b9-d9c5-42b4-b041-bffeb4430863
Geraghty, Adam
2c6549fe-9868-4806-b65a-21881c1930af
Coulson, Neil
eaee5265-b3a5-4560-a48f-1684bb8e0b59
Hoare, Derek
413e5905-a6f9-44e7-859a-766c9af2cf6d
Greenwell, Kate, Sereda, Magdalena, Bradbury, Katherine, Geraghty, Adam, Coulson, Neil and Hoare, Derek
(2021)
Intervention planning for the Tinnitus E-Programme 2.0, an internet-based cognitive behavioural intervention for tinnitus.
American Journal of Audiology, 30 (2), .
(doi:10.1044/2021_AJA-20-00131).
Abstract
Purpose: The purpose of this study is to comprehensively describe the intervention planning process for the Tinnitus E-Programme 2.0, an Internet-based cognitive behavioral intervention for tinnitus. Method: Theory-, evidence-, and person-based approaches to intervention development were used. In Phase 1, quantitative systematic reviews were used to identify potentially effective intervention techniques and design features. Primary mixed-methods research involving adults with tinnitus explored the acceptability of the first version of the intervention. In Phase 2, person-based guiding principles highlighted key intervention design objectives and features to address needs of the intervention’s target group (identified in Phase 1) to maximize its acceptability, feasibility of delivery, and effectiveness. Theory-based “behavioral analysis” and “logic modeling” comprehensively described intervention content and potential mechanisms of action. From this planning work, a prototype intervention was developed. Results: The intervention design objectives outlined in the guiding principles were to (a) normalize tinnitus, (b) support users to maintain a regular relaxation practice, (c) minimize the worsening of users’ tinnitus sensation, and (d) ensure the intervention is accessible to those with hearing loss. Behavioral analysis and logic modeling identified intervention processes (e.g., illness perceptions, beliefs about consequences, skills, goals) and purported mediators (acceptance of tinnitus, negative thinking, use of the cognitive skills tools for managing negative thoughts, and practicing regular relaxation) hypothesized to facilitate reductions in tinnitus symptom severity. Conclusions: The guiding principles highlight key design objectives and features to consider when developing interventions for tinnitus. The logic model offers hypothesized mechanisms of action that can be tested in future process analyses.
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Accepted/In Press date: 16 February 2021
Published date: June 2021
Additional Information:
Funding Information:
D. J. H. and M. S. are funded through the National Institute for Health Research (NIHR) Biomedical Research Centre funding program. K. G. was in receipt of a PhD studentship from the NIHR at the time of completing this work. The views expressed are those of the authors and not necessarily those of the National Health Service, the NIHR, or the Department of Health and Social Care. The authors would like to thank Katy Sivyer who provided guidance on logic model development.
Publisher Copyright:
© 2021 American Speech-Language-Hearing Association.
Identifiers
Local EPrints ID: 449076
URI: http://eprints.soton.ac.uk/id/eprint/449076
ISSN: 1059-0889
PURE UUID: 534268d4-0fcd-48fc-b4c5-b79dcb2cd5d0
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Date deposited: 14 May 2021 16:33
Last modified: 17 Mar 2024 03:45
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Contributors
Author:
Magdalena Sereda
Author:
Neil Coulson
Author:
Derek Hoare
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