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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
Intervention planning for the Tinnitus E-Programme 2.0, an internet-based cognitive behavioural intervention for tinnitus
Purpose: to comprehensively describe the intervention planning process for the Tinnitus E-Programme 2.0, an internet-based cognitive behavioural 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 maximise its acceptability, feasibility of delivery, and effectiveness. Theory-based ‘behavioural analysis’ and ‘logic modelling’ 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 (1) normalise tinnitus; (2) support users to maintain a regular relaxation practice; (3) minimise the worsening of users’ tinnitus sensation; and (4) ensure the intervention is accessible to those with hearing loss. Behavioural analysis and logic modelling 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) hypothesised 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 hypothesised mechanisms of action that can be tested in future process analyses.
1059-0889
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
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), 241-254. (doi:10.1044/2021_AJA-20-00131).

Record type: Article

Abstract

Purpose: to comprehensively describe the intervention planning process for the Tinnitus E-Programme 2.0, an internet-based cognitive behavioural 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 maximise its acceptability, feasibility of delivery, and effectiveness. Theory-based ‘behavioural analysis’ and ‘logic modelling’ 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 (1) normalise tinnitus; (2) support users to maintain a regular relaxation practice; (3) minimise the worsening of users’ tinnitus sensation; and (4) ensure the intervention is accessible to those with hearing loss. Behavioural analysis and logic modelling 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) hypothesised 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 hypothesised mechanisms of action that can be tested in future process analyses.

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Accepted/In Press date: 16 February 2021
Published date: 26 May 2021

Identifiers

Local EPrints ID: 449076
URI: http://eprints.soton.ac.uk/id/eprint/449076
ISSN: 1059-0889
PURE UUID: 534268d4-0fcd-48fc-b4c5-b79dcb2cd5d0
ORCID for Kate Greenwell: ORCID iD orcid.org/0000-0002-3662-1488
ORCID for Katherine Bradbury: ORCID iD orcid.org/0000-0001-5513-7571
ORCID for Adam Geraghty: ORCID iD orcid.org/0000-0001-7984-8351

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Date deposited: 14 May 2021 16:33
Last modified: 28 Apr 2022 02:18

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Contributors

Author: Kate Greenwell ORCID iD
Author: Magdalena Sereda
Author: Adam Geraghty ORCID iD
Author: Neil Coulson
Author: Derek Hoare

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