title: Randomized clinical trial: group counseling based on tinnitus retraining therapy.
abstract: The main component of tinnitus retraining therapy (TRT) is structured counseling. We conducted a randomized clinical trial to test the hypothesis that group educational counseling based on TRT principles would effectively treat veterans who have clinically significant tinnitus. Veterans with clinically significant tinnitus were randomized into one of three groups: educational counseling, traditional support, and no treatment. Subjects in the first two groups attended four 1.5 h group sessions each week. All subjects completed outcome questionnaires at baseline and at 1, 6, and 12 mo. A total of 269 subjects participated: 94 in the educational counseling group, 84 in the traditional support group, and 91 in the no-treatment group. Statistical analyses showed that educational counseling provided significantly more benefit than either traditional support or no treatment, as measured by the Tinnitus Severity Index. Results suggest that group educational counseling can significantly benefit many tinnitus patients and could be integral to a "progressive intervention" approach to tinnitus clinical management.
authors.affiliation: VA National Center for Rehabilitative Auditory Research, PO Box 1034, Portland, OR 97207, USA. james.henry@med.va.gov
authors.forename: James A
authors.initials: JA
authors.lastname: Henry
authors.forename: Carl
authors.initials: C
authors.lastname: Loovis
authors.forename: Melissa
authors.initials: M
authors.lastname: Montero
authors.forename: Christine
authors.initials: C
authors.lastname: Kaelin
authors.forename: Kathryn-Anne
authors.initials: KA
authors.lastname: Anselmi
authors.forename: Rebecca
authors.initials: R
authors.lastname: Coombs
authors.forename: June
authors.initials: J
authors.lastname: Hensley
authors.forename: Kenneth E
authors.initials: KE
authors.lastname: James
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D005260:Female; D006185:Habituation, Psychophysiologic; D006787:Hospitals, Veterans; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D012648:Self Care; D012720:Severity of Illness Index; D014012:Tinnitus / Q000523:psychology / Q000628:therapy*; D014728:Veterans