title: Tinnitus and hyperacusis therapy in a UK National Health Service audiology department: Patients' evaluations of the effectiveness of treatments.
abstract: To assess patients' judgements of the effectiveness of the tinnitus and hyperacusis therapies offered in a specialist UK National Health Service audiology department.
  
  
  
  Cross-sectional service evaluation questionnaire survey. Patients were asked to rank the effectiveness of the treatment they received on a scale from 1 to 5 (1 = no effect, 5 = very effective).
  
  
  
  The questionnaire was sent to all patients who received treatment between January and March 2014 (n = 200) and 92 questionnaires were returned.
  
  
  
  The mean score was greatest for counselling (Mean = 4.7, SD = 0.6), followed by education (Mean = 4.5, SD = 0.8), cognitive behavioural therapy - CBT (Mean = 4.4, SD = 0.7), and hearing tests (Mean = 4.4, SD = 0.9). Only 6% of responders rated counselling as 3 or below. In contrast, bedside sound generators, hearing aids, and wideband noise generators were rated as 3 or below by 25%, 36%, and 47% of participants, respectively.
  
  
  
  The most effective components of the tinnitus and hyperacusis therapy interventions were judged by the patients to be counselling, education, and CBT.
authors.affiliation: a Audiology Department , Royal Surrey County Hospital NHS Foundation Trust , Guildford , UK .
authors.forename: Hashir
authors.initials: H
authors.lastname: Aazh
authors.affiliation: b Department of Experimental Psychology , University of Cambridge , UK , and.
authors.forename: Brian C J
authors.initials: BC
authors.lastname: Moore
authors.affiliation: a Audiology Department , Royal Surrey County Hospital NHS Foundation Trust , Guildford , UK .
authors.forename: Karen
authors.initials: K
authors.lastname: Lammaing
authors.affiliation: c School of Psychology , University of Surrey , Guildford , UK.
authors.forename: Mark
authors.initials: M
authors.lastname: Cropley
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001298:Audiology / Q000379:methods*; D001301:Audiometry, Pure-Tone; D001307:Auditory Perception; D002648:Child; D015928:Cognitive Behavioral Therapy; D012048:Correction of Hearing Impairment / Q000295:instrumentation / Q000379:methods*; D003376:Counseling; D003430:Cross-Sectional Studies; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006302:Health Services Research; D006309:Hearing; D006310:Hearing Aids; D006320:Hearing Tests; D006801:Humans; D012001:Hyperacusis / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D007600:Judgment; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D019986:Persons with Hearing Disabilities / Q000523:psychology / Q000534:rehabilitation*; D013222:State Medicine; D014012:Tinnitus / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome; D006113:United Kingdom; D055815:Young Adult
keywords: Tinnitus; client-centered counselling; education; hearing aids; hyperacusis; sound therapy