title: Motivational Interviewing as an Adjunct to Hearing Rehabilitation for Patients with Tinnitus: A Randomized Controlled Pilot Trial.
abstract: To test the effects of a brief motivational interviewing (MI) program as an adjunct to hearing aid rehabilitation for patients with tinnitus and sensorineural hearing loss.
  
  
  
  This was a pilot randomized controlled trial.
  
  
  
  The sample consisted of 50 patients aged between 40 and 82 yr with both tinnitus and sensorineural hearing loss and a pure-tone average (0.5, 1, 2, and 4 kHz) < 70 dB HL. All patients were first-time hearing aid users.
  
  
  
  A brief MI program was used during hearing aid fitting in 25 patients, whereas the remainder received standard practice (SP), with conventional hearing rehabilitation.
  
  
  
  A total of 46 patients (N = 23 + 23) with tinnitus were included for further analysis. The Tinnitus Handicap Inventory (THI) and the International Outcome Inventory for Hearing Aids (IOI-HA) were administered before and after rehabilitation. THI was used to investigate changes in tinnitus annoyance, and the IOI-HA was used to determine the effect of hearing aid treatment.
  
  
  
  Self-reported tinnitus disability (THI) decreased significantly in the MI group (p < 0.001) and in the SP group (p < 0.006). However, there was greater improvement in the MI group (p < 0.013). Furthermore, the findings showed a significant improvement in patients' satisfaction concerning the hearing aids (IOI-HA, within both groups; MI group, p < 0.038; and SP group, p < 0.026), with no difference between the groups (p < 0.99).
  
  
  
  Tinnitus handicap scores decrease to a greater extent following brief MI than following SP. Future research on the value of incorporating MI into audiological rehabilitation using randomized controlled designs is required.
authors: Division of Neuroscience, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Department of Otorhinolaryngology in Linköping, Anesthetics, Operations and Specialty Surgery Center, County Council of Östergötland, Sweden.
authors: Reza
authors: R
authors: Zarenoe
authors: Centre for Health Care Development, Region Östergötland Linköping, Sweden.
authors: Lena Lindhe
authors: LL
authors: Söderlund
authors: Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden; and Department of Clinical Neuroscience, Karolinska Institute, Sweden.
authors: Gerhard
authors: G
authors: Andersson
authors: Division of Neuroscience, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Department of Otorhinolaryngology in Linköping, Anesthetics, Operations and Specialty Surgery Center, County Council of Östergötland, Sweden.
authors: Torbjörn
authors: T
authors: Ledin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006310:Hearing Aids; D006319:Hearing Loss, Sensorineural / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D062405:Motivational Interviewing; D010865:Pilot Projects; D011795:Surveys and Questionnaires; D014012:Tinnitus / Q000534:rehabilitation*