Effectiveness of bimodal neuromodulation for tinnitus treatment in a real-world clinical setting in United States: A retrospective chart review DOI Creative Commons

Emily E. McMahan,

Hubert H. Lim

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 22, 2024

Abstract Bimodal neuromodulation combining sound therapy with electrical tongue stimulation using the Lenire device is emerging as an effective treatment for tinnitus. A single-arm retrospective chart review analyzes real-world outcomes 220 tinnitus patients from Alaska Hearing and Tinnitus Center recently FDA-approved first time in a United States clinic. The primary endpoint examines responder rate mean change Handicap Inventory (THI) after approximately 12 weeks of eligible moderate or worse represents THI improvement greater than seven points (i.e., minimal clinically important difference, MCID). Of 212 available data, there was high 91.5% (95% CI: 86.9%, 94.5%) 27.8 ± 1.3 (SEM) points, no device-related serious adverse events. Furthermore, MCID consistent criterion clinical benefit based on evidence.

Language: Английский

Delivery of internet-based cognitive behavioral therapy combined with human-delivered telepsychology in tinnitus sufferers through a chatbot-based mobile app DOI Creative Commons
Fabrice Bardy, Laure Jacquemin,

Cara Wong

et al.

Frontiers in Audiology and Otology, Journal Year: 2024, Volume and Issue: 1

Published: Jan. 9, 2024

Background While there is no cure for tinnitus, research has shown that cognitive behavioral therapy (CBT) effective in managing clinical sequelae. Although traditional CBT labor-intensive and costly, new online consultations may improve accessibility. Moreover, promise an engaging conversational agent, or a “chatbot,” delivering conversation-like manner allowing users to work through complex situations with the guidance of virtual coach. Currently, little examining possible hybrid model using iCBT tele consultation psychologist. Methods A randomized, 2 parallel-group trial was conducted compare effectiveness (1) delivered chatbot mobile app (i.e., Tinnibot only group) (2) combined telepsychology hybrid-intervention group). total 30 eligible adults tinnitus were included. After 8-week intervention period, participants followed up months. The primary outcome measure, Tinnitus Functional Index (TFI), secondary measures, Hyperacusis Questionnaire (HQ), Generalized Anxiety Disorder 7-item (GAD-7), Patient Health (PHQ-9), assessed before treatment, post-treatment, at follow-up. Results TFI decreased significantly over time both groups, trend larger improvement group received telepsychology. At clinically significant observed 42% Tinnibot-only 64% group. follow-up, this groups. PHQ-9 GAD-7 improved time, but HQ did not. Discussion Internet-based delivery decreasing distress, levels anxiety depression, which more relevant today than ever context global pandemic challenged face-to-face intervention. addition might be beneficial, not essential treatment. There need further determine whether any relationship between characteristics patients success different modes therapy.

Language: Английский

Citations

4

The Current State of Tinnitus Diagnosis and Treatment: a Multidisciplinary Expert Perspective DOI Creative Commons
Tobias Kleinjung, Nicole Peter, Martin Schecklmann

et al.

Journal of the Association for Research in Otolaryngology, Journal Year: 2024, Volume and Issue: 25(5), P. 413 - 425

Published: Aug. 13, 2024

Tinnitus, the perception of sound without an external source, affects 15% population, with 2.4% experiencing significant distress. In this review, we summarize current state knowledge about tinnitus management a particular focus on translation into clinical practice. first section, analyze shortcomings, gaps, and challenges in field research. Then, highlight relevance diagnostic process to account for heterogeneity identify all relevant aspects individual patient, such as etiological aspects, pathophysiological mechanisms, factors that contribute most suffering, comorbidities. next review available treatment options, including counselling, cognitive-behavioral therapy (CBT), hearing aids cochlear implants patients loss, generators, novel auditory stimulation approaches, retraining (TRT), pharmacological treatment, neurofeedback, brain stimulation, bimodal Internet- app-based digital alternative approaches. The evidence effectiveness various interventions varies considerably. We also discuss differences respective guideline recommendations close discussion how knowledge, latest scientific evidence, patient perspectives can be translated patient-centered care.

Language: Английский

Citations

4

Change in Tinnitus Severity After an Online Self-Paced Tinnitus Course: A Retrospective Cohort Study in Acute and Chronic Tinnitus Patients DOI Open Access
Annemarie van der Wal, Frank Lobbezoo,

Roel van Gorkum

et al.

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(4), P. 1166 - 1166

Published: Feb. 11, 2025

Background: Tinnitus can significantly impact a patient's quality of life. As no evidence-based curative treatments exist, therapies such as cognitive behavioral therapy, tinnitus retraining acceptance and commitment mindfulness-based interventions aim to minimize severity have been shown effective. Since traditional delivery be costly time-consuming often has limited accessibility, might also provided via eHealth. This study investigates the change in measured by Functional Index (TFI) score after participation an online self-paced ("Still Tinnitus") course. The secondary was identify predictors for clinically relevant improvement this Methods: retrospective record included patients from Still course between March 2023 July 2024. Patients were recruited website. Differences TFI scores baseline completing fifth (last) module calculated investigate over time. Multivariate logistic analyses performed possible completion Results: In total, 122 study. analysis revealed reduction 27.2 points. Multiple regression showed that "duration tinnitus" (OR 5.0; 95%CI: 1.537-16.240; p = 0.007) "female sex" 1.9; 95%CI 0.111-7.637; 0.030) are improvement. Conclusions: convenience sample patients, may contribute severity. A shorter duration female sex identified significant predictors.

Language: Английский

Citations

0

Establishing a Comprehensive Tinnitus Care Pathway—Part 2: Implementation DOI
Lori Zitelli,

Emma Alscher

Seminars in Hearing, Journal Year: 2025, Volume and Issue: unknown

Published: March 21, 2025

Abstract This article is the second in a two-part series intended to provide guidance related essential components of establishing comprehensive tinnitus care pathway your clinic. Please see “Part 1: Essential Components” for relevant background information detailing why each described this were included.

Language: Английский

Citations

0

Could the use of web-based applications assist in neuropsychiatric treatment? An umbrella review DOI Creative Commons
Luísa Pelucio, Laiana A. Quagliato, Amanda Cardoso

et al.

BMC Psychology, Journal Year: 2025, Volume and Issue: 13(1)

Published: March 26, 2025

The aim of this study was to evaluate the use applications accessed through internet browsers as tools for neuropsychiatric treatment, well verify benefits and efficacy virtual support a therapeutic approach. A broad review MEDLINE (PubMed), SciELE Cochrane databases articles conducted. Articles involving browser-based neurological psychiatric with available texts on selected platforms no language or year restrictions, were included. total 83 reviews included in study. Due homogeneity information between some articles, research grouped according following revised themes: mindfulness, tinnitus, electronic health (eHealth), youth students' mental health, mobile (mHealth), depression, anxiety stress, psychoactive substances, sleep quality, chronic diseases disorders. findings suggest that helps improving well-being quality life these patients.

Language: Английский

Citations

0

Retrospective chart review demonstrating effectiveness of bimodal neuromodulation for tinnitus treatment in a clinical setting DOI Creative Commons

Emily E. McMahan,

Hubert H. Lim

Communications Medicine, Journal Year: 2025, Volume and Issue: 5(1)

Published: April 28, 2025

Abstract Background Bimodal neuromodulation combining sound therapy with electrical tongue stimulation using the Lenire® device is emerging as an effective treatment for tinnitus. Methods A single-arm retrospective chart review of 220 patients tinnitus from Alaska Hearing & Tinnitus Center examines real-world outcomes recently FDA-approved Lenire treatment. To best our knowledge, this first assessment a clinic in United States. The primary endpoint responder rate and mean change Handicap Inventory (THI) after ~12 weeks eligible moderate or worse represents THI improvement greater than seven points (i.e., minimal clinically important difference, MCID). Results Here we show that, out 212 available data, there was high 91.5% (95% CI: 86.9%, 94.5%) 27.8 ± 1.3 (SEM) points, no device-related serious adverse events. Furthermore, MCID consistent criterion clinical benefit based on evidence practice settings. Conclusions These findings that can be used to safely effectively reduce setting.

Language: Английский

Citations

0

Research trends and hotspots of cognitive behavioral therapy for tinnitus: a bibliometric analysis DOI Creative Commons

裕子 有賀,

Jiahui Liu,

Hongmei Cheng

et al.

Frontiers in Neuroscience, Journal Year: 2025, Volume and Issue: 19

Published: May 9, 2025

Background Tinnitus, defined as the perception of sound without an external auditory stimulus, affects millions worldwide, significantly diminishing their quality life. Cognitive behavioral therapy (CBT) is most evidence-based treatment for tinnitus management, proven effective in reducing tinnitus-related distress and severity. This study aims to evaluate current status, emerging trends, research hotspots CBT using bibliometric methods, offering valuable insights future studies this field. Methods Publications related were retrieved from Web Science Core Collection (WoSCC) database 1985 2024. Bibliometric analysis visualization performed VOSviewer, CiteSpace, R package “bibliometrix.” Results A total 209 publications included study. Research on has shown a steady upward trend. Sweden, United Kingdom States have made notable contributions Linköping University Karolinska Institute are leading institutions. Gerhard Andersson prolific author ranks first citation frequency. The journal American Journal Audiology, while Ear Hearing frequently co-cited journal. highly cited references primarily encompass clinical trials, systematic reviews, meta-analyses that focus cognitive-behavioral interventions. Recent keyword trends highlight topics such “mindfulness,” “acceptance commitment therapy,” “internet-based interventions.” Addressing psychological comorbidities tinnitus, including depression anxiety, identified focus. Conclusion provides comprehensive overview landscape management. Current emphasizes various modalities treat associated with tinnitus. Future should prioritize high-quality confirm long-term efficacy

Language: Английский

Citations

0

Short- and Long-Term Outcomes of e-Health and Internet-Based Psychological Interventions for Chronic Tinnitus: A Systematic Review and Meta-Analysis DOI
Heribert Sattel, Petra Brüeggemann, Kurt Steinmetzger

et al.

Telemedicine Journal and e-Health, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 25, 2024

: e-Health or web-based systems in the field of tinnitus have gained increasing interest. Cognitive behavioral therapy (CBT) delivered via internet is currently witnessing a surge both attention and offerings. This systematic review analyzed efficacy sustainability internet-based therapies aimed at reducing distress comorbidities such as anxiety, depression, sleep disorders. The exclusively considered randomized controlled trials (RCTs) which trained personnel were actively involved during intervention.

Language: Английский

Citations

2

Comparing the Clinical Effectiveness of Telerehabilitation with Traditional Speech and Language Rehabilitation in Children with Hearing Disabilities: A Systematic Review DOI
Saeid Ebrahimi, Milad Ahmadi Marzaleh,

Somayeh Zakerabbasali

et al.

Telemedicine Journal and e-Health, Journal Year: 2023, Volume and Issue: 30(2), P. 307 - 320

Published: Aug. 11, 2023

The use of telerehabilitation for the treatment speech and language disorders in field hearing is increasing. A comprehensive study comparing telerehabilitation's effectiveness with traditional rehabilitation can help us understand it better. Therefore, this systematic review aimed to compare children disabilities 2023.

Language: Английский

Citations

5

Efficacy of Internet-Based Therapies for Tinnitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials DOI Open Access
Egidio Sia, Giancarlo Tirelli,

Annalisa Gatto

et al.

Journal of Personalized Medicine, Journal Year: 2024, Volume and Issue: 14(8), P. 813 - 813

Published: July 31, 2024

Tinnitus presents a major public health challenge, impacting quality of life. With conventional therapies being often time-consuming and costly, interest in Internet-based treatments, such as auditory treatments cognitive behavioral therapy, has grown due to their improved patient adherence. This meta-analysis aims review existing scientific literature assess the effectiveness (IBTs) treating tinnitus.

Language: Английский

Citations

1