Team members (PJM, TLZ, JAH) wrote and reviewed a series of 15 "chapters" that were deemed necessary to educate audiologists about clinical management of tinnitus using the PATM model.
Multimedia Materials to Support PATM Model in Department of Veterans Affairs Audiology Clinics
Approximately 2 yr were spent developing the PATM clinical materials and online training modules (described in Appendixes 1 and 2, respectively; available online only).
The audiologists were randomized by the study biostatistician to provide either PATM or usual care (UC) for tinnitus management.
The procedures developed for PATM were evidence based and did not have any more risk than UC.
During the audiologic assessment, all patients randomized to PATM received a self-help workbook that was developed to support PATM .
The THI was the primary outcome measure, and patients in the PATM group were expected to have equal or better tinnitus management as reflected in the mean THI scores.
A patient self-help workbook with a DVD and CD was also developed, as was an online training program for the PATM audiologists.
All three PATM audiologists endorsed the course as useful to their practice and that the module content met their stated objectives.
Because half the time learners reported less than high confidence, the implementation consultant (MWL) conducted a series of conference calls with the study team and PATM audiologists throughout the pilot study.
The learners judged PATM feasible for their practice.