Following self-referral or referral by a provider, 221 patients at the JAHVH Audiology Clinic with a complaint of tinnitus were contacted by telephone and recruited; 109 were randomized to UC and 112 to PATM.
There was a regular stream of referrals for tinnitus management to the JAHVH Audiology Clinic.
Finally, a post hoc interview was conducted with the Service Chief for Audiology and Speech Pathology at the JAHVH to learn how the study affected the clinic.
For the present study, inclusion criteria were very lenient to ensure that all patients reporting tinnitus at the JAHVH had the opportunity to receive services that would be consistent with a clinical model.
A further challenge for these patients was the unavailability of parking at the JAHVH. The study was conducted at a time when the JAHVH Audiology Clinic was being relocated to a new building miles away from the JAHVH.
Abbreviations: AHRQ = Agency for Healthcare Research and Quality, CBT = cognitive-behavioral therapy, HHI = Hearing Handicap Inventory, HHIE-S = Hearing Handicap Inventory for the Elderly-Screening version, IRB = institutional review board, JAHVH = James A.