Patient uptake and experiences of Internet-based cognitive behavioural therapy for tinnitus in the US: Process evaluation of a randomized controlled trial

Beukes, Eldré W. and Andersson, Gerhard and Manchaiah, Vinaya (2021) Patient uptake and experiences of Internet-based cognitive behavioural therapy for tinnitus in the US: Process evaluation of a randomized controlled trial. Frontiers in Medicine, 8. p. 771646. ISSN 2296-858X

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Official URL: https://doi.org/10.3389/fmed.2021.771646

Abstract

Introduction: An internet-based cognitive behavioral therapy (ICBT) offers a way to increase access to evidence-based tinnitus care. To increase the accessibility of this intervention, the materials were translated into Spanish to reach Spanish as well as English speakers. A clinical trial indicated favorable outcomes of ICBT for tinnitus for the population of the United States. In view of later dissemination, a way to increase the applicability of this intervention is required. Such understanding is best obtained by considering the perspectives and experiences of participants of an intervention. This study aimed to identify the processes that could facilitate or hinder the clinical implementation of ICBT in the United States. Methods: This study evaluated the processes regarding enrolment, allocation, intervention delivery, the outcomes obtained, and the trial implementation. The study sample consisted of 158 participants who were randomly assigned to the experimental and control group. Results: Although the recruitment was sufficient for English speakers, recruiting the Spanish participants and participants belonging to ethnic minority groups was difficult despite using a wide range of recruitment strategies. The allocation processes were effective in successfully randomizing the groups. The intervention was delivered as planned, but not all the participants chose to engage with the materials provided. Compliance for completing the outcome measures was low. The personal and intervention factors were identified as barriers for the implementation whereas the facilitators included the support received, being empowering, the accessibility of the intervention, and its structure. Conclusion: An understanding regarding the factors contributing to the outcomes obtained, the barriers and facilitators of the results, engagement, and compliance were obtained. These insights will be helpful in preparing for the future dissemination of such interventions.

Item Type: Journal Article
Keywords: Process evaluation, clinical trial, internet-intervention, tinnitus, cognitive behavioral therapy, digital therapeutics
Faculty: Faculty of Science & Engineering
SWORD Depositor: Symplectic User
Depositing User: Symplectic User
Date Deposited: 05 Oct 2021 07:54
Last Modified: 17 Nov 2021 09:50
URI: https://arro.anglia.ac.uk/id/eprint/707004

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