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. 2010 Sep 8;2010(9):CD005233. doi: 10.1002/14651858.CD005233.pub3

Weise 2008.

Methods Randomised controlled trial
Participants 111 (of 130 initially recruited) patients allocated to 2 groups: treatment group (44.2% female, mean age 49.46 years) and waiting list group (44.1% female, mean age 52.93 years)
Inclusion criteria were: 
 (1) Duration of tinnitus greater than 6 months 
 (2) Serious or severe tinnitus annoyance (TQ score = 47 or more) 
 (3) Between 16 and 75 years of age
Exclusion criteria were: 
 (1) Mild degree of tinnitus annoyance 
 (2) Tinnitus following Ménière's disease 
 (3) Patients with psychosis or seriously disabling brain damage
Interventions Two experimental groups: 
 (1) Biofeedback‐based behavioural intervention (52 patients) 
 (2) A waiting list control (59 patients)
The biofeedback‐based behavioural intervention consisted of 12 individual therapy sessions of 60 minutes duration conducted by 4 trained therapists. Each session contained biofeedback as well as CBT elements following a structured manual.
Outcomes The outcome measures included: 
 (1) Global tinnitus annoyance measured with TQ 
 (2) Tinnitus diary (for 1 week at each assessment point) on a Visual Analogue Scale (0 to 10) including: subjective loudness, sleep disturbance, impairment, distress due to tinnitus and feelings of controllability 
 (3) Psychometric questionnaires: BDI, SCL‐90‐R, GSI, TRSS, TRCS
All assessments were completed at pre‐treatment, post‐treatment and 6 months follow up
Notes Total drop‐out at post‐treatment measurement = 19/130 = 14.61%. Results for the adverse effects subscale (M = 1.51; SD = 0.63; range 1 to 6) indicated that the majority of the patients did not experience negative side effects caused by the treatment. Results for the satisfaction with therapy subscale (M = 5.16, SD = 0.51; range 1 to 6) indicated that patients were quite content with the treatment.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk Randomisation using a computer‐generated random list