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 |
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| 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. |
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| 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 |
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| 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 |