Table 5.
The engagement and satisfaction with the intervention.
| Module | Number of users opening the modules | Number of participants completing the worksheets | Intervention satisfaction: Scale of 1–10. Mean (SD) | Examples of the usability of the information | ||
|---|---|---|---|---|---|---|
| Understand-ability was the module | Usefulness of the information | Applicability of the information | ||||
| Recommended modules | ||||||
| Introduction | 104 (88%) | No 1: 86 (73%) No 2: 72 (61%) |
NA | NA | NA | NA |
| Tinnitus overview | 84 (71%) | No 1: 79 (60%) No 2: 77 (65%) No 3: 74 (63%) No 4: 72 (61%) |
9.5 (1.0) | 9.1 (1.2) | 9.3 (1.1) | I now understand that I am somewhat in control of my tinnitus, in that I can change the way I think about it, which will change my feelings, which will change my reaction to it. Thereby taking the importance off of it, and ultimately accepting it as a part of me. |
| Deep relaxation | 83 (70%) | No 1: 79 (60%) No 2: 76 (64%) No 3: 74 (63%) |
9.4 (1.0) | 9.1 (1.5) | 9.0 (1.8) | Seems like a good way to stop the feedback loop of anxiety by interrupting some of the physiological practices that reinforce anxiety. The connection between anxiety and tinnitus is noticeable. I can see where this practice can help to interrupt that connection |
| Positive imagery | 59 (50%) | No 1: 49 (42%) No 2: 47 (40%) |
9.2 (1.7) | 9.0 (1.7) | 8.6 (2.1) | I was honestly amazed by how much I let my mind take me on a journey. I completely forgot about my tinnitus for a good chunk of it |
| Deep breathing | 51 (43%) | No 1: 49 (42%) No 2: 43 (36%) |
9.3 (1.2) | 9.1 (1.5) | 9.3 (1.5) | What stood out was that we typically don't get enough air with shallow breathing, and especially when we're tense. Also placing 1 hand on chest and the other on belly helps me feel the difference between chest and belly breathing |
| Changing views | 48 (41%) | No 1: 43 (36%) No 2: 43 (36%) No 3: 39 (33%) No 4: 37 (31%) No 5: 38 (32%) |
9.0 (1.4) | 8.4 (2.0) | 8.4 (2.1) | I thought the sounds you hear all the time you just never pay attention to, but they are there like the ceiling fan, or Ice Box. I like the idea suggested of listening to the waves but then diving in the water to make the waves less noticeable is a way of helping me to think about it all |
| Entire body relaxation | 47 (40%) | No 1: 24 (20%) | 9.7 (0.6) | 9.2 (1.4) | 9.3 (1.4) | I like the idea of whole body relaxation done quickly. I feel it is as or more effective than the slower way |
| Shifting focus | 42 (36%) | No 1: 40 (34%) | 9.4 (0.9) | 9.0 (1.5) | 9.0 (1.8) | The technique itself, shifting focus between two things and shifting focus between one object and tinnitus, is new to me. The explanation in the video about how tinnitus is not worthy of attention is quite helpful too. I think I'll start answering my tinnitus with that thought |
| Frequent relaxation | 38 (32%) | No 1: 22 (19%) | 9.8 (0.8) | 9.0 (2.0) | 9.0 (2.0) | I am struggling this week, just lost a good friend and it seems like the whole country is in chaos right now. But relaxation techniques are really valuable right now, not just for coping with tinnitus |
| Thinking patterns | 39 (33%) | No 1: 30 (25%) No 2: 31 (26%) No 3: 17 (14%) |
9.2 (1.0) | 9.0 (1.4) | 8.7 (1.5) | I am amazed that my thinking pattern is making such a havoc physical mentally and emotionally my body and nervous system is worn out from fighting myself Thankful getting some understanding and help in CBT I can see there is a light in the end of the tunnel. I have so far benefited from this program tremendously |
| Quick relaxation | 39 (33%) | No 1: 20 (16%) | 9.6 (0.7) | 9.4 (1.2) | 9.4 (1.1) | I didn't really consider before of doing rapid relaxation. It seems like less pressure to do rather than spending a lot of time trying to relax. I like that it is quick and easy |
| Challenging thoughts | 38 (32%) | No 1: 14 (11%) | 7.9 (2.0) | 8.6 (1.9) | 8.8 (1.7) | I never thought about challenging my negative thoughts, nor did I realize how different mindsets can interfere with our thinking. I recognize all of the mindsets (except for Blaming) as ones that I do a lot. My plan is to determine which mindset I'm in at the time of a negative thought and then try to switch to an opposite mindset |
| Relaxation routine | 37 (31%) | No 1: 16 (13%) | 9.7 (0.9) | 9.3 (1.3) | 9.3 (1.3) | Making time to enjoy things is important and is part of relaxation. The routine specified actually sounds a lot more doable than I had imagined |
| Being mindful | 33 (28%) | No 1: 20 (16%) | 9.9 (0.6) | 9.1 (1.5) | 9.0 (1.5) | Slowing down to focus and enjoy the moment in time helps in relaxation, my breathing, I can feel my body responding in an overall calmness |
| Listening to tinnitus | 36 (31%) | No 1: 25 (21%) | 9.9 (0.3) | 9.3 (1.3) | 9.2 (1.6) | This module is one of the best, only behind relaxation! I am not anxious about my tinnitus anymore. It's just a minor annoyance |
| Key point summary | 31 (26%) | Reported elsewhere | NA | NA | NA | NA |
| Future planning | 30 (25%) | No 1: 22 (18%) No 2: 27 (22%) No 3: 21 (17%) |
NA | NA | NA | NA |
| Sound enrichment | 55 (47%) | No 1: 17 (14%) | 9.0 (0.7) | 9.1 (1.9) | 9.4 (1.0) | I have been trying to cover up my Tinnitus sound so I did not hear it. Now I understand that my brain has to get use to the tinnitus sound and have the masking sound just below the Tinnitus sound |
| Sleep guidelines | 38 (32%) | No 1: 29 (24%) No 2: 28 (23%) No 3: 26 (22%) No 4: 22 (18%) No 5: 24 (20%) No 6: 16(13%) |
9.7 (0.7) | 9.1 (1.6) | 8.6 (2.0) | Learned that our sleep cycles during the night go up/down. I also plan to implement the 20 min rule about getting up if unable to sleep after 20 min |
| Improving focus | 28 (24%) | No 1: 11 (9%) | 9.5 (0.8) | 9.2 (1.4) | 9.3 (1.2) | Take breaks to allow for better concentration, tinnitus is not always the reason for lack of concentration |
| Sound tolerance | 26 (22%) | No 1: 14 (11%) No 2: 17 (14%) |
9.6 (0.7) | 9.8 (0.7) | 9.5 (0.9) | This module was incredible. I finally feel understood and like I have been given advice I can truly implement in my life instead of just hearing “you can't do anything about tinnitus or hyperacusis” |
| Listening tips | 19 (16%) | No 1: 5 (4%) No 2: 7 (5%) |
9.9 (0.3) | 9.9 (0.3) | 9.8 (0.6) | I must pay better attention to the environment to modify the things I can for better hearing perception |
| Goals | NA | Initial: 72 (61%) Mid-program: 27 (22%) End: 22 (18%) |
NA | NA | NA | NA |
| Practice worksheet | Completed 364 times | NA | NA | NA | NA | |