Efficacy of Internet-Based Therapies for Tinnitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

被引:0
作者
Sia, Egidio [1 ]
Tirelli, Giancarlo [1 ]
Gatto, Annalisa [1 ]
Mineo, Chiara Angela [1 ]
Curlin, Kaveri [2 ]
Abouzari, Mehdi [2 ]
机构
[1] Univ Trieste, Dept Med Surg & Hlth Sci, Sect Otolaryngol, I-34149 Trieste, Italy
[2] Univ Calif Irvine, Dept Otolaryngol Head & Neck Surg, Div Neurotol & Skull Base Surg, Irvine, CA 92697 USA
来源
JOURNAL OF PERSONALIZED MEDICINE | 2024年 / 14卷 / 08期
基金
美国国家卫生研究院;
关键词
tinnitus; internet-based treatment; Tinnitus Functional Index (TFI); Tinnitus Handicap Inventory (THI); Tinnitus Reactions Questionnaire (TRQ); COGNITIVE-BEHAVIOR THERAPY;
D O I
10.3390/jpm14080813
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Tinnitus presents a major public health challenge, impacting quality of life. With conventional therapies being often time-consuming and costly, interest in Internet-based treatments, such as auditory treatments and Internet-based cognitive behavioral therapy, has grown due to their improved patient adherence. This meta-analysis aims to review existing scientific literature to assess the effectiveness of Internet-based therapies (IBTs) in treating tinnitus. Methods: Studies up to February 2024 using the Tinnitus Functional Index (TFI), Tinnitus Handicap Inventory (THI), or Tinnitus Reactions Questionnaire (TRQ) to monitor tinnitus before and after IBTs were searched in PubMed, Google Scholar, Web of Science, and the Cochrane Central Register of Controlled Trials. Variation of the score with time was analyzed and a comparison was made with non-IBT studies. Treatment effects were analyzed using Cohen's d model. Results: A total of 14 articles were considered, with a total of 1574 patients. Significant improvements in questionnaire scores were noted post-treatment. In the IBT group, THI and TFI decreased by 17.97 and 24.56 points, respectively (Cohen's d THI: 0.85; TFI: 0.80). In the control group, THI and TFI decreased by 13.7 and 4.25 points, respectively (Cohen's d THI: 0.55; TFI: 0.10). Conclusions: Internet-based therapies showed reliable effectiveness, possibly due to improved patient compliance, accessibility, cost-effectiveness, and customization.
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页数:13
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