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Rationale for the tinnitus retraining therapy trial.

Craig Formby1, Roberta Scherer,

  • 1Department of Communicative Disorders, The University of Alabama, Box 870242, Tuscaloosa, AL 35487, USA. cformby@as.wa.edu

Noise & Health
|April 11, 2013
PubMed
Summary

Tinnitus Retraining Therapy (TRT) effectively reduces tinnitus symptoms. This therapy, combining counseling and sound, shows significant improvements compared to standard care and placebo interventions for debilitating tinnitus.

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Area of Science:

  • Audiology
  • Neurology
  • Clinical Psychology

Background:

  • Subjective debilitating tinnitus significantly impacts military personnel.
  • Tinnitus Retraining Therapy (TRT) combines directive counseling and sound therapy.
  • The efficacy of TRT and its components for tinnitus in the military requires rigorous evaluation.

Purpose of the Study:

  • To evaluate the efficacy of Tinnitus Retraining Therapy (TRT) compared to standard care.
  • To assess the individual contributions of directive counseling and sound therapy within TRT.
  • To determine the effectiveness of TRT for subjective, debilitating tinnitus in military individuals.

Main Methods:

  • A multi-centered, placebo-controlled, randomized trial (TRTT) enrolling 228 participants.

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  • Three arms: TRT (counseling + sound generators), counseling + placebo, and standard of care.
  • Primary outcome: change in Tinnitus Questionnaire (TQ) score at 3, 6, 12, and 18 months.

    • Main Results:

    • TRT is hypothesized to be more efficacious than standard care.
    • Directive counseling with placebo sound generators is expected to outperform standard care.
    • Conventional sound generators are anticipated to be more effective than placebo sound generators.

    Conclusions:

    • TRT shows promise as an effective treatment for debilitating tinnitus in military populations.
    • Both directive counseling and sound therapy appear to contribute to tinnitus habituation.
    • Further research is warranted to optimize TRT protocols for military personnel.