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Voices From the Field: A Quality Improvement Project for Progressive Tinnitus Management 2.0.
Khaya Clark1,2,3, Suheily Lovelace4,5, John C Moring6
1National Center for Rehabilitative Auditory Research (NCRAR), VA Portland Health Care System, OR.
American Journal of Audiology
|October 8, 2024
Summary
This study updated the Progressive Tinnitus Management (PTM) protocol using clinician and patient feedback. The revised PTM materials, including handbooks and slides, are now more user-friendly and clinically acceptable for managing tinnitus.
Area of Science:
- Audiology
- Behavioral Health
- Quality Improvement
Background:
- Tinnitus is a prevalent condition, especially among military Veterans, and is the most common service-connected disability.
- While there is no cure, interventions like Progressive Tinnitus Management (PTM) help manage tinnitus and its impact.
- PTM, a protocol involving audiological and behavioral health services, was endorsed by VA audiology leadership in 2009.
Purpose of the Study:
- To update and improve the PTM protocol based on new clinical insights and research findings.
- To gather feedback from clinicians and patients on existing PTM materials.
- To enhance the PTM protocol in response to user experiences and recommendations.
Main Methods:
- A two-phase quality improvement project utilizing a convergent parallel mixed-methods design.
- Collected quantitative and qualitative feedback from Veterans Affairs (VA) and Department of Defense (DOD) clinicians and patients.
- Phase 1 involved interviews and surveys on PTM handbook/workbook revisions; Phase 2 pilot-tested revised PTM PowerPoint slides with patients.
Main Results:
- Phase 1 yielded recommendations for content modification, format changes, and electronic adaptations (e.g., clickable index).
- Phase 2 indicated that the revised PTM PowerPoint slides were useful and clinically acceptable for skills education.
- Feedback informed necessary revisions to PTM materials.
Conclusions:
- The study findings are actively being used to revise and update PTM skills education session materials.
- Demonstrates the critical importance of end-user input for effective clinical updates and protocol improvements.
- Emphasizes the iterative nature of refining clinical protocols to meet evolving needs.
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