Clinical Guide for Audiologic Tinnitus Management II Treatment Short Course
Short Course  |   June 01, 2005
Clinical Guide for Audiologic Tinnitus Management II
 
Author Affiliations & Notes
  • James A. Henry
    VA Medical Center, Portland, OR, and Oregon Health & Science University, Portland
    VA Medical Center (NCRAR), P.O. Box 1034, Portland, OR 97207
  • Tara L. Zaugg
    VA Medical Center (NCRAR), P.O. Box 1034, Portland, OR 97207
  • Martin A. Schechter
    VA Medical Center (NCRAR), P.O. Box 1034, Portland, OR 97207
  • Corresponding author: e-mail: james.henry@med.va.gov
Article Information
Hearing Disorders / Research and Technology / Short Courses
Short Course   |   June 01, 2005
Clinical Guide for Audiologic Tinnitus Management II
American Journal of Audiology, June 2005, Vol. 14, 49-70. doi:10.1044/1059-0889(2005/005)
History: Received September 1, 2004 , Accepted May 20, 2005
 
American Journal of Audiology, June 2005, Vol. 14, 49-70. doi:10.1044/1059-0889(2005/005)
History: Received September 1, 2004; Accepted May 20, 2005

Purpose: This article is the second of 2 that address the need for basic procedures that can be used commonly by audiologists to manage patients with clinically significant tinnitus, as well as hyperacusis. The method described is termed audiologic tinnitus management (ATM).

Method: ATM was developed specifically for use by audiologists. Although certain procedural components were adapted from the methods of tinnitus masking and tinnitus retraining therapy, ATM is uniquely and specifically defined. A detailed description of the ATM assessment procedures is provided in the companion article (J. A. Henry, T. L. Zaugg, & M. A. Schechter, 2005). The present article describes a specific clinical protocol for providing treatment with ATM.

Results: The treatment method described for ATM includes structured informational counseling and an individualized program of sound enhancement that can include the use of hearing aids, ear-level noise generators, combination instruments (noise generator and hearing aid combined), personal listening devices (wearable CD, tape, and MP3 players), and augmentative sound devices (e.g., tabletop sound generators). Ongoing treatment appointments involve primarily the structured counseling, evaluation, and adjustment of the use of sound devices, and assessment of treatment outcomes. The informational counseling protocol and an interview form for determining treatment outcomes are each described in step-by-step detail for direct clinical application.

Conclusion: This article can serve as a practical clinical guide for audiologists to provide treatment for tinnitus in a uniform manner.

Acknowledgments
The authors acknowledge support from the Veterans Health Administration and Veterans Affairs Rehabilitation Research and Development Service (Grants C3214R and C2659C). Development of this protocol is the combined result of efforts by audiologists, clinicians, and researchers who are too numerous to mention. Special thanks go to Harvey Abrams, PhD, Robert Dobie, MD, Christine Kaelin, MBA, and Kimberly Owens, BS.
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