Internet-Based Self-Help for Ménière's Disease: Details and Outcome of a Single-Group Open Trial Purpose In this article, we present the details and the pilot outcome of an Internet-based self-help program for Ménière's disease (MD). Method The Norton–Kaplan model is applied to construct a strategic, person-focused approach in the enablement process. The program assesses the disorder profile and diagnosis. In the therapeutic ... Research Article
Newly Published
Research Article  |   October 10, 2017
Internet-Based Self-Help for Ménière's Disease: Details and Outcome of a Single-Group Open Trial
 
Author Affiliations & Notes
  • Ilmari Pyykkő
    Hearing and Balance Research Unit, Department of Otolaryngology, University of Tampere, Finland
  • Vinaya Manchaiah
    Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX
    Swedish Institute for Disability Research, Department of Behavioral Sciences and Learning, Linköping University, Sweden
    Audiology India, Karnataka, Mysore
    Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Karnataka, India
  • Erna Kentala
    Department of Otolaryngology, University of Helsinki, Finland
  • Hilla Levo
    Department of Otolaryngology, University of Helsinki, Finland
  • Martti Juhola
    School of Information Sciences, University of Tampere, Finland
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication.×
  • Correspondence to Vinaya Manchaiah: vinaya.manchaiah@lamar.edu
  • Editor: Sumitrajit (Sumit) Dhar
    Editor: Sumitrajit (Sumit) Dhar×
  • Associate Editor: Owen Murnane
    Associate Editor: Owen Murnane×
Article Information
Hearing Disorders / Balance & Balance Disorders / Telepractice & Computer-Based Approaches / Newly Published / Research Article
Research Article   |   October 10, 2017
Internet-Based Self-Help for Ménière's Disease: Details and Outcome of a Single-Group Open Trial
American Journal of Audiology, Newly Published. doi:10.1044/2017_AJA-16-0068
History: Received July 25, 2016 , Revised March 5, 2017 , Accepted May 16, 2017
 
American Journal of Audiology, Newly Published. doi:10.1044/2017_AJA-16-0068
History: Received July 25, 2016; Revised March 5, 2017; Accepted May 16, 2017

Purpose In this article, we present the details and the pilot outcome of an Internet-based self-help program for Ménière's disease (MD).

Method The Norton–Kaplan model is applied to construct a strategic, person-focused approach in the enablement process. The program assesses the disorder profile and diagnosis. In the therapeutic component of the program, the participant defines vision and time frame, inspects confounding factors, determines goals, establishes a strategy, and starts to work on the important problems caused by the disorder. The program works interactively, utilizes collaboration with significant others, and enhances positive thinking. Participants took part in an Internet-based self-help program. Data were collected interactively using open-ended and structured questionnaires on various disease-specific and general health aspects. The pilot outcome of 41 patients with MD was evaluated.

Results The analysis of the pilot data showed statistically significant improvement in their general health-related quality of life (p < .001). Also, the outcome of the Posttraumatic Growth Inventory (Cann et al., 2010) showed small to moderate change as a result of the intervention.

Conclusions The Internet-based self-help program can be helpful in the rehabilitation of patients with MD to supplement medical therapy.

Acknowledgments
This study has been conducted in cooperation with the Finnish Ménière Federation and financially supported by Finland's Slot Machine Association. The late Dafydd Stephens contributed significantly to this research project. Nina Kallunki helped us with data collection.
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