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DOI: 10.3766/jaaa.17119
A Client Oriented Scale of Improvement in Tinnitus for Therapy Goal Planning and Assessing Outcomes
Publication History
Publication Date:
26 May 2020 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00046128/201904/lookinside/thumbnails/10-3766-jaaa-17119_00327-1.jpg)
Abstract
Background:
There is a need to develop methods to help clinicians work with clients to select and personalize tinnitus therapies. The use of validated measures to determine treatment success is also essential for research and clinical practice. A goal planning method widely used in audiologic rehabilitation is the client oriented scale of improvement (COSI). A modified version of the COSI has been used to identify tinnitus treatment goals and outcomes (client oriented scale of improvement in tinnitus [COSIT]).
Purpose:
The aims of this study were to identify treatment goals in a clinic sample and ascertain the convergent validity of the COSIT to three widely used standardized questionnaires.
Research Design:
A retrospective evaluation of client treatment goals using thematic analysis and correlational analysis of secondary research data comparing the COSIT to tinnitus handicap questionnaire (THQ), tinnitus handicap inventory (THI), and tinnitus functional index (TFI).
Study Sample:
One hundred and twenty-two adult patients and research participants attending the University of Auckland Hearing and Tinnitus Clinic.
Results:
Specific treatment goals were categorized into 11 themes. The most common treatment goals (>10% of responses) were: (1) Reducing tinnitus’ effects on Hearing. (2) Improved wellbeing and being less depressed. (3) Coping with or controlling the tinnitus. (4) Managing the effect of the environment (context) on tinnitus. (5) Improving sleep. (6) Understanding tinnitus. Individuals differed in their complaints and priorities for treatment. The COSIT showed moderate convergent validity with the THQ, THI, and TFI indicating that the total scores measured similar constructs.
Conclusions:
The COSIT is a pragmatic method for determining tinnitus treatment goals and priorities in a format that should be familiar to audiologists.
Key Words
client oriented scale of improvement - goal planning - questionnaire - tinnitus - tinnitus functional index - tinnitus handicap inventory - tinnitus handicap questionnaireThe author’s tinnitus research is currently funded from grants awarded by the American Tinnitus Association and the Oticon Foundation of New Zealand.
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REFERENCES
- Attride-Stirling J. 2001; Thematic networks: an analytic tool for qualitative research. Qual Res 1: 385-405
- Carhart R, Jerger JF. 1959; Preferred method for clinical determination of pure-tone thresholds. J Speech Hear Disord 24: 330-345
- Cederroth CR, Kähler AK, Sullivan PF, Lopez-Escamez JA. 2017; Genetics of tinnitus: time to biobank phantom sounds. Front Genet 8: 110
- Chandra N, Chang K, Lee A, Shekhawat GS, Searchfield GD. 2017 Psychometric validity, reliability, and responsiveness of the tinnitus functional index. J Am Acad Audiol, in press
- Dillon H. 2001. Hearing Aids. Sydney: Boomerang Press;
- Dillon H, James A, Ginis J. 1987; Client oriented scale of improvement (COSI) and its relationship to several other measures of benefit and satisfaction provided by hearing aids. J Am Acad Audiol 8: 27-43
- Fagelson MA, Smith SL. 2016; Tinnitus self-efficacy and other tinnitus self-report variables in patients with and without post-traumatic stress disorder. Ear Hear 37: 541-546
- Fowler EP. 1948; The emotional factor in tinnitus aurium. Laryngoscope 58: 145-154
- Golafshani N. 2003; Understanding reliability and validity in qualitative research. Qual Rep 8: 597-606
- Goldstein D, Stephens S. 1981; Audiological rehabilitation: management model I. Audiology 20: 432-452
- Hoare DJ, Searchfield GD, El Refaie A, Henry JA. 2014; Sound therapy for tinnitus management: practicable options. J Am Acad Audiol 25: 62-75
- Hodgson S-A, Herdering R, Singh Shekhawat G, Searchfield GD. 2015; A crossover trial comparing wide dynamic range compression and frequency compression in hearing aids for tinnitus therapy. Disabil Rehabil Assist Technol 12 (01) 97-103
- Kuk FK, Tyler RS, Russell D, Jordan H. 1990; The psychometric properties of a tinnitus handicap questionnaire. Ear Hear 11: 434-445
- McKenna L. 1987; Goal planning in audiological rehabilitation. Br J Audiol 21: 5-11
- Mckenna L, Irwin R. 2008; Sound therapy for tinnitus: sacred cow or idol worship?: an investigation of the evidence. Audiol Med 6: 16-24
- Meikle MB. et al. 2012; The tinnitus functional index: development of a new clinical measure for chronic, intrusive tinnitus. Ear Hear 32: 153-176
- Newman CW, Jacobson GP, Spitzer JB. 1996; Development of the tinnitus handicap inventory. Arch Otolaryngol Head Neck Surg 122: 143-148
- Newman CW, Sandridge SA, Meit SS, Cherian N. 2008; Strategies for managing patients with tinnitus: a clinical pathway model. Semin Hear 29: 300-309
- Saunders GH, Chisolm TH, Abrams HB. 2005; Measuring hearing aid outcomes—not as easy as it seems. J Rehabil Res Dev 42: 157-168
- Schum DJ. 1999; Perceived hearing aid benefit in relation to perceived needs. J Am Acad Audiol 10: 40-45
- Searchfield GD. 2006. Hearing aids and tinnitus. In: Tyler R. Tinnitus Protocols. New York, NY: Thieme;
- Searchfield GD. 2014; Tinnitus what and where: an ecological framework. Front Neurol 5: 271
- Searchfield GD, Durai M, Linford T. 2017; A state-of-the-art review: personalization of tinnitus sound therapy. Front Psychol 8: 1599
- Searchfield GD, Jerram C, Wise K, Raymond S. 2007; The impact of hearing loss on tinnitus severity. Aust N Z J Audiol 29: 67-76
- Searchfield GD, Kaur M, Martin WH. 2010; Hearing aids as an adjunct to counseling: tinnitus patients who choose amplification do better than those that don’t. Int J Audiol 49: 574-579
- Spiegel DP, Linford T, Thompson B, Petoe MA, Kobayashi K, Stinear CM, Searchfield GD. 2015; Multisensory attention training for treatment of tinnitus. Sci Rep 5: 10802
- Tyler R, Ji H, Perreau A, Witt S, Noble W, Coelho C. 2014; Development and validation of the tinnitus primary function questionnaire. Am J Audiol 23: 260-272
- Tyler RS, Baker LJ. 1983; Difficulties experienced by tinnitus sufferers. J Speech Hear Disord 48: 150-154
- Tyler RS, Gogel SA, Gehringer AK. 2007; Tinnitus activities treatment. Progr Brain Res 166: 425-434
- Wilson PH, Henry J, Bowen M, Haralambous G. 1991; Tinnitus reaction questionnaire: psychometric properties of a measure of distress associated with tinnitus. J Speech Hear Res 34: 197-201