Patient Uptake, Experiences, and Process Evaluation of a Randomized Controlled Trial of Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States

Introduction: An internet-based cognitive behavioral therapy (ICBT) offers a way to increase access to evidence-based tinnitus care. To increase the accessibility of this intervention, the materials were translated into Spanish to reach Spanish as well as English speakers. A clinical trial indicated...

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Autores principales:	Eldre W. Beukes, Gerhard Andersson, Vinaya Manchaiah
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	process evaluation clinical trial internet-interventions tinnitus cognitive behavioral therapy digital therapeutics Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/2fa90e706f444cd5b6f870abcbc50d8d
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spelling	oai:doaj.org-article:2fa90e706f444cd5b6f870abcbc50d8d2021-11-17T07:04:41ZPatient Uptake, Experiences, and Process Evaluation of a Randomized Controlled Trial of Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States2296-858X10.3389/fmed.2021.771646https://doaj.org/article/2fa90e706f444cd5b6f870abcbc50d8d2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fmed.2021.771646/fullhttps://doaj.org/toc/2296-858XIntroduction: An internet-based cognitive behavioral therapy (ICBT) offers a way to increase access to evidence-based tinnitus care. To increase the accessibility of this intervention, the materials were translated into Spanish to reach Spanish as well as English speakers. A clinical trial indicated favorable outcomes of ICBT for tinnitus for the population of the United States. In view of later dissemination, a way to increase the applicability of this intervention is required. Such understanding is best obtained by considering the perspectives and experiences of participants of an intervention. This study aimed to identify the processes that could facilitate or hinder the clinical implementation of ICBT in the United States.Methods: This study evaluated the processes regarding enrolment, allocation, intervention delivery, the outcomes obtained, and the trial implementation. The study sample consisted of 158 participants who were randomly assigned to the experimental and control group.Results: Although the recruitment was sufficient for English speakers, recruiting the Spanish participants and participants belonging to ethnic minority groups was difficult despite using a wide range of recruitment strategies. The allocation processes were effective in successfully randomizing the groups. The intervention was delivered as planned, but not all the participants chose to engage with the materials provided. Compliance for completing the outcome measures was low. The personal and intervention factors were identified as barriers for the implementation whereas the facilitators included the support received, being empowering, the accessibility of the intervention, and its structure.Conclusion: An understanding regarding the factors contributing to the outcomes obtained, the barriers and facilitators of the results, engagement, and compliance were obtained. These insights will be helpful in preparing for the future dissemination of such interventions.Clinical Trial Registration: www.ClinicalTrials.gov, identifier: NCT04004260. Registered on 2 July 2019.Eldre W. BeukesEldre W. BeukesEldre W. BeukesGerhard AnderssonGerhard AnderssonVinaya ManchaiahVinaya ManchaiahVinaya ManchaiahVinaya ManchaiahFrontiers Media S.A.articleprocess evaluationclinical trialinternet-interventionstinnituscognitive behavioral therapydigital therapeuticsMedicine (General)R5-920ENFrontiers in Medicine, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	process evaluation clinical trial internet-interventions tinnitus cognitive behavioral therapy digital therapeutics Medicine (General) R5-920
spellingShingle	process evaluation clinical trial internet-interventions tinnitus cognitive behavioral therapy digital therapeutics Medicine (General) R5-920 Eldre W. Beukes Eldre W. Beukes Eldre W. Beukes Gerhard Andersson Gerhard Andersson Vinaya Manchaiah Vinaya Manchaiah Vinaya Manchaiah Vinaya Manchaiah Patient Uptake, Experiences, and Process Evaluation of a Randomized Controlled Trial of Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States
description	Introduction: An internet-based cognitive behavioral therapy (ICBT) offers a way to increase access to evidence-based tinnitus care. To increase the accessibility of this intervention, the materials were translated into Spanish to reach Spanish as well as English speakers. A clinical trial indicated favorable outcomes of ICBT for tinnitus for the population of the United States. In view of later dissemination, a way to increase the applicability of this intervention is required. Such understanding is best obtained by considering the perspectives and experiences of participants of an intervention. This study aimed to identify the processes that could facilitate or hinder the clinical implementation of ICBT in the United States.Methods: This study evaluated the processes regarding enrolment, allocation, intervention delivery, the outcomes obtained, and the trial implementation. The study sample consisted of 158 participants who were randomly assigned to the experimental and control group.Results: Although the recruitment was sufficient for English speakers, recruiting the Spanish participants and participants belonging to ethnic minority groups was difficult despite using a wide range of recruitment strategies. The allocation processes were effective in successfully randomizing the groups. The intervention was delivered as planned, but not all the participants chose to engage with the materials provided. Compliance for completing the outcome measures was low. The personal and intervention factors were identified as barriers for the implementation whereas the facilitators included the support received, being empowering, the accessibility of the intervention, and its structure.Conclusion: An understanding regarding the factors contributing to the outcomes obtained, the barriers and facilitators of the results, engagement, and compliance were obtained. These insights will be helpful in preparing for the future dissemination of such interventions.Clinical Trial Registration: www.ClinicalTrials.gov, identifier: NCT04004260. Registered on 2 July 2019.
format	article
author	Eldre W. Beukes Eldre W. Beukes Eldre W. Beukes Gerhard Andersson Gerhard Andersson Vinaya Manchaiah Vinaya Manchaiah Vinaya Manchaiah Vinaya Manchaiah
author_facet	Eldre W. Beukes Eldre W. Beukes Eldre W. Beukes Gerhard Andersson Gerhard Andersson Vinaya Manchaiah Vinaya Manchaiah Vinaya Manchaiah Vinaya Manchaiah
author_sort	Eldre W. Beukes
title	Patient Uptake, Experiences, and Process Evaluation of a Randomized Controlled Trial of Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States
title_short	Patient Uptake, Experiences, and Process Evaluation of a Randomized Controlled Trial of Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States
title_full	Patient Uptake, Experiences, and Process Evaluation of a Randomized Controlled Trial of Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States
title_fullStr	Patient Uptake, Experiences, and Process Evaluation of a Randomized Controlled Trial of Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States
title_full_unstemmed	Patient Uptake, Experiences, and Process Evaluation of a Randomized Controlled Trial of Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States
title_sort	patient uptake, experiences, and process evaluation of a randomized controlled trial of internet-based cognitive behavioral therapy for tinnitus in the united states
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/2fa90e706f444cd5b6f870abcbc50d8d
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Patient Uptake, Experiences, and Process Evaluation of a Randomized Controlled Trial of Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States

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