Unification of Treatments and Interventions for Tinnitus Patients (UNITI): a study protocol for a multi-center randomized clinical trial

Abstract Background Tinnitus represents a relatively common condition in the global population accompanied by various comorbidities and severe burden in many cases. Nevertheless, there is currently no general treatment or cure, presumable due to the heterogeneity of tinnitus with its wide variety of...

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Autores principales:	Stefan Schoisswohl, Berthold Langguth, Martin Schecklmann, Alberto Bernal-Robledano, Benjamin Boecking, Christopher R. Cederroth, Dimitra Chalanouli, Rilana Cima, Sam Denys, Juliane Dettling-Papargyris, Alba Escalera-Balsera, Juan Manuel Espinosa-Sanchez, Alvaro Gallego-Martinez, Efi Giannopoulou, Leyre Hidalgo-Lopez, Michael Hummel, Dimitris Kikidis, Michael Koller, Jose A. Lopez-Escamez, Steven C. Marcrum, Nikolaos Markatos, Juan Martin-Lagos, Maria Martinez-Martinez, Marta Martinez-Martinez, Maria Mata Ferron, Birgit Mazurek, Nicolas Mueller-Locatelli, Patrick Neff, Kevin Oppel, Patricia Perez-Carpena, Paula Robles-Bolivar, Matthias Rose, Tabea Schiele, Axel Schiller, Jorge Simoes, Sabine Stark, Susanne Staudinger, Alexandra Stege, Nicolas Verhaert, Winfried Schlee
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Tinnitus Treatment Hearing aids Cognitive behavioral therapy Sound therapy Structured counseling Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/bd05377a2f98464d99c1eaf891b52d42
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spelling	oai:doaj.org-article:bd05377a2f98464d99c1eaf891b52d422021-12-05T12:20:02ZUnification of Treatments and Interventions for Tinnitus Patients (UNITI): a study protocol for a multi-center randomized clinical trial10.1186/s13063-021-05835-z1745-6215https://doaj.org/article/bd05377a2f98464d99c1eaf891b52d422021-12-01T00:00:00Zhttps://doi.org/10.1186/s13063-021-05835-zhttps://doaj.org/toc/1745-6215Abstract Background Tinnitus represents a relatively common condition in the global population accompanied by various comorbidities and severe burden in many cases. Nevertheless, there is currently no general treatment or cure, presumable due to the heterogeneity of tinnitus with its wide variety of etiologies and tinnitus phenotypes. Hence, most treatment studies merely demonstrated improvement in a subgroup of tinnitus patients. The majority of studies are characterized by small sample sizes, unstandardized treatments and assessments, or applications of interventions targeting only a single organ level. Combinatory treatment approaches, potentially targeting multiple systems as well as treatment personalization, might provide remedy and enhance treatment responses. The aim of the present study is to systematically examine established tinnitus therapies both alone and in combination in a large sample of tinnitus patients. Further, it wants to provide the basis for personalized treatment approaches by evaluating a specific decision support system developed as part of an EU-funded collaborative project (Unification of treatments and interventions for tinnitus patients; UNITI project). Methods/study design This is a multi-center parallel-arm randomized clinical trial conducted at five different clinical sites over the EU. The effect of four different tinnitus therapy approaches (sound therapy, structured counseling, hearing aids, cognitive behavioral therapy) applied over a time period of 12 weeks as a single or rather a combinatory treatment in a total number of 500 chronic tinnitus patients will be investigated. Assessments and interventions are harmonized over the involved clinical sites. The primary outcome measure focuses on the domain tinnitus distress assessed via the Tinnitus Handicap Inventory. Discussion Results and conclusions from the current study might not only provide an essential contribution to combinatory and personalized treatment approaches in tinnitus but could also provide more profound insights in the heterogeneity of tinnitus, representing an important step towards a cure for tinnitus. Trial registration ClinicalTrials.gov NCT04663828 . Registered on 11 December 2020.Stefan SchoisswohlBerthold LangguthMartin SchecklmannAlberto Bernal-RobledanoBenjamin BoeckingChristopher R. CederrothDimitra ChalanouliRilana CimaSam DenysJuliane Dettling-PapargyrisAlba Escalera-BalseraJuan Manuel Espinosa-SanchezAlvaro Gallego-MartinezEfi GiannopoulouLeyre Hidalgo-LopezMichael HummelDimitris KikidisMichael KollerJose A. Lopez-EscamezSteven C. MarcrumNikolaos MarkatosJuan Martin-LagosMaria Martinez-MartinezMarta Martinez-MartinezMaria Mata FerronBirgit MazurekNicolas Mueller-LocatelliPatrick NeffKevin OppelPatricia Perez-CarpenaPaula Robles-BolivarMatthias RoseTabea SchieleAxel SchillerJorge SimoesSabine StarkSusanne StaudingerAlexandra StegeNicolas VerhaertWinfried SchleeBMCarticleTinnitusTreatmentHearing aidsCognitive behavioral therapySound therapyStructured counselingMedicine (General)R5-920ENTrials, Vol 22, Iss 1, Pp 1-16 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Tinnitus Treatment Hearing aids Cognitive behavioral therapy Sound therapy Structured counseling Medicine (General) R5-920
spellingShingle	Tinnitus Treatment Hearing aids Cognitive behavioral therapy Sound therapy Structured counseling Medicine (General) R5-920 Stefan Schoisswohl Berthold Langguth Martin Schecklmann Alberto Bernal-Robledano Benjamin Boecking Christopher R. Cederroth Dimitra Chalanouli Rilana Cima Sam Denys Juliane Dettling-Papargyris Alba Escalera-Balsera Juan Manuel Espinosa-Sanchez Alvaro Gallego-Martinez Efi Giannopoulou Leyre Hidalgo-Lopez Michael Hummel Dimitris Kikidis Michael Koller Jose A. Lopez-Escamez Steven C. Marcrum Nikolaos Markatos Juan Martin-Lagos Maria Martinez-Martinez Marta Martinez-Martinez Maria Mata Ferron Birgit Mazurek Nicolas Mueller-Locatelli Patrick Neff Kevin Oppel Patricia Perez-Carpena Paula Robles-Bolivar Matthias Rose Tabea Schiele Axel Schiller Jorge Simoes Sabine Stark Susanne Staudinger Alexandra Stege Nicolas Verhaert Winfried Schlee Unification of Treatments and Interventions for Tinnitus Patients (UNITI): a study protocol for a multi-center randomized clinical trial
description	Abstract Background Tinnitus represents a relatively common condition in the global population accompanied by various comorbidities and severe burden in many cases. Nevertheless, there is currently no general treatment or cure, presumable due to the heterogeneity of tinnitus with its wide variety of etiologies and tinnitus phenotypes. Hence, most treatment studies merely demonstrated improvement in a subgroup of tinnitus patients. The majority of studies are characterized by small sample sizes, unstandardized treatments and assessments, or applications of interventions targeting only a single organ level. Combinatory treatment approaches, potentially targeting multiple systems as well as treatment personalization, might provide remedy and enhance treatment responses. The aim of the present study is to systematically examine established tinnitus therapies both alone and in combination in a large sample of tinnitus patients. Further, it wants to provide the basis for personalized treatment approaches by evaluating a specific decision support system developed as part of an EU-funded collaborative project (Unification of treatments and interventions for tinnitus patients; UNITI project). Methods/study design This is a multi-center parallel-arm randomized clinical trial conducted at five different clinical sites over the EU. The effect of four different tinnitus therapy approaches (sound therapy, structured counseling, hearing aids, cognitive behavioral therapy) applied over a time period of 12 weeks as a single or rather a combinatory treatment in a total number of 500 chronic tinnitus patients will be investigated. Assessments and interventions are harmonized over the involved clinical sites. The primary outcome measure focuses on the domain tinnitus distress assessed via the Tinnitus Handicap Inventory. Discussion Results and conclusions from the current study might not only provide an essential contribution to combinatory and personalized treatment approaches in tinnitus but could also provide more profound insights in the heterogeneity of tinnitus, representing an important step towards a cure for tinnitus. Trial registration ClinicalTrials.gov NCT04663828 . Registered on 11 December 2020.
format	article
author	Stefan Schoisswohl Berthold Langguth Martin Schecklmann Alberto Bernal-Robledano Benjamin Boecking Christopher R. Cederroth Dimitra Chalanouli Rilana Cima Sam Denys Juliane Dettling-Papargyris Alba Escalera-Balsera Juan Manuel Espinosa-Sanchez Alvaro Gallego-Martinez Efi Giannopoulou Leyre Hidalgo-Lopez Michael Hummel Dimitris Kikidis Michael Koller Jose A. Lopez-Escamez Steven C. Marcrum Nikolaos Markatos Juan Martin-Lagos Maria Martinez-Martinez Marta Martinez-Martinez Maria Mata Ferron Birgit Mazurek Nicolas Mueller-Locatelli Patrick Neff Kevin Oppel Patricia Perez-Carpena Paula Robles-Bolivar Matthias Rose Tabea Schiele Axel Schiller Jorge Simoes Sabine Stark Susanne Staudinger Alexandra Stege Nicolas Verhaert Winfried Schlee
author_facet	Stefan Schoisswohl Berthold Langguth Martin Schecklmann Alberto Bernal-Robledano Benjamin Boecking Christopher R. Cederroth Dimitra Chalanouli Rilana Cima Sam Denys Juliane Dettling-Papargyris Alba Escalera-Balsera Juan Manuel Espinosa-Sanchez Alvaro Gallego-Martinez Efi Giannopoulou Leyre Hidalgo-Lopez Michael Hummel Dimitris Kikidis Michael Koller Jose A. Lopez-Escamez Steven C. Marcrum Nikolaos Markatos Juan Martin-Lagos Maria Martinez-Martinez Marta Martinez-Martinez Maria Mata Ferron Birgit Mazurek Nicolas Mueller-Locatelli Patrick Neff Kevin Oppel Patricia Perez-Carpena Paula Robles-Bolivar Matthias Rose Tabea Schiele Axel Schiller Jorge Simoes Sabine Stark Susanne Staudinger Alexandra Stege Nicolas Verhaert Winfried Schlee
author_sort	Stefan Schoisswohl
title	Unification of Treatments and Interventions for Tinnitus Patients (UNITI): a study protocol for a multi-center randomized clinical trial
title_short	Unification of Treatments and Interventions for Tinnitus Patients (UNITI): a study protocol for a multi-center randomized clinical trial
title_full	Unification of Treatments and Interventions for Tinnitus Patients (UNITI): a study protocol for a multi-center randomized clinical trial
title_fullStr	Unification of Treatments and Interventions for Tinnitus Patients (UNITI): a study protocol for a multi-center randomized clinical trial
title_full_unstemmed	Unification of Treatments and Interventions for Tinnitus Patients (UNITI): a study protocol for a multi-center randomized clinical trial
title_sort	unification of treatments and interventions for tinnitus patients (uniti): a study protocol for a multi-center randomized clinical trial
publisher	BMC
publishDate	2021
url	https://doaj.org/article/bd05377a2f98464d99c1eaf891b52d42
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Unification of Treatments and Interventions for Tinnitus Patients (UNITI): a study protocol for a multi-center randomized clinical trial

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