Management of tinnitus in English NHS audiology departments: An evaluation of current practice.
Open accessAbstract
RATIONALE, AIM AND OBJECTIVE: In 2009, the UK Department of Health formalized recommended National Health Service practices for the management of tinnitus from primary care onwards. It is timely therefore to evaluate the perceived practicality, utility and impact of those guidelines in the context of current practice. METHODS: We surveyed current practice by posting a 36-item questionnaire to all audiology and hearing therapy staff that we were able to identify as being involved in tinnitus patient care in England. RESULTS: In total, 138 out of 351 clinicians responded (39% response rate). The findings indicate a consensus opinion that management should be tailored to individual symptom profiles but that there is little standardization of assessment procedures or tools in use. CONCLUSIONS: While the lack of standardized practice might provide flexibility to meet local demand, it has drawbacks. It makes it difficult to ascertain key standards of best practice, it complicates the process of clinical audit, it implies unequal patient access to care, and it limits the implementation of translational research outcomes. We recommend that core elements of practice should be standardized, including use of a validated tinnitus questionnaires and an agreed pathway for decision making to better understand the rationale for management strategies offered.
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In the UK, 52% of audiology departments do not employ any staff trained in CBT.
“Presently, many audiology departments in the UK (52%) do not employ any staff trained in CBT”
From Psychological Therapy for People with Tinnitus: A Scoping Review of Treatment Components. (2017) · cites this paper as Hoare et al. 2012
In Results > Clinical skill in tinnitus care (page unavailable), the paper reports that 31% of respondents had taken a CBT training course and that 17% reported no staff trained in any form of counselling. Neither figure establishes that 52% of departments employ no CBT-trained staff. The survey covered NHS audiology departments in England, not the UK as a whole. (LLM, conf=0.88)
Experimental — accuracy not yet measured74% of audiologists would like to undertake further training in psychological therapies.
“though a majority of audiologists (74%) would like to undertake further training in such psychological therapies (Hoare et al. 2012, 2015).”
From Psychological Therapy for People with Tinnitus: A Scoping Review of Treatment Components. (2017) · cites this paper as Hoare et al. 2012
The Results section (‘Clinical skill in tinnitus care’) reports that 74% of respondents favoured audiologists undertaking additional training in psychological approaches to tinnitus management. The respondents were not all audiologists, and favouring that training is not the same as saying they personally wanted to undertake it. (LLM, conf=0.85)
Experimental — accuracy not yet measured
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Self-citation
- Authors
- Hoare, D. J., Gander, P. E., Collins, L., Smith, S., & Hall, D. A.
- Affiliations
- University of Nottingham (GB)
- Corresponding author
- Hoare, Derek J.
- Venue
- Journal of Evaluation in Clinical Practice
- Publisher
- Wiley
- Published
- 2010-11-19
- Volume
- 18
- Issue
- 2
- Pages
- 326-334
- ISSN
- 1356-1294 (ISSN-L)
- 1365-2753
- PMC
- PMC3489049
- OpenAlex
- W1585551982
- Cited by
- 107
- References
- 49
- Citations by year
- 2025: 4 · 2024: 1 · 2023: 5 · 2022: 8 · 2021: 7 · 2020: 10 · 2019: 9 · 2018: 16 · 2017: 12 · 2016: 7 · 2015: 6 · 2014: 7 · 2013: 4 · 2012: 4
- FWCI
- 2.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Evaluation in Clinical Practice (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by)
- Lancaster EPrints (Lancaster University) (submittedVersion)
- Nottingham ePrints (University of Nottingham) (submittedVersion, cc-by)
- Research Explorer (The University of Manchester) (submittedVersion)
- Funders
- Nottingham University Hospitals NHS Trust
- National Institute for Health and Care Research
- University of Bristol
- Sheffield Teaching Hospitals NHS Foundation Trust
- Topics
- Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hearing Loss and Rehabilitation
- Keywords
- tinnitus management, audiology practice, clinical practice standardization, Tinnitus Questionnaire, clinical audit, patient access to care, clinical decision pathway
- MeSH terms
- Appointments and Schedules, Audiology, Clinical Competence, England, Humans, Outcome and Process Assessment, Health Care, Practice Patterns, Physicians', Surveys and Questionnaires, State Medicine, Tinnitus, Focus Groups, Practice Guidelines as Topic, Statistics, Nonparametric, Disease Management
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