Internet-Based Interventions for Adults With Hearing Loss, Tinnitus, and Vestibular Disorders: A Systematic Review and Meta-Analysis
Open accessAbstract
Internet-based interventions have been developed to improve access to audiovestibular health care. This review aimed to identify outcomes of Internet interventions for adults with hearing loss, tinnitus, and vestibular disorders. Electronic databases and manual searches were performed to identify studies meeting eligibility for inclusion. Fifteen studies (1,811 participants) met the inclusion criteria, with nine studies targeting tinnitus distress, five considering hearing loss, and one for vestibular difficulties. Only the tinnitus and hearing loss Internet intervention studies were eligible for data synthesis. Internet-based interventions for hearing loss were diverse. Overall, they showed no significant effects, although a statistically significant moderate effect ( d = 0.59) was found after removing the study with the highest risk of bias (as a result of high attrition). Most Internet-based interventions for tinnitus provided cognitive behavioural therapy. They yielded statistically significant mean effect sizes for reducing tinnitus distress compared with both inactive ( d = 0.59) and active controls ( d = 0.32). Significant effects were also present for the secondary outcomes of anxiety, depression, insomnia, and quality of life (combined effect d = 0.28). Only Internet-based interventions for tinnitus evaluated the 1-year postintervention effects indicated that results were maintained long term ( d = 0.45). Scientific study quality was appraised using the Grading of Recommendations Assessment, Development and Evaluation approach and found to vary from very low to moderate. This review indicates the potential of Internet interventions for tinnitus to provide evidence-based accessible care. There is a need for additional high-quality evidence before conclusive results can be established regarding the effects of audiovestibular Internet interventions.
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Internet-based cognitive behavioural therapy for tinnitus has demonstrated efficacy in nine randomized controlled trials in Europe, with moderate effect sizes for tinnitus distress and insomnia and improvements in anxiety, depression, and quality of life.
“Its efficacy has been demonstrated in nine randomized controlled trials (RCTs) in Europe indicating a moderate effect size for both tinnitus distress and insomnia and improvements for anxiety, depression, and quality of life (Beukes et al., 2019).”
From Internet-based cognitive behavioural therapy for tinnitus in Spanish: a global feasibility trial. (2022) · cites this paper as Beukes et al., 2019
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredCBT is currently first-line evidence-based psychotherapy for tinnitus and can significantly reduce tinnitus distress while reducing impact of comorbidities such as anxiety, depression and insomnia.
“CBT is currently the first-line evidence-based psychotherapy for tinnitus and can significantly reduce tinnitus distress while reducing the impact of tinnitus comorbidities such as anxiety, depression and insomnia.40”
From SoundMind Trial: a study protocol for a randomised controlled trial for online acceptance and commitment therapy and sound therapy for tinnitus (2024) · cites this paper as [40]
The Results (Synthesis of Results; Additional Analysis) report significantly reduced tinnitus distress, anxiety, depression, and insomnia with internet-based tinnitus interventions; the Discussion says all the tinnitus interventions reviewed used CBT as their theoretical underpinning. The paper does not establish that CBT is the first-line psychotherapy for tinnitus, and its pooled findings concern internet-based interventions rather than CBT in every delivery format. (LLM, conf=0.88)
Experimental — accuracy not yet measuredIntervention completion rates are lower than past trials ranging between 57-95%, but similar to recent trials.
“Intervention completion rates are lower than past trials ranging between 57–95% (Beukes et al., 2019), but these lower rates are similar to recent trials (Beukes et al., 2021c, 2021d, 2021e).”
From Internet-based cognitive behavioural therapy for tinnitus in Spanish: a global feasibility trial. (2022) · cites this paper as Beukes et al., 2019
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“…Baguley, Allen, Manchaiah, & Andersson, 2017; Hesser et al., 2012; Jasper et al., 2014; Kaldo et al., 2008; Nyenhuis, Zastrutzki, Jäger, & Kröner-Herwig, 2013; Weise, Kleinstauber, & Andersson, 2016) of which one reported only long-term results (Beukes, Allen, Baguley, Manchaiah, & Andersson,…”
MethodFerguson, M., Leighton, P. A., Brandreth, M., & Wharrad, H. J. (2018) · International Journal of Audiology · doi:10.1080/14992027.2018.1457803 · Cited by 46 · see citing works
Long-Term Efficacy of Audiologist-Guided Internet-Based Cognitive Behavior Therapy for Tinnitus
Beukes, E. W., Allen, P. M., Baguley, D., Manchaiah, V. K. C., & Andersson, G. (2018) · American Journal of Audiology · doi:10.1044/2018_aja-imia3-18-0004 · Cited by 46 · see citing works
Self-citationOutcome Measurement in Adult Auditory Rehabilitation
Barker, F., Mackenzie, E., Elliott, L., & de Lusignan, S. (2015) · Ear and Hearing · doi:10.1097/aud.0000000000000167 · Cited by 39 · see citing works
Clinician-supported internet-delivered psychological treatment of tinnitus
Andersson, G. (2015) · American Journal of Audiology · doi:10.1044/2015_aja-14-0080 · Cited by 34 · cited 4× · see citing works
“This includes rehabilitation programs for those with hearing loss (Malmberg, Lunner, Kähäri, Jansson, & Andersson, 2015), tinnitus (Andersson & Kaldo, 2004), and vestibular rehabilitation (Geraghty et al., 2017).”
BackgroundInfluentialSelf-citationMalmberg, M., Lunner, T., Kähäri, K. R., & Andersson, G. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-013047 · Cited by 31 · cited 2× · see citing works
“The two effectiveness trials (Beukes, Manchaiah, Baguley, Allen, & Andersson, 2018; Malmberg et al., 2017) were included as active controls, as there were not sufficient effectiveness studies for separate analyses.”
BackgroundMethodSelf-citationBeukes, E. W., Manchaiah, V., Baguley, D. M., Allen, P. M., & Andersson, G. (2018) · International Journal of Audiology · doi:10.1080/14992027.2017.1384858 · Cited by 31 · see citing works
Self-citationIndependent Subgroups within a Study
Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009) · doi:10.1002/9780470743386.ch23 · Cited by 19 · see citing works
Manchaiah, V. K. C., Rönnberg, J., Andersson, G., & Lunner, T. (2014) · BMC Ear Nose and Throat Disorders · doi:10.1186/1472-6815-14-3 · Cited by 17 · cited 5× · see citing works
“One was aimed at prehearing aid counseling (Manchaiah et al., 2014), one aimed to address associated psychological distress using acceptance and commitment therapy (Molander et al., 2018), one was for recent hearing aid users (Malmberg, Lunner, Kahari, & Andersson, 2017), and two for experienced…”
BackgroundMethodInfluentialSelf-citationPyykkö, I. V., Manchaiah, V. K. C., Levo, H., Kentala, E. L., & Juhola, M. (2017) · International Journal of Audiology · doi:10.1080/14992027.2017.1282631 · Cited by 14 · see citing works
Self-citationImplementing Internet-Based Aural Rehabilitation in a General Clinical Practice
Malmberg, M., Lunner, T., Kähäri, K. R., Jansson, G., & Andersson, G. (2015) · American Journal of Audiology · doi:10.1044/2015_aja-15-0017 · Cited by 11 · see citing works
Self-citationBeukes, E. W., Manchaiah, V. K. C., Baguley, D., Allen, P. M., & Andersson, G. (2018) · Systematic Reviews · doi:10.1186/s13643-018-0880-9 · Cited by 10 · see citing works
Self-citationInternet-Based Self-Help for Ménière's Disease: Details and Outcome of a Single-Group Open Trial
Pyykkö, I. V., Manchaiah, V. K. C., Kentala, E. L., Levo, H., & Juhola, M. (2017) · American Journal of Audiology · doi:10.1044/2017_aja-16-0068 · Cited by 9 · see citing works
Self-citationGoldstein and Stephens Revisited and Extended to a Telehealth Model of Hearing Aid Optimization
Saunders, E., Brice, S., & Alimoradian, R. (2018) · Advances in medical technologies and clinical practice book series · doi:10.4018/978-1-5225-8191-8.ch003 · Cited by 4 · see citing works
Internet-Based Cognitive—Behavioral Self-Help Treatment of Tinnitus
Kaldo-Sandström, V., Larsen, H. C., & Andersson, G. (2004) · American Journal of Audiology · doi:10.1044/1059-0889(2004/023
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Cognitive behavioural therapy for tinnitus
Fuller, T., Cima, R., Langguth, B., Mazurek, B., Vlaeyen, J. W., & Hoare, D. J. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012614.pub2 · Cited by 212 · see citing works
Eikelboom, R. H., Bennett, R. J., Manchaiah, V. K. C., Parmar, B. J., Beukes, E. W., Rajasingam, S. L., & Swanepoel, D. W. (2021) · International Journal of Audiology · doi:10.1080/14992027.2021.1957160 · Cited by 69 · see citing works
“Some elements of audiology practice (e.g. discussion of hearing loss intervention options, communication training, psychological support) have been demonstrated to be effective (Thoren et al. 2014; Malmberg et al. 2017; Beukes et al. 2019).”
BackgroundSelf-citationThe Impact of COVID-19 and the Pandemic on Tinnitus: A Systematic Review
Beukes, E. W., Ulep, A. J., Eubank, T. N., & Manchaiah, V. K. C. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10132763 · Cited by 61 · see citing works
Self-citationSchlee, W., Hølleland, S., Bulla, J., Simoes, J. P., Neff, P. K. A., Schoisswohl, S., Wölflick, S., Schecklmann, M., Schiller, A., Staudinger, S., et al. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9092756 · Cited by 52 · see citing works
“Internet-based cognitive-behavioral therapy is well established in the management of tinnitus [38,39].”
BackgroundW Beukes, E., Andersson, G., Fagelson, M., & Manchaiah, V. (2022) · Journal of Medical Internet Research · doi:10.2196/27584 · Cited by 50 · see citing works
“The study participants’ characteristics were similar to those found in previous internet-based CBT trials; however, the mean age was slightly higher at 57 years than at a mean age of 51 years [28].”
BackgroundResultInfluentialSelf-citationTelehealth tinnitus therapy during the COVID-19 outbreak in the UK: uptake and related factors
Aazh, H., Swanepoel, D. W., & Moore, B. C. J. (2020) · International Journal of Audiology · doi:10.1080/14992027.2020.1822553 · Cited by 39 · see citing works
Beukes, E. W., Andersson, G., Fagelson, M. A., & Manchaiah, V. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100402 · Cited by 37 · see citing works
“This approach enabled both support on-demand from a professional in addition to a structured self-help program (Andersson and Kaldo, 2004) and a systematic review affirmed the efficacy of ICBT for tinnitus (see Beukes et al., 2019).”
BackgroundSelf-citationInternational survey of audiologists during the COVID-19 pandemic: effects on the workplace
Manchaiah, V. K. C., Eikelboom, R. H., Bennett, R. J., & Swanepoel, D. W. (2021) · International Journal of Audiology · doi:10.1080/14992027.2021.1937348 · Cited by 37 · see citing works
“These services are the easiest to be delivered remotely, as much of it can be provided over the phone or through videoconferencing equipment, and evidence supports device adjustment by telehealth (Beukes et al. 2019; Tao et al. 2018).”
BackgroundResultSelf-citationBeukes, E. W., Andersson, G., Fagelson, M., & Manchaiah, V. (2021) · American Journal of Audiology · doi:10.1044/2021_aja-20-00222 · Cited by 34 · see citing works
Self-citationRodrigo, H., Beukes, E. W., Andersson, G., & Manchaiah, V. (2021) · doi:10.2196/preprints.28999 · Cited by 33 · see citing works
“The feasibility and efficacy of such an approach have been demonstrated among several populations in Sweden, Germany, Australia, the United Kingdom [14], and, more recently, the United States [15,16].”
Self-citationHow Useful Are Digital Health Terms for Outcomes Research? An ISPOR Special Interest Group Report
Burrell, A. D., Zrubka, Z., Champion, A., Zah, V., Vinuesa, L., Holtorf, A., Bidino, R. D., Earla, J. R., Entwistle, J., Boltyenkov, A., et al. (2022) · Value in Health · doi:10.1016/j.jval.2022.04.1730 · Cited by 33 · see citing works
Manchaiah, V., Vlaescu, G., Varadaraj, S., Aronson, E., Fagelson, M. A., Muñoz, M., Andersson, G., & Beukes, E. (2020) · American Journal of Audiology · doi:10.1044/2020_aja-20-00002 · Cited by 25 · see citing works
“408 409 Discussion 410 In the last decade, reports of various teleaudiological services in the literature range from 411 diagnosis to rehabilitation (for review see – Beukes et al., 2019; Paglialonga et al. 2028; Tao et 412 al., 2018).”
BackgroundSelf-citationCoping With Tinnitus During the COVID-19 Pandemic.
Beukes, E., Onozuka, J., Brazell, T. P., & Manchaiah, V. (2021) · American Journal of Audiology · doi:10.1044/2021_aja-20-00188 · Cited by 26 · see citing works
“Further development of tele-audiology should be prioritized to ensure continued hearing health care support (Beukes et al., 2019; Manchaiah & Beukes, 2020; Manchaiah et al., 2020; Swanepoel & Hall, 2020).”
BackgroundSelf-citationBeukes, E., Fagelson, M. A., Aronson, E., Muñoz, M., Andersson, G., & Manchaiah, V. (2020) · American Journal of Audiology · doi:10.1044/2019_aja-19-00014 · Cited by 25 · see citing works
Self-citationHenry, J. A., Goodworth, M.-C., Lima, E., Zaugg, T., & Thielman, E. J. (2022) · Ear & Hearing · doi:10.1097/aud.0000000000001150 · Cited by 18 · see citing works
“A systematic review and meta-analysis that included nine studies of tinnitus intervention, most with CBT, reported the mean attrition rate across studies of 14% (Beukes et al. 2019).”
BackgroundMedia Use by Older Adults With Hearing Loss: An Exploratory Survey
Manchaiah, V. K. C., Bellon-Harn, M. L., Kelly-Campbell, R. J., Beukes, E. W., Bailey, A., & Pyykkö, I. V. (2020) · American Journal of Audiology · doi:10.1044/2020_aja-19-00039 · Cited by 18 · see citing works
Self-citationInternet Interventions in Clinical Psychology
Andersson, G., & Carlbring, P. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-818697-8.00211-9 · Cited by 15 · see citing works
Self-citationKäll, A., Biliūnaitė, I., & Andersson, G. (2024) · Digital Health · doi:10.1177/20552076241287643 · Cited by 15 · see citing works
“56 This review reported a small and a moderate reduction (SMD = 0.35 for hearing disability, SMD = 0.50 for tinnitus distress), respectively, compared to control conditions.”
ResultInfluentialSelf-citationEffectiveness of Telerehabilitation in Dizziness: A Systematic Review with Meta-Analysis
Grillo, D., Zitti, M., Cieślik, B., Vania, S., Zangarini, S., Bargellesi, S., & Kiper, P. (2024) · Sensors · doi:10.3390/s24103028 · Cited by 12 · see citing works
“On the one hand, this makes it difficult to generalize the effectiveness of telerehabilitation in vestibular syndromes due to the lack of consistency in the interventions performed.”
BackgroundSattel, H. C., Brüeggemann, P., Steinmetzger, K., Boecking, B., Martin, A., Dobel, C., & Mazurek, B. (2024) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2024.0050 · Cited by 12 · see citing works
“19,40,41 In our study, we defined tinnitus handicap as referring to functional limitations caused by the auditory disturbance (measured by THI) as second primary outcome.”
Migrainous Vertigo, Tinnitus, and Ear Symptoms and Alternatives
Abouzari, M., Tawk, K., Lee, D., & Djalilian, H. R. (2022) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2022.06.017 · Cited by 13 · see citing works
Social Media Use in Hearing Loss, Tinnitus, and Vestibular Disorders: A Systematic Review
Ulep, A. J., Deshpande, A. K., Beukes, E. W., Placette, A., & Manchaiah, V. K. C. (2022) · American Journal of Audiology · doi:10.1044/2022_aja-21-00211 · Cited by 12 · see citing works
Self-citationBeukes, E., Lourenço, M. G., Biot, L., Andersson, G., Kaldo, V., Manchaiah, V., & Jacquemin, L. (2021) · International journal of clinical practice · doi:10.1111/ijcp.14196 · Cited by 9 · see citing works
Self-citationRodrigo, H., Beukes, E. W., Andersson, G., & Manchaiah, V. K. C. (2021) · BMJ Open · doi:10.1136/bmjopen-2021-049384 · Cited by 11 · see citing works
Self-citationOron, Y., Ben‐David, B. M., & Doron, G. (2022) · Health Informatics Journal · doi:10.1177/14604582221083483 · Cited by 9 · see citing works
Internet-based cognitive behavioural therapy for tinnitus in Spanish: a global feasibility trial.
Beukes, E. W., Munzo, M. F., Andersson, G., & Manchaiah, V. (2022) · International Journal of Audiology · doi:10.1080/14992027.2021.1971780 · Cited by 8 · see citing works
“Retention rates have been variable when pooling previous ICBT trials with a mean of 86% (Beukes et al. 2019).”
InfluentialSelf-citationRodrigo, H., Beukes, E. W., Andersson, G., & Manchaiah, V. (2022) · American Journal of Audiology · doi:10.1044/2022_aja-21-00270 · Cited by 9 · see citing works
Self-citationBeukes, E. W., Andersson, G., & Manchaiah, V. K. C. (2022) · Internet Interventions · doi:10.1016/j.invent.2022.100583 · Cited by 9 · see citing works
Self-citationA Perspective on Auditory Wellness: What It Is, Why It Is Important, and How It Can Be Managed
Humes, L. E., Dhar, S., Manchaiah, V. K. C., Sharma, A., Chisolm, T. H., Arnold, M. L., & Sanchez, V. A. (2024) · Trends in Hearing · doi:10.1177/23312165241273342 · Cited by 9 · see citing works
“It is also possible to develop web-based or app-based platforms (Beukes et al., 2019) to offer such education programs virtually for a large population with limited access.”
BackgroundSelf-citationRavichandran, A., Ferguson, M., Mulders, W. H. A. M., Choi, R. S. M., & Bennett, R. J. (2025) · Translational Behavioral Medicine · doi:10.1093/tbm/ibaf028 · Cited by 9 · see citing works
“In audiology, self-guided DHIs serve various functions, including hearing loss screening, hearing aid self-fitting and tuning, auditory training, tinnitus management, and sound therapies for tinnitus, providing cost-effective, safe, and scalable audiological support [19, 23–28].”
Internet-Delivered Psychological Treatments for Tinnitus: A Brief Historical Review
Andersson, G. (2022) · American Journal of Audiology · doi:10.1044/2022_aja-21-00245 · Cited by 9 · see citing works
Self-citationGans, J. J., Holst, J., Holmes, C. E., & Hudock, D. (2023) · American Journal of Audiology · doi:10.1044/2022_aja-22-00063 · Cited by 8 · see citing works
Burden, R. S., Galloway, L. N., Rothpletz, A. M., Glasheen, K. A., & Preminger, J. E. (2020) · American Journal of Audiology · doi:10.1044/2020_aja-19-00066 · Cited by 8 · see citing works
Graduate Students' Perspectives Toward Telepractice at the COVID-19 Global Pandemic Onset
McGill, M., & Dennard, Q. (2021) · Perspectives of the ASHA Special Interest Groups · doi:10.1044/2021_persp-20-00231 · Cited by 7 · see citing works
Tinnitus in 2021. Time to consider evidence-based digital interventions
Andersson, G. (2021) · The Lancet Regional Health - Europe · doi:10.1016/j.lanepe.2021.100263 · Cited by 8 · see citing works
Self-citationTelehealth in treating tinnitus: a systematic review and meta-analysis
Habeeb, A., Hemaya, M., Hemaya, M., & Kanegaonkar, R. (2023) · The Journal of Laryngology & Otology · doi:10.1017/s0022215123000373 · Cited by 6 · see citing works
“11 Quality of life becomes an important measure to consider as tinnitus is also associated with a poorer quality of life.”
BackgroundResultInfluentialEmerging Topics in the Behavioral Neuroscience of Tinnitus
Searchfield, G. D., Zhang, J., Biswas, R., Ridder, D. D., Deutsch, B., Hall, D. A., Hébert, S., Kleinjung, T., Kleinstäuber, M., Langguth, B., et al. (2021) · Current topics in behavioral neurosciences · doi:10.1007/7854_2020_217 · Cited by 6 · see citing works
Beukes, E. W., Andersson, G., & Manchaiah, V. K. C. (2021) · Frontiers in Medicine · doi:10.3389/fmed.2021.771646 · Cited by 6 · see citing works
Self-citationAazh, H., Taylor, L. C., Danesh, A. A., & Moore, B. C. J. (2022) · Journal of the American Academy of Audiology · doi:10.1055/a-2087-0262 · Cited by 5 · see citing works
“19 There are several guided and unguided iCBT approaches that have been used for treating people with bothersome tinnitus, with varied success.”
BackgroundMethodInfluentialBeukes, E. W., Manchaiah, V. K. C., Andersson, G., & Maidment, D. W. (2022) · American Journal of Audiology · doi:10.1044/2022_aja-21-00160 · Cited by 5 · see citing works
Self-citationHuang, X., Tang, D., Sun, S., & Li, H. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-080863 · Cited by 3 · see citing works
“40 However, newer generations of CBT, such as ACT, may improve how we treat tinnitus-related problems.”
Student Clinicians' Views of Telepractice and In-Person Service Delivery
Page, C. G., Hughes, C. D., & Woody, R. (2022) · Perspectives of the ASHA Special Interest Groups · doi:10.1044/2022_persp-22-00054 · Cited by 4 · see citing works
Investigating tinnitus subgroups based on hearing‐related difficulties
Beukes, E. W., Baguley, D., Manchaiah, V. K. C., Andersson, G., Allen, P. M., Kaldo, V., Jacquemin, L., Lourenco, M. P. C. G., Onozuka, J., Stockdale, D., et al. (2021) · International Journal of Clinical Practice · doi:10.1111/ijcp.14684 · Cited by 4 · see citing works
Self-citationFuller, T., & Hoare, D. J. (2024) · Springer eBooks · doi:10.1007/978-3-031-35647-6_44 · Cited by 3 · see citing works
Eimontas, J., Gegieckaitė, G., Asačiova, I., Stičinskaitė, N., Arcimavičiūtė, L., Savickaitė, D., Vaitiekūnaitė-Zubriakovienė, D., Polianskis, M., Gans, J. J., Beukes, E. W., et al. (2023) · Trials · doi:10.1186/s13063-023-07299-9 · Cited by 3 · see citing works
“Systematic review and meta-analysis in 2019 reported results of nine randomized clinical trials (RCTs) in Europe that revealed positive outcomes and showed that ICBT was effective for adults, with improvements in anxiety, depression, quality of life, insomnia, and tinnitus distress [21].”
BackgroundSelf-citationBeukes, E. W., Andersson, G., & Manchaiah, V. K. C. (2024) · Audiology Research · doi:10.3390/audiolres14050068 · Cited by 3 · see citing works
“…into an online version (Internet-based cognitive behavioral therapy; ICBT) to increase access and decrease the resources associated with intervention delivery [29] and has shown to be an effective approach in reducing tinnitus and some of the associated difficulties (for reviews see [30,31]).”
BackgroundSelf-citationCurrent Therapeutic Trends for Tinnitus Cure and Control: A Scoping Review
CHHAYA, V. A., Patel, D., Mehta, S. P., Rajvir, J. P., Jhinjhuwadia, V. J., Sehgal, P., & KHAMBHOLJA, K. M. (2023) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/s12070-023-03910-2 · Cited by 3 · see citing works
Manchaiah, V. K. C., Andersson, G., Beukes, E. W., Fagelson, M. A., Swanepoel, D. W., & Maidment, D. W. (2025) · Clinics and Practice · doi:10.3390/clinpract15040069 · Cited by 2 · see citing works
Self-citationSalois, J. R., Heinle, K., Slovarp, L. J., Jetté, M. E., Manchaiah, V. K. C., Vlaescu, G., & Andersson, G. (2025) · American Journal of Speech-Language Pathology · doi:10.1044/2025_ajslp-25-00124 · Cited by 2 · see citing works
Self-citationGürses, E., Beukes, E. W., Cesur, S., Andersson, G., & Manchaiah, V. K. C. (2023) · The Journal of International Advanced Otology · doi:10.5152/iao.2023.221023 · Cited by 2 · see citing works
Self-citationPietrabissa, G., Marchesi, G., Semonella, M., Andersson, G., & Castelnuovo, G. (2024) · Lecture notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering · doi:10.1007/978-3-031-59717-6_30 · Cited by 2 · see citing works
Self-citationThe development and evaluation of an online hearing loss prevention program
Thulin, A., Kähäri, K. R., & Malmberg, M. (2023) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2023.102298 · Cited by 2 · see citing works
Remote examination and testing of elderly persons in detecting hearing impairments
Vladimirova, T. Y., Martynova, A. B., Kurenkov, A. V., & Popov, M. N. (2021) · Science and Innovations in Medicine · doi:10.35693/2500-1388-2021-6-2-8-12 · Cited by 1 · see citing works
Perreau, A. E., Tyler, R. S., & Corts, D. P. (2025) · American Journal of Audiology · doi:10.1044/2025_aja-24-00277 · Cited by 1 · see citing works
Palaniswamy, H. P., Vasudevan, H., Oak, A., Rajanbabu, K., Manchaiah, V. K. C., Beukes, E. W., & Andersson, G. (2025) · Journal of Behavioral and Cognitive Therapy · doi:10.1016/j.jbct.2025.100558 · Cited by 1 · see citing works
Self-citationLong-Term Outcomes of an Internet-Based Cognitive Behavior Therapy Intervention for Tinnitus
Beukes, E. W., Andersson, G., & Manchaiah, V. K. C. (2026) · JAMA Otolaryngology–Head & Neck Surgery · doi:10.1001/jamaoto.2026.0094 · Cited by 1 · see citing works
Self-citationTinnitus Detection and Diagnosis with EMG Data Sharing System for Humans
Arunkumar, M., Jayanthan, M., & Stalin, K. D. (2023) · Algorithms for intelligent systems · doi:10.1007/978-981-99-1431-9_42 · Cited by 1 · see citing works
Climbing up the hearing rehabilitation ladder
Ingo, E. (2019) · Studies from the Swedish Institute for Disability Research · doi:10.3384/diss.diva-159945
Does Evidence Support Audiological Internet-based Interventions?
Beukes, E. W., & Manchaiah, V. K. C. (2019) · The Hearing Journal · doi:10.1097/01.hj.0000602920.83942.c5
Self-citationJAMA Otolaryngology–Head & Neck Surgery—Best of 2019
Khariwala, S. S., Davies, L., Weinreich, H. M., Baldassari, C. M., McCoul, E. D., & Piccirillo, J. F. (2020) · JAMA Otolaryngology–Head & Neck Surgery · doi:10.1001/jamaoto.2019.4043
3 Internet-Delivered Guided Self-Help Treatments for Tinnitus
(2022) · Thieme Publishers New York eBooks · doi:10.1055/b-0042-189034
Silven, A. (2023) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2962-5_109
Manchaiah, V. K. C., Chundu, S., Ratinaud, P., Andersson, G., & Beukes, E. W. (2023) · Frontiers in Audiology and Otology · doi:10.3389/fauot.2023.1302005
Self-citationAudiophonologopedic Telerehabilitation: Advantages and Disadvantages from User Perspectives
Lauriello, M., Angelone, A. M., Iannotti, S., Nardecchia, E., Scopano, B., Fioretti, A. B., Ciancarelli, I., & Eibenstein, A. (2024) · Children · doi:10.3390/children11091073
“The chance of a “tailored” therapy based on the patient’s needs and preferences, combined with the flexibility of a remote therapeutic approach, contributes to the effectiveness of the rehabilitation process [26,27].”
BackgroundChaitanya, V. K., Kalavathi, C. L., Maruthy, K. N., Kante, M., & Sreedhar, S. S. (2025) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/s12070-025-05969-5
Boateng, J. O., Soer, M., & Jager, L. B.-D. (2026) · The Egyptian Journal of Otolaryngology · doi:10.1186/s43163-026-01059-7
Tungapindi, T., Pillai, S., Sharma, P. V., Vasudevan, H., Palaniswamy, H. P., Rajanbabu, K., Manchaiah, V. K. C., Beukes, E. W., & Andersson, G. (2026) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/s12070-026-06591-9
“It is lower than the 22% attrition reported by Beukes et al. (2017) and falls below the average pooled rate of 14% [41].”
Self-citationSchmitt, R., & Stropahl, M. (2026) · Frontiers in Audiology and Otology · doi:10.3389/fauot.2026.1769291
Rinn, A., Goetsch, S., Hannibal, S., Lehr, D., & Weise, C. (2026) · JMIR mhealth and uhealth · doi:10.2196/66151
“These interventions target the reduction of tinnitus distress and have shown promising effects in several studies [9,13].”
Knoetze, M., Pandey, P., Manchaiah, V. K. C., & Swanepoel, D. W. (2026) · Trends in Hearing · doi:10.1177/23312165261461350
“The authors reported substantial heterogeneity and called for reviews targeting distinct populations or conditions (Beukes et al., 2019).”
InfluentialSelf-citationSchneider, B. C., Klein, J. P., Berger, T., & Klöppel, S. (2025) · Elsevier eBooks · doi:10.1016/b978-3-437-21155-3.00013-7
Boecking, B., Steinmetzger, K., Rose, M., Brüeggemann, P., & Mazurek, B. (2026) · Frontiers in Audiology and Otology · doi:10.3389/fauot.2026.1914013
Spoorthi, G. N., Shastri, U., Kumar, K., Kalaiah, M. K., Venkateswaran, N. K., & Sridhar, N. (2026) · International Journal of Audiology · doi:10.1080/14992027.2026.2729217
- Authors
- Beukes, E. W., Manchaiah, V., Allen, P. M., Baguley, D. M., & Andersson, G.
- Affiliations
- Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA
- Manipal Academy of Higher Education (IN)
- Lamar University (US)
- Nottingham University Hospitals NHS Trust (GB)
- Linköping University (SE)
- Venue
- Trends in Hearing
- Publisher
- SAGE Publications
- Published
- 2019-01
- Volume
- 23
- Pages
- 2331216519851749-2331216519851749
- ISSN
- 2331-2165 (ISSN-L)
- PMC
- PMC6647231
- OpenAlex
- W2963653768
- Cited by
- 75
- References
- 86
- Citations by year
- 2026: 8 · 2025: 7 · 2024: 9 · 2023: 10 · 2022: 11 · 2021: 20 · 2020: 8 · 2019: 2
- FWCI
- 1.77
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Trends in Hearing (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Repository@Nottingham (University of Nottingham) (publishedVersion, other-oa)
- Anglia Ruskin Research Online (Anglia Ruskin University) (acceptedVersion)
- Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by-nc)
- KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by-nc-nd)
- Nottingham ePrints (University of Nottingham) (submittedVersion, cc-by-nc)
- Funders
- Lamar University
- Anglia Ruskin University
- Swedish Collegium for Advanced Study
- National Institute for Health and Care Research
- Leverhulme Trust
- Department of Health and Social Care
- National Institutes of Health
- Science and Technology Facilities Council (ST/S000666/1, ST/T000732/1)
- Topics
- Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hearing Loss and Rehabilitation
- Keywords
- online intervention, tinnitus, hearing loss, vestibular disorders, cognitive behavioral therapy, tinnitus distress, anxiety, depression, insomnia, quality of life, long-term effects
- MeSH terms
- Internet-Based Intervention, Adult, Depression, Humans, Quality of Life, Tinnitus, Vestibular Diseases, Cognitive Behavioral Therapy, Hearing Loss, Young Adult
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