Development and field testing of a smartphone “App” for tinnitus management

Abstract Objective: This study’s objective was to develop and test a smartphone app that supports learning and using coping skills for managing tinnitus. Design: The app’s content was based on coping skills that are taught as a part of progressive tinnitus management (PTM). The study involved three phases: (1) develop a prototype app and conduct usability testing; (2) conduct two focus groups to obtain initial feedback from individuals representing potential users; and (3) conduct a field study to evaluate the app, with three successive groups of participants. Study Sample: Participants were adults with bothersome tinnitus. For Phase 2, two focus groups were attended by a total of 17 participants. Phase 3 involved three consecutive rounds of participants: five from the focus groups followed by two rounds with 10 participants each who had not seen the app previously. Results: In both the focus groups and field studies, participants responded favourably to the content. Certain features, however, were deemed too complex. Conclusion: Completion of this project resulted in the development and testing of the delivery of PTM coping skills via a smartphone app. This new approach has the potential to improve access to coping skills for those with bothersome tinnitus.

[1]  C. Loovis,et al.  Clinical management of tinnitus using a "progressive intervention" approach. , 2005, Journal of rehabilitation research and development.

[2]  Karen Holtzblatt,et al.  Contextual design , 1997, INTR.

[3]  R Perera,et al.  [Cognitive behavioural therapy for tinnitus]. , 2010, Archivos de prevencion de riesgos laborales.

[4]  Susan Griest,et al.  Tinnitus and hearing survey: a screening tool to differentiate bothersome tinnitus from hearing difficulties. , 2015, American journal of audiology.

[5]  Jeffrey Rubin,et al.  Handbook of Usability Testing: How to Plan, Design, and Conduct Effective Tests , 1994 .

[6]  J. Henry,et al.  Using Therapeutic Sound With Progressive Audiologic Tinnitus Management , 2008, Trends in amplification.

[7]  Grant Searchfield,et al.  The Tinnitus Functional Index: Development of a New Clinical Measure for Chronic, Intrusive Tinnitus , 2012, Ear and hearing.

[8]  J. Henry,et al.  Principles and application of educational counseling used in progressive audiologic tinnitus management. , 2009, Noise & health.

[9]  J. Henry,et al.  Randomized Controlled Trial in Clinical Settings to Evaluate Effectiveness of Coping Skills Education Used With Progressive Tinnitus Management. , 2017, Journal of speech, language, and hearing research : JSLHR.

[10]  Ben Shneiderman,et al.  Designing the User Interface: Strategies for Effective Human-Computer Interaction , 1998 .

[11]  D. Adrian,et al.  The epidemiology of tinnitus , 2000 .

[12]  S. Henry,et al.  Guest Editor' Introduction: The Problem of Colorblindness in U.S. Education: Historical Trajectories and Contemporary Legacies , 2005 .

[13]  R. Rosenfeld,et al.  Clinical Practice Guideline : Tinnitus , 2014 .

[14]  R. Dobie Overview: suffering from tinnitus , 2004 .

[15]  P. Grossman Respiration, stress, and cardiovascular function. , 1983, Psychophysiology.

[16]  H. S. Ripley,et al.  Changes in Respiration Associated with Hypnotically Induced Emotion, Pain, and Exercise , 1964, Psychosomatic medicine.

[17]  Jonathan Hobson,et al.  Sound therapy (masking) in the management of tinnitus in adults. , 2012, The Cochrane database of systematic reviews.