Application of the Behavior Change Wheel Within the Context of Internet-Based Cognitive Behavioral Therapy for Tinnitus Management

Although experiencing tinnitus can lead to many difficulties, these can be reduced by using techniques derived from cognitive behavioral therapy. Internet-based cognitive behavioral therapy (ICBT) has been developed to provide an accessible intervention. The aim of this study was to describe how ICB...

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Veröffentlicht in:American journal of audiology 2022-06, Vol.31 (2), p.433-444
Hauptverfasser: Beukes, Eldré W, Manchaiah, Vinaya, Andersson, Gerhard, Maidment, David W
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container_issue 2
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container_title American journal of audiology
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creator Beukes, Eldré W
Manchaiah, Vinaya
Andersson, Gerhard
Maidment, David W
description Although experiencing tinnitus can lead to many difficulties, these can be reduced by using techniques derived from cognitive behavioral therapy. Internet-based cognitive behavioral therapy (ICBT) has been developed to provide an accessible intervention. The aim of this study was to describe how ICBT can facilitate tinnitus management by identifying the active ingredients of the intervention from the perspective of health behavior change. The ICBT intervention was evaluated using the Behavior Change Wheel in eight steps across the following three stages: (1) understanding the behavior, (2) identifying intervention options, and (3) identifying content and implementation options. Target behaviors identified to reduce tinnitus distress, as well as additional problems associated with tinnitus, included goal setting, an increased understanding of tinnitus, encouraging deep breathing and progressive muscle relaxation, identifying and restructuring unhelpful thoughts, engaging in positive imagery, and reducing avoidance behaviors. ICBT provided the required components for individuals to be physically and psychologically capable of adapting to tinnitus, providing social and environmental opportunities to manage hearing loss through practice and training, and facilitated automatic and reflective motivation. Understanding ICBT in the context of the Behavior Change Wheel has helped identify how its effectiveness can be improved and can be used for future tinnitus intervention planning. https://doi.org/10.23641/asha.19555213.
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subjects Academic Achievement
Behavior Change
Behavior modification
Behavioral Science Research
Care and treatment
Cognition
Cognitive behavioral therapy
Cognitive Restructuring
Cognitive therapy
Depression (Psychology)
Evidence
Expertise
Goal Orientation
Health behavior
Hearing disorders
Hearing loss
Imagery
Internet
Intervention
Learning Theories
Medicin och hälsovetenskap
Methods
Psychotherapy
Randomized Controlled Trials
Readability
Research Notes
Telemedicine
Therapy
Tinnitus
Usability
title Application of the Behavior Change Wheel Within the Context of Internet-Based Cognitive Behavioral Therapy for Tinnitus Management
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