Table 3 TC protocol adherence and comparison as assessed by counselor and comparison between counselor and monitor’s review of checklist
From: Treatment fidelity in the Tinnitus Retraining Therapy Trial
All checklists | Checklists comparison | ||
|---|---|---|---|
Item | Audiologist (n = 101) | Audiologist (n = 37) | Protocol Monitor (n = 37) |
Data forms submitted | N (%) | N | N (%) |
A. Overview, goals | |||
Overview of directive counseling and its goals described | 101 (100) | 37 | 35 (95) |
Results of audiometric tests explained | 101 (100) | 37 | 37 (100) |
Results of Loudness Discomfort Levels (LDL/UCL) explained | 97 (96) | 35 | 33 (89) |
Results of tinnitus pitch match explained | 98 (97) | 36 | 36 (100) |
Results of tinnitus loudness match explained | 97 (96) | 36 | 36 (100) |
B. Auditory function | |||
Overview of auditory system described | 101 (100) | 37 | 37 (100) |
Associate any sensorineural component to anatomical structure described | 99 (98) | 36 | 32 (89) |
Physiology of hearing explained | 101 (100) | 37 | 37 (100) |
Ear structure acts as a transformer—“hearing is perception at brain” explained | 101 (100) | 37 | 35 (95) |
C. Sensory system | |||
Anatomy and function of outer and inner hair cells described | 101 (100) | 37 | 35 (95) |
“Gain” of the auditory system explained | 92 (91) | 34 | 28 (82) |
Cochlear structure explained (frequency-specific and constant nerve firing) | 101 (100) | 37 | 37 (100) |
Function of the auditory nerve explained | 101 (100) | 37 | 32 (89) |
Function of afferent and efferent nerve fibers explained | 95 (94) | 34 | 29 (85) |
D. Cortical and subcortical systems | |||
Cortical areas explained | 101 (100) | 37 | 37 (100) |
Subcortical areas (monitor, filter, and enhance) explained | 101 (100) | 37 | 37 (100) |
Cortical functions (i.e., cognition) and sub-cortical functions (subconscious) described | 99 (98) | 37 | 37 (100) |
Selective perception explained | 100 (99) | 37 | 36 (97) |
Sensory contrast explained | 100 (99) | 37 | 35 (95) |
Heller and Bergman study explained | 100 (99) | 37 | 37 (100) |
Prioritization explained | 100 (99) | 37 | 33 (89) |
Damage to OHCs and implications described | 99 (98) | 35 | 31 (89) |
Sub-cortical monitoring of auditory input and neural patterns described | 101 (100) | 37 | 31 (84) |
Classification of new or changed neural patterns explained | 92 (91) | 32 | 30 (94) |
E. Jastreboff neurophysiological model | |||
Block diagram of Jastreboff model described | 101 (100) | 37 | 37 (100) |
Cochlea as source of tinnitus described | 101 (100) | 37 | 36 (97) |
Function of sub-cortical structures to filter random, unimportant sounds and detect new or different ones described | 101 (100) | 37 | 37 (100) |
Relationship between emotional associations at the level of the limbic system and annoyance described | 101 (100) | 37 | 37 (100) |
Activation of the autonomic nervous system causes the brain to prioritize tinnitus described | 101 (100) | 37 | 36 (97) |
Activation of subconscious and conscious loops described | 101 (100) | 37 | 30 (81) |
D. Treatment goal and summary | |||
First treatment goal: habituation of the reaction (annoyance to the tinnitus) discussed | 101 (100) | 37 | 36 (97) |
Second treatment goal: habituation of the perception (awareness of the tinnitus) discussed | 101 (100) | 37 | 33 (89) |
Summary reviewed | 101 (100) | 37 | 26 (70) |