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  1. AU=Beukes Eldre W
  2. AU="Francis, Sarah"
  3. AU="Camara, Amadou K.S."
  4. AU="Chaudhari, Sachin R."
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  1. Article: Third-Party Disability for Significant Others of Individuals with Tinnitus: A Cross-Sectional Survey Design.

    Beukes, Eldré W / Andersson, Gerhard / Manchaiah, Vinaya

    Audiology research

    2023  Volume 13, Issue 3, Page(s) 378–388

    Abstract: There is currently increasing awareness of third-party disability, defined as the disability and functioning of a significant other (SO) due to a health condition of one of their family members. The effects of third-party disability on the SOs of ... ...

    Abstract There is currently increasing awareness of third-party disability, defined as the disability and functioning of a significant other (SO) due to a health condition of one of their family members. The effects of third-party disability on the SOs of individuals with tinnitus has received little attention. To address this knowledge gap, this study investigated third-party disability in the significant others (SOs) of individuals with tinnitus. A cross-sectional survey design included 194 pairs of individuals from the USA with tinnitus and their significant others. The SO sample completed the Consequences of Tinnitus on Significant Others Questionnaire (CTSOQ). Individuals with tinnitus completed standardized self-reported outcome measures for tinnitus severity, anxiety, depression, insomnia, hearing-related quality of life, tinnitus cognitions, hearing disability, and hyperacusis. The CTSOQ showed that 34 (18%) of the SOs were mildly impacted, 59 (30%) were significantly impacted, and 101 (52%) were severely impact. The clinical variables of tinnitus severity, anxiety, and hyperacusis in individuals with tinnitus were the best predictors of the impact of tinnitus on SOs. These results show that the SOs of individuals with tinnitus may experience third-party disability. The effect of the individual's tinnitus on their SO may be greater when the individual with tinnitus has a higher level of tinnitus severity, anxiety, and hyperacusis.
    Language English
    Publishing date 2023-05-23
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2039-4330
    ISSN 2039-4330
    DOI 10.3390/audiolres13030033
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  2. Article: Reply to Aldè et al. Comment on "Manchaiah et al. Social Representations of "Tinnitus" and "Health" among Individuals with Tinnitus Seeking Online Psychological Interventions.

    Manchaiah, Vinaya / Ratinaud, Pierre / Beukes, Eldre W

    Audiology research

    2023  Volume 13, Issue 4, Page(s) 653–654

    Abstract: We would like to thank Dr. Aldè and his colleuage's for their thoughtful comments [ ... ]. ...

    Abstract We would like to thank Dr. Aldè and his colleuage's for their thoughtful comments [...].
    Language English
    Publishing date 2023-08-14
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2039-4330
    ISSN 2039-4330
    DOI 10.3390/audiolres13040057
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  3. Article ; Online: Consumer Perspectives on Improving Hearing Aids: A Qualitative Study.

    Desai, Nabeelah / Beukes, Eldré W / Manchaiah, Vinaya / Mahomed-Asmail, Faheema / Swanepoel, De Wet

    American journal of audiology

    2024  , Page(s) 1–12

    Abstract: Purpose: Hearing aids play a pivotal role in mitigating the impact of hearing loss, yet their adoption and consistent usage remains suboptimal. Understanding the hearing aid needs of individuals with hearing loss is important to support uptake, use, and ...

    Abstract Purpose: Hearing aids play a pivotal role in mitigating the impact of hearing loss, yet their adoption and consistent usage remains suboptimal. Understanding the hearing aid needs of individuals with hearing loss is important to support uptake, use, and outcomes. The current study describes users' perspectives on how hearing aids can be improved.
    Method: A cross-sectional, qualitative, content analysis design was used for an open-ended question from an online survey, exploring user perspectives on hearing aid improvements. Participants were adult hearing aid users in the United States, surveyed from the HearingTracker and Lexie Hearing user database.
    Results: A total of 628 participants (
    Conclusions: Hearing aid users appreciated current technological advances but expressed a need for improvements, to better align devices with their requirements. Key areas included physical aesthetics, user control over device adjustments, sound clarity, cost accessibility, and trust between the user and hearing health care professional. Future designs should focus on features enhancing user autonomy and self-efficacy.
    Language English
    Publishing date 2024-05-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1162315-9
    ISSN 1558-9137 ; 1059-0889
    ISSN (online) 1558-9137
    ISSN 1059-0889
    DOI 10.1044/2024_AJA-23-00245
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    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Long-term efficacy of audiologist-guided Internet-based cognitive behaviour therapy for tinnitus in the United States: A repeated-measures design.

    Beukes, Eldré W / Andersson, Gerhard / Manchaiah, Vinaya

    Internet interventions

    2022  Volume 30, Page(s) 100583

    Abstract: Objectives: This study investigated the long-term outcomes 1-year after undertaking an Internet-based cognitive behavioural therapy (ICBT) for tinnitus distress in a US population. Secondary aims were to identify the effects on additional difficulties ... ...

    Abstract Objectives: This study investigated the long-term outcomes 1-year after undertaking an Internet-based cognitive behavioural therapy (ICBT) for tinnitus distress in a US population. Secondary aims were to identify the effects on additional difficulties associate with tinnitus and any unwanted events related to ICBT for tinnitus.
    Methods: A repeated-measures design with 4 time points was used. Participants previously undertaking two randomized ICBT efficacy trials for tinnitus in the US were invited to participate. Of the 200 invited, 132 (66 %) completed the 1-year follow-up questionnaire. The primary outcome was a change in tinnitus distress from baseline at one year post-intervention, as assessed by the Tinnitus Functional Index. Secondary assessment measures were included for anxiety, depression, insomnia, hearing disability, hyperacusis, tinnitus cognitions and health-related quality of life.
    Results: Undertaking ICBT for tinnitus led to significant improvements 1-year post-intervention for tinnitus severity, with a large effect size (
    Conclusions: The benefits of audiologist-guided ICBT for tinnitus and tinnitus-related difficulties were maintained 1-year post-intervention with very few adverse events reported. Ways of disseminate evidence-based easily accessible interventions to the general population with bothersome tinnitus should be sought.
    Language English
    Publishing date 2022-10-30
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2764252-5
    ISSN 2214-7829 ; 2214-7829
    ISSN (online) 2214-7829
    ISSN 2214-7829
    DOI 10.1016/j.invent.2022.100583
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Application of the Behavior Change Wheel Within the Context of Internet-Based Cognitive Behavioral Therapy for Tinnitus Management.

    Beukes, Eldré W / Manchaiah, Vinaya / Andersson, Gerhard / Maidment, David W

    American journal of audiology

    2022  Volume 31, Issue 2, Page(s) 433–444

    Abstract: Purpose: 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 ... ...

    Abstract Purpose: 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.
    Method: 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.
    Results: 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.
    Conclusion: 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.
    Supplemental material: https://doi.org/10.23641/asha.19555213.
    MeSH term(s) Cognitive Behavioral Therapy/methods ; Humans ; Internet ; Internet-Based Intervention ; Motivation ; Tinnitus/psychology ; Tinnitus/therapy ; Treatment Outcome
    Language English
    Publishing date 2022-04-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1162315-9
    ISSN 1558-9137 ; 1059-0889
    ISSN (online) 1558-9137
    ISSN 1059-0889
    DOI 10.1044/2022_AJA-21-00160
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3807: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: Internet-Based Audiologist-Guided Cognitive Behavioral Therapy for Tinnitus: Randomized Controlled Trial.

    W Beukes, Eldré / Andersson, Gerhard / Fagelson, Marc / Manchaiah, Vinaya

    Journal of medical Internet research

    2022  Volume 24, Issue 2, Page(s) e27584

    Abstract: Background: Tinnitus is a symptom that can be very distressing owing to hearing sounds not related to any external sound source. Managing tinnitus is notoriously difficult, and access to evidence-based care is limited. Cognitive behavioral therapy (CBT) ...

    Abstract Background: Tinnitus is a symptom that can be very distressing owing to hearing sounds not related to any external sound source. Managing tinnitus is notoriously difficult, and access to evidence-based care is limited. Cognitive behavioral therapy (CBT) is a tinnitus management strategy with the most evidence of effectiveness but is rarely offered to those distressed by tinnitus. The provision of internet-based CBT for tinnitus overcomes accessibility barriers; however, it is not currently readily available in the United States.
    Objective: The aim of this study is to investigate the efficacy of internet-based CBT compared with that of weekly monitoring for the management of tinnitus in reducing tinnitus distress; reducing tinnitus-related comorbidities, including tinnitus cognitions, insomnia, anxiety, and depression; and assessing the stability of the intervention effects 2 months after the intervention.
    Methods: A 2-arm randomized clinical trial comparing audiologist-guided internet-based CBT (n=79) to a weekly monitoring group (n=79) with a 2-month follow-up assessed the efficacy of internet-based CBT. Eligible participants included adults seeking help for tinnitus. Recruitment was conducted on the web using an open-access website. Participants were randomized via 1:1 allocation, but blinding was not possible. The study was undertaken by English or Spanish speakers on the web. The primary outcome was a change in tinnitus distress as measured using the Tinnitus Functional Index. Secondary outcome measures included anxiety, depression, insomnia, tinnitus cognition, hearing-related difficulties, and quality of life.
    Results: Internet-based CBT led to a greater reduction in tinnitus distress (mean 36.57, SD 22) compared with that in weekly monitoring (mean 46.31, SD 20.63; effect size: Cohen d=0.46, 95% CI 0.14-0.77) using an intention-to-treat analysis. For the secondary outcomes, there was a greater reduction in negative tinnitus cognition and insomnia. The results remained stable over the 2-month follow-up period. No important adverse events were observed. Further, 16% (10/158) of participants withdrew, with low overall compliance rates for questionnaire completion of 72.3% (107/148) at T1, 61% (91/148) at T2, and 42% (62/148) at T3.
    Conclusions: This study is the first to evaluate and indicate the efficacy of audiologist-delivered internet-based CBT in reducing tinnitus distress in a US population. It was also the first study to offer internet-based CBT in Spanish to accommodate the large Hispanic population in the United States. The results have been encouraging, and further work is indicated in view of making such an intervention applicable to a wider population. Further work is required to improve compliance and attract more Spanish speakers.
    Trial registration: ClinicalTrials.gov NCT04004260; https://clinicaltrials.gov/ct2/show/NCT04004260.
    MeSH term(s) Adult ; Audiologists ; Cognitive Behavioral Therapy/methods ; Humans ; Internet ; Quality of Life ; Tinnitus/therapy ; Treatment Outcome
    Language English
    Publishing date 2022-02-14
    Publishing country Canada
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, N.I.H., Extramural
    ZDB-ID 2028830-X
    ISSN 1438-8871 ; 1439-4456
    ISSN (online) 1438-8871
    ISSN 1439-4456
    DOI 10.2196/27584
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  7. Article ; Online: Predicting the Outcomes of Internet-Based Cognitive Behavioral Therapy for Tinnitus: Applications of Artificial Neural Network and Support Vector Machine.

    Rodrigo, Hansapani / Beukes, Eldré W / Andersson, Gerhard / Manchaiah, Vinaya

    American journal of audiology

    2022  Volume 31, Issue 4, Page(s) 1167–1177

    Abstract: Purpose: Internet-based cognitive behavioral therapy (ICBT) has been found to be effective for tinnitus management, although there is limited understanding about who will benefit the most from ICBT. Traditional statistical models have largely failed to ... ...

    Abstract Purpose: Internet-based cognitive behavioral therapy (ICBT) has been found to be effective for tinnitus management, although there is limited understanding about who will benefit the most from ICBT. Traditional statistical models have largely failed to identify the nonlinear associations and hence find strong predictors of success with ICBT. This study aimed at examining the use of an artificial neural network (ANN) and support vector machine (SVM) to identify variables associated with treatment success in ICBT for tinnitus.
    Method: The study involved a secondary analysis of data from 228 individuals who had completed ICBT in previous intervention studies. A 13-point reduction in Tinnitus Functional Index (TFI) was defined as a successful outcome. There were 33 predictor variables, including demographic, tinnitus, hearing-related and treatment-related variables, and clinical factors (anxiety, depression, insomnia, hyperacusis, hearing disability, cognitive function, and life satisfaction). Predictive models using ANN and SVM were developed and evaluated for classification accuracy. SHapley Additive exPlanations (SHAP) analysis was used to identify the relative predictor variable importance using the best predictive model for a successful treatment outcome.
    Results: The best predictive model was achieved with the ANN with an average area under the receiver operating characteristic value of 0.73 ± 0.03. The SHAP analysis revealed that having a higher education level and a greater baseline tinnitus severity were the most critical factors that influence treatment outcome positively.
    Conclusions: Predictive models such as ANN and SVM help predict ICBT treatment outcomes and identify predictors of outcome. However, further work is needed to examine predictors that were not considered in this study as well as to improve the predictive power of these models.
    Supplemental material: https://doi.org/10.23641/asha.21266487.
    MeSH term(s) Humans ; Tinnitus/therapy ; Tinnitus/psychology ; Support Vector Machine ; Cognitive Behavioral Therapy ; Treatment Outcome ; Internet ; Neural Networks, Computer
    Language English
    Publishing date 2022-10-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1162315-9
    ISSN 1558-9137 ; 1059-0889
    ISSN (online) 1558-9137
    ISSN 1059-0889
    DOI 10.1044/2022_AJA-21-00270
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  8. Article ; Online: Reporting of auditory symptoms over time: (in)consistencies, expectations and the nocebo effect.

    Saunders, Gabrielle H / Beukes, Eldre W / Uus, Kai / Armitage, Christopher J / Munro, Kevin J

    International journal of audiology

    2023  Volume 63, Issue 3, Page(s) 213–220

    Abstract: Objective: ...

    Abstract Objective:
    MeSH term(s) Humans ; Tinnitus/diagnosis ; Tinnitus/epidemiology ; Tinnitus/etiology ; Motivation ; Cross-Sectional Studies ; Nocebo Effect ; Hearing ; Hearing Loss/diagnosis ; Hearing Loss/epidemiology ; Hearing Loss/complications
    Language English
    Publishing date 2023-02-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 2073098-6
    ISSN 1708-8186 ; 1499-2027
    ISSN (online) 1708-8186
    ISSN 1499-2027
    DOI 10.1080/14992027.2022.2163429
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 549: Show issues Location:
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  9. Article: Patient Uptake, Experiences, and Process Evaluation of a Randomized Controlled Trial of Internet-Based Cognitive Behavioral Therapy for Tinnitus in the United States.

    Beukes, Eldre W / Andersson, Gerhard / Manchaiah, Vinaya

    Frontiers in medicine

    2021  Volume 8, Page(s) 771646

    Abstract: Introduction: ...

    Abstract Introduction:
    Language English
    Publishing date 2021-11-17
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2775999-4
    ISSN 2296-858X
    ISSN 2296-858X
    DOI 10.3389/fmed.2021.771646
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  10. Article: Comments on Tao et al. (2017), "Multiple-Frequency Matching Treatment Strategy for Tinnitus".

    Manchaiah, Vinaya / Beukes, Eldré W

    The journal of international advanced otology

    2018  Volume 14, Issue 2, Page(s) 344–345

    MeSH term(s) Acoustic Stimulation ; Humans ; Tinnitus
    Language English
    Publishing date 2018-09-26
    Publishing country Turkey
    Document type Letter ; Comment
    ISSN 1308-7649
    ISSN 1308-7649
    DOI 10.5152/iao.2018.5537
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