Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000067.xml
Semin Hear 2024; 45(03/04): 296-305
DOI: 10.1055/s-0045-1804901
DOI: 10.1055/s-0045-1804901
Review Article
Establishing a Comprehensive Tinnitus Care Pathway—Part 2: Implementation

Abstract
This article is the second in a two-part series intended to provide guidance related to the essential components of establishing a comprehensive tinnitus care pathway in your clinic. Please see “Part 1: Essential Components” for relevant background information detailing why each of the components described in this article were included.
Publication History
Article published online:
21 March 2025
© 2025. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Taylor B, Tysoe R. Forming strategic alliances with primary care medicine: interventional audiology in practice: how to leverage peer-reviewed science to build a physician referral base. Hear Rev 2014; 21 (07) 22-27
- 2 Bartol T. Expanding your healthcare network. Nurse Pract 2015; 40 (05) 10-14
- 3 Ratanjee-Vanmali H, Swanepoel D, Laplante-Levesque A. Strengthening the role of the audiologist in the digital age. Hear J 2020; 73 (06) 38-39
- 4 Ratanjee-Vanmali H, Swanepoel D, Laplante-Levesque A. Optimizing audiology websites to increase patient reach. Hear J 2020; 73 (07) 31-33
- 5 Ratanjee-Vanmali H, Swanepoel D, Laplante-Levesque A. Implementing a hybrid model of online and in-person audiology care. Hear J 2020; 73 (08) 16-19
- 6 Ratanjee-Vanmali H, Swanepoel D, Laplante-Levesque A. Digital proficiency and teleaudiology: key implications in hearing care. Hear J 2020; 73 (09) 18-20
- 7 Bester J, Cole CM, Kodish E. The limits of informed consent for an overwhelmed patient: clinicians' role in protecting patients and preventing overwhelm. AMA J Ethics 2016; 18 (09) 869-886
- 8 Sustersic M, Gauchet A, Foote A, Bosson JL. How best to use and evaluate patient information leaflets given during a consultation: a systematic review of literature reviews. Health Expect 2017; 20 (04) 531-542
- 9 Newman CW, Jacobson GP, Spitzer JB. Development of the tinnitus handicap inventory. Arch Otolaryngol Head Neck Surg 1996; 122 (02) 143-148
- 10 Meikle MB, Henry JA, Griest SE. et al. The tinnitus functional index: development of a new clinical measure for chronic, intrusive tinnitus. Ear Hear 2012; 33 (02) 153-176
- 11 Fernandex M, Cuesta M, Sanz R, Cobo P. Comparison of tinnitus handicap inventory and tinnitus functional index as treatment outcomes. Audiology Res 2023; 13 (01) 23-31
- 12 Searchfield GD. A client oriented scale of improvement in tinnitus for therapy goal planning and assessing outcomes. J Am Acad Audiol 2019; 30 (04) 327-337
- 13 Zolnierek KB, Dimatteo MR. Physician communication and patient adherence to treatment: a meta-analysis. Med Care 2009; 47 (08) 826-834
- 14 Xiang T, Zhong J, Lu T. et al. Effect of educational counseling alone on people with tinnitus: meta-analysis of randomized controlled trials. Patient Educ Couns 2020; 103 (01) 44-54
- 15 Gold SL, Formby C, Scherer RW. The tinnitus retraining therapy counseling protocol as implemented in the tinnitus retraining therapy trial. Am J Audiol 2021; 30 (01) 1-15
- 16 Jastreboff PJ, Jastreboff MM. Tinnitus retraining therapy (TRT) as a method for treatment of tinnitus and hyperacusis patients. J Am Acad Audiol 2000; 11 (03) 162-177
- 17 Cederroth CR, Lugo A, Edvall NK. et al. Association between Hyperacusis and Tinnitus. J Clin Med 2020; 9 (08) 2412
- 18 American Tinnitus Association. Published 2024 . Accessed February 6, 2025 at: https://www.ata.org/
- 19 Henry JA, Zaugg TL, Schechter MA. Clinical guide for audiologic tinnitus management I: assessment. Am J Audiol 2005; 14 (01) 21-48
- 20 Guitton MJ. Telemedicine in tinnitus: feasibility, advantages, limitations, and perspectives. ISRN Otolaryngol 2013; 2013: 218265
- 21 Aazh H, Swanepoel W, Moore BCJ. Telehealth tinnitus therapy during the COVID-19 outbreak in the UK: uptake and related factors. Int J Audiol 2021; 60 (05) 322-327
- 22 Demoen S, Chalimourdas A, Timmermans A. et al. Effectiveness of telerehabilitation interventions for self-management of tinnitus: systematic review. J Med Internet Res 2023; 25: e39076
- 23 Zöger S, Erlandsson S, Svedlund J, Holgers K. Benefits from group psychotherapy in the treatment of severe refractory tinnitus. Audiol Med 2008; 6 (01) 62-72
- 24 Park SN, Bae SC, Kim DK, Park YS, Yeo SW, Park SY. Small-group counseling in a modified tinnitus retraining therapy for chronic tinnitus. Clin Exp Otorhinolaryngol 2013; 6 (04) 214-218
- 25 Henry J, Zaugg T, Myers P, Kendall C. . Progressive Tinnitus Management. Plural Publishing; 2010 . Accessed February 6, 2025 at: https://pueblo.gpo.gov/DOD/pdfs/HCE-850.pdf
- 26 Manchaiah V, Londero A, Deshpande AK. et al. Online discussions about tinnitus: What can we learn from natural language processing of Reddit posts?. Am J Audiol 2022; 31 (3S): 993-1002
- 27 Axelsson A, Barrenas M. Tinnitus in noise-induced hearing loss. In: Dancer A, Henderson D, Salvi R, Hamernik R. eds Mosby Year Book; 1992
- 28 Phillips JS, McFerran DJ, Hall DA, Hoare DJ. The natural history of subjective tinnitus in adults: a systematic review and meta-analysis of no-intervention periods in controlled trials. Laryngoscope 2018; 128 (01) 217-227
- 29 Wallhäusser-Franke E, D'Amelio R, Glauner A. et al. Transition from acute to chronic tinnitus: predictors for the development of chronic distressing tinnitus. Front Neurol 2017; 8: 605
- 30 Folmer RL. Long-term reductions in tinnitus severity. BMC Ear Nose Throat Disord 2002; 2 (01) 3
- 31 Folmer RL, Carroll JR. Long-term effectiveness of ear-level devices for tinnitus. Otolaryngol Head Neck Surg 2006; 134 (01) 132-137
- 32 Herraiz C, Hernandez FJ, Plaza G, de los Santos G. Long-term clinical trial of tinnitus retraining therapy. Otolaryngol Head Neck Surg 2005; 133 (05) 774-779
- 33 Seydel C, Haupt H, Szczepek AJ, Klapp BF, Mazurek B. Long-term improvement in tinnitus after modified tinnitus retraining therapy enhanced by a variety of psychological approaches. Audiol Neurootol 2010; 15 (02) 69-80
- 34 American Academy of Audiology. . Tinnitus, Hyperacusis, and Misophonia. Published 2024 . Accessed February 6, 2025 at: https://www.audiology.org/practice-resources/coding/tinnitus-hyperacusis-and-misophonia/
- 35 American Academy of Audiology. . Tinnitus, Hyperacusis, and Misophonia FAQ Answers. Published 2024 . Accessed February 6, 2025 at: https://www.audiology.org/practice-resources/coding/tinnitus-hyperacusis-and-misophonia/tinnitus-hyperacusis-and-misophonia-faq-answers/
- 36 White S. . Tinnitus Evaluation and Intervention. ASHA Lead. Published online 2009. Accessed February 6, 2025 at: https://leader.pubs.asha.org/doi/10.1044/leader.BML.14032009.3
- 37 Nemes J. To bundle or not to bundle? That is the question. Hear J 2004; 57 (04) 19-24
- 38 Fifer RC. Hearing aid reimbursement: a discussion of influencing factors. Semin Hear 2020; 41 (01) 55-67
- 39 Piskosz M. . How to Establish a Successful Tinnitus Clinic. Hear Rev. Published online 2013. Accessed February 6, 2025 at: https://hearingreview.com/practice-building/practice-management/how-to-establish-a-successful-tinnitus-clinic2
- 40 Tyler RS, Haskell GB, Gogel SA, Gehringer AK. Establishing a tinnitus clinic in your practice. Am J Audiol 2008; 17 (01) 25-37
- 41 Henry JA, Griest S, Zaugg TL. et al. Tinnitus and hearing survey: a screening tool to differentiate bothersome tinnitus from hearing difficulties. Am J Audiol 2015; 24 (01) 66-77
- 42 Zeman F, Koller M, Figueiredo R. et al. Tinnitus handicap inventory for evaluating treatment effects: which changes are clinically relevant?. Otolaryngol Head Neck Surg 2011; 145 (02) 282-287
- 43 Ito H. What should we do to improve patients' adherence?. J Exp Clin Med 2013; 5 (04) 127-130