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Progressive Audiologic Tinnitus Management Program for Veterans

This study aimed to develop a protocol for consistent tinnitus services in VA audiology clinics, piloting a Progressive Audiologic Tinnitus Management (PATM) model. Results showed minimal intervention needed for most patients, highlighting the importance of proper clinician training and patient education on tinnitus management strategies.

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Progressive Audiologic Tinnitus Management Program for Veterans

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  1. Development of a progressive audiologic tinnitus management program for Veterans with tinnitus Paula J. Myers, PhD; Susan Griest, MPH; Christine Kaelin, MBA; Marcia W. Legro, PhD; Caroline J. Schmidt, PhD; Tara L. Zaugg, AuD; James A. Henry, PhD

  2. Aim • Develop and pilot test protocol to provide tinnitus services consistently across Department of Veterans Affairs (VA) audiology clinics. • Relevance • Although tinnitus is most prevalent service-connected disability awarded to Veterans, clinical protocols for its management are inconsistent across VA medical centers.

  3. Method • Formulated clinical model: • 5 hierarchical levels of care were defined and labeled Progressive Audiologic Tinnitus Management (PATM) model. • Defined clinical procedures for each level and produced multimedia supporting materials for audiologists and patients. • Piloted PATM model with audiology clinic patients at James A. Haley Veterans’ Hospital in Tampa, FL.

  4. Results • Very little tinnitus-specific intervention was required for majority of patients. • Most did not desire clinical services beyond basic audiologic evaluation and fitting of hearing aids if indicated.

  5. Conclusion • Findings support progressive levels of care until tinnitus management is achieved by patient. • Proper training of clinicians to learn how to provide tinnitus clinical services is essential. • Patients should also be educated about uses of cognitive-behavioral strategies and sound-based methods for tinnitus management.

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