{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T21:18:46Z","timestamp":1782422326710,"version":"3.54.5"},"reference-count":113,"publisher":"Georg Thieme Verlag KG","issue":"03\/04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin Hear"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Clinical services for tinnitus have expanded greatly since the \u201cmasking\u201d method was introduced by Jack Vernon in the 1970s. According to PubMed, the number of peer-reviewed publications has increased dramatically since that time (seven with \u201ctinnitus\u201d in the title in 1975; 477 in 2023). With so much research and overall interest, it might be expected that tinnitus services have improved accordingly. In reality, there are many variations of treatment, but no one method has been shown to be more effective than any other. This diversity of methods is evident when researching \u201ctinnitus\u201d on the internet and considering the many different ways clinicians offer tinnitus services. Some offer an evidence-based method but may not have the competency to ensure fidelity. Further is the proliferation of commercial methods that can cost thousands of dollars. In this article, I propose a framework for providing tinnitus clinical services called Tinnitus Stepped-Care. This framework does not promote specific procedures for tinnitus assessment and treatment, but rather suggests guiding principles that are essential in each of six progressive steps of tinnitus clinical care. It is further proposed to test the stepped-care model in the (currently under development) Tinnitus Learning Health Network (TLHN). The TLHN would consist of a network of clinicians, patients, and researchers from around the world who collaborate in establishing \u201cbest tinnitus practices.\u201d Collaboration would involve using and sharing data for the ongoing monitoring of a large, diverse, well-described patient population, and using quality improvement science to test and monitor outcomes over time, to determine the most effective treatments for different subgroups of tinnitus patients.<\/jats:p>","DOI":"10.1055\/s-0045-1804509","type":"journal-article","created":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T23:52:20Z","timestamp":1741391540000},"page":"255-275","source":"Crossref","is-referenced-by-count":2,"title":["Tinnitus Stepped-Care: A Model for Standardizing Clinical Services for Tinnitus"],"prefix":"10.1055","volume":"45","author":[{"given":"James A.","family":"Henry","sequence":"additional","affiliation":[{"name":"VA RR&D National Center for Rehabilitative Auditory Research (NCRAR), Veterans Affairs Portland Health Care System, Portland, Oregon"},{"name":"Ears Gone Wrong\u00ae, LLC, Oregon City, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,3,7]]},"reference":[{"key":"ref1","volume-title":"The Tinnitus Book: Understanding Tinnitus and How to Find Relief","author":"J A Henry","year":"2024"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"1378","DOI":"10.1044\/2016_JSLHR-H-16-0126","article-title":"Randomized controlled trial in clinical settings to evaluate effectiveness of coping skills education used with Progressive Tinnitus Management","volume":"60","author":"J A Henry","year":"2017","journal-title":"J Speech Lang Hear Res"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1044\/2020_AJA-20-00140","article-title":"Survey of audiology graduate programs: training students in tinnitus management","volume":"30","author":"J A 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Psychiatry"},{"issue":"06","key":"ref45","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The hospital anxiety and depression scale","volume":"67","author":"A S Zigmond","year":"1983","journal-title":"Acta Psychiatr Scand"},{"key":"ref46","doi-asserted-by":"crossref","first-page":"553449","DOI":"10.3389\/fpsyg.2020.553449","article-title":"The association between effectiveness of tinnitus intervention and cognitive function-a systematic review","volume":"11","author":"T Lan","year":"2021","journal-title":"Front Psychol"},{"key":"ref47","doi-asserted-by":"crossref","first-page":"2331216520918416","DOI":"10.1177\/2331216520918416","article-title":"Associations between subjective tinnitus and cognitive performance: systematic review and meta-analyses","volume":"24","author":"N A Clarke","year":"2020","journal-title":"Trends Hear"},{"issue":"12","key":"ref48","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1080\/14992027.2021.1909760","article-title":"Functional impact of bothersome tinnitus on cognitive test performance","volume":"60","author":"L P Sherlock","year":"2021","journal-title":"Int J Audiol"},{"key":"ref49","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/bs.pbr.2021.01.028","article-title":"On the relationship between tinnitus distress, cognitive performance and aging","volume":"262","author":"P Brueggemann","year":"2021","journal-title":"Prog Brain Res"},{"issue":"03","key":"ref50","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1080\/07317115.2020.1756021","article-title":"Trajectories of Mini-Mental State Examination scores over the lifespan in general populations: a systematic review and meta-regression analysis","volume":"45","author":"J M Nagaratnam","year":"2022","journal-title":"Clin Gerontol"},{"key":"ref51","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1017\/S1755146300090053","article-title":"Characteristics of tinnitus and related observations in over 1800 tinnitus clinic patients","volume":"9","author":"M Meikle","year":"1984","journal-title":"J Laryngol Otol Suppl"},{"key":"ref52","first-page":"25","volume-title":"Psychological profiles of tinnitus patients","author":"S Erlandsson","year":"2000"},{"issue":"04","key":"ref53","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/S1389-9457(00)00065-4","article-title":"Validation of the Insomnia Severity Index as an outcome measure for insomnia research","volume":"2","author":"C H Bastien","year":"2001","journal-title":"Sleep Med"},{"issue":"05","key":"ref54","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1093\/sleep\/34.5.601","article-title":"The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response","volume":"34","author":"C M Morin","year":"2011","journal-title":"Sleep"},{"issue":"02","key":"ref55","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1002\/wjo2.81","article-title":"A proposed association between subjective nonpulsatile tinnitus and migraine","volume":"9","author":"A Lee","year":"2022","journal-title":"World J Otorhinolaryngol Head Neck Surg"},{"issue":"11","key":"ref56","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1080\/02699052.2024.2353798","article-title":"Prevalence of tinnitus following non-blast related traumatic brain injury: a systematic review of literature","volume":"38","author":"M Le","year":"2024","journal-title":"Brain Inj"},{"issue":"07","key":"ref57","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1682\/JRRD.2007.09.0140","article-title":"Auditory dysfunction in traumatic brain injury","volume":"44","author":"H L Lew","year":"2007","journal-title":"J Rehabil Res 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Audiol"},{"issue":"02","key":"ref61","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1097\/HTR.0b013e3181e50ef1","article-title":"Prevalence, assessment, and treatment of mild traumatic brain injury and posttraumatic stress disorder: a systematic review of the evidence","volume":"26","author":"K F Carlson","year":"2011","journal-title":"J Head Trauma Rehabil"},{"issue":"02","key":"ref62","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1055\/s-0042-1749176","article-title":"Audiologic assessment","volume":"43","author":"E A Benson","year":"2022","journal-title":"Semin Hear"},{"issue":"01","key":"ref63","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1055\/s-0043-1764139","article-title":"The rise and fall of aural acoustic immittance assessment tools","volume":"44","author":"N Shahnaz","year":"2023","journal-title":"Semin Hear"},{"key":"ref64","volume-title":"Hyperacusis and Disorders of Sound Intolerance: Clinical and Research Perspectives","author":"M Fagelson","year":"2018"},{"issue":"04","key":"ref65","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1044\/2014_AJA-14-0010","article-title":"A review of hyperacusis and future directions: Part I. 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Clin Med"},{"key":"ref69","doi-asserted-by":"crossref","first-page":"110587","DOI":"10.1016\/j.jpsychores.2021.110587","article-title":"The development and validation of the Misophonia response scale","volume":"149","author":"B Dibb","year":"2021","journal-title":"J Psychosom Res"},{"key":"ref70","doi-asserted-by":"crossref","first-page":"897901","DOI":"10.3389\/fpsyg.2022.897901","article-title":"Psychometric validation of a brief self-report measure of misophonia symptoms and functional impairment: the Duke-Vanderbilt Misophonia Screening Questionnaire","volume":"13","author":"Z J Williams","year":"2022","journal-title":"Front Psychol"},{"issue":"33","key":"ref71","doi-asserted-by":"crossref","first-page":"154","DOI":"10.4103\/1463-1741.34703","article-title":"The development of Weinstein's noise sensitivity scale","volume":"8","author":"H Kishikawa","year":"2006","journal-title":"Noise 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Handicap Inventory (THI) for evaluating treatment outcome","volume":"9","author":"C W Newman","year":"1998","journal-title":"J Am Acad Audiol"},{"issue":"02","key":"ref76","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1097\/AUD.0b013e31822f67c0","article-title":"The tinnitus functional index: development of a new clinical measure for chronic, intrusive tinnitus","volume":"33","author":"M B Meikle","year":"2012","journal-title":"Ear Hear"},{"issue":"44","key":"ref77","doi-asserted-by":"crossref","first-page":"156","DOI":"10.4103\/1463-1741.53362","article-title":"Could an underlying hearing loss be a significant factor in the handicap caused by tinnitus?","volume":"11","author":"S A Ratnayake","year":"2009","journal-title":"Noise Health"},{"issue":"04","key":"ref78","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1055\/s-0041-1739369","article-title":"Functional assessment of hearing aid benefit: incorporating verification and aided speech recognition testing into routine practice","volume":"42","author":"S A Sydlowski","year":"2021","journal-title":"Semin Hear"},{"issue":"01","key":"ref79","doi-asserted-by":"crossref","first-page":"29","DOI":"10.3766\/jaaa.25.1.4","article-title":"Cognitive-behavioral treatments for tinnitus: a review of the literature","volume":"25","author":"R F Cima","year":"2014","journal-title":"J Am Acad Audiol"},{"key":"ref80","first-page":"96","volume-title":"Cognitive-behavioral therapy with applied relaxation","author":"G Andersson","year":"2006"},{"key":"ref81","doi-asserted-by":"crossref","DOI":"10.1017\/CBO9780511544989","volume-title":"Tinnitus Retraining Therapy: Implementing the Neurophysiological Model","author":"P J Jastreboff","year":"2004"},{"issue":"02","key":"ref82","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1682\/JRRD.2003.03.0159","article-title":"Guide to conducting tinnitus retraining therapy initial and follow-up interviews","volume":"40","author":"J A 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