{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T05:43:37Z","timestamp":1772257417427,"version":"3.50.1"},"reference-count":21,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T00:00:00Z","timestamp":1724198400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Institute on Deafness and Communication Disorders (NIDCD) of the National Institute of Health (NIH)","award":["R21DC017214"],"award-info":[{"award-number":["R21DC017214"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinics and Practice"],"abstract":"<jats:p>Background: This study aimed to examine whether individuals with chronic tinnitus report more positive experiences following internet-based cognitive behavioral therapy (CBT). Methods: A mixed-methods design was used, nested in clinical trials evaluating internet interventions for tinnitus. Participants (n = 164) completed online questionnaires (both structured and open-ended) providing demographic information as well as health variables (e.g., tinnitus distress, anxiety, depression, insomnia). An open-ended question listing positive effects or outcomes related to having tinnitus was also included. Responses to the open-ended questions were analyzed using qualitative content analysis. Results: Of the 164 eligible participants, 32.3% (n = 53) provided at least 1 positive experience both at pre- and post-intervention, with 9.1% (n = 19) providing positive experiences only at pre-intervention, 49 (29.9%) providing positive experiences only at post-intervention, and 28.7% (n = 47) of the participants did not provide any positive experiences on either measurement occasion. Significantly more positive experiences were reported following the intervention in the overall sample (p &lt; 0.0001, paired sample t-test). In addition, participants who reported positive experiences in both pre- and post-intervention also reported more positive experiences following intervention (p = 0.008, paired sample t-test). Conclusions: Internet-based CBT can help individuals with tinnitus to think more positively by changing unhelpful thought patterns. Open-ended questions can supplement structured questionnaires to measure treatment outcomes.<\/jats:p>","DOI":"10.3390\/clinpract14040130","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T11:58:46Z","timestamp":1724759926000},"page":"1615-1624","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Individuals with Tinnitus Report More Positive Experiences following Internet-Based Cognitive Behavioral Therapy"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1254-8407","authenticated-orcid":false,"given":"Vinaya","family":"Manchaiah","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Aurora, CO 80045, USA"},{"name":"UCHealth Hearing and Balance, University of Colorado Hospital, Aurora, CO 80045, USA"},{"name":"Virtual Hearing Lab, Collaborative Initiative between University of Colorado School of Medicine and University of Pretoria, Aurora, CO 80045, USA"},{"name":"Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria 0001, South Africa"},{"name":"Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal 576104, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9434-9160","authenticated-orcid":false,"given":"Eldr\u00e9 W.","family":"Beukes","sequence":"additional","affiliation":[{"name":"Virtual Hearing Lab, Collaborative Initiative between University of Colorado School of Medicine and University of Pretoria, Aurora, CO 80045, USA"},{"name":"Vision and Hearing Sciences Research Group, School of Psychology and Sports Sciences, Anglia Ruskin University, Cambridge CB1 1PT, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerhard","family":"Andersson","sequence":"additional","affiliation":[{"name":"Department of Behavioral Sciences and Learning, Department of Biomedical and Clinical Sciences, Link\u00f6ping University, 582 25 Link\u00f6ping, Sweden"},{"name":"Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institute, 171 77 Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9769-4410","authenticated-orcid":false,"given":"Emily","family":"Bateman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Aurora, CO 80045, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8313-1636","authenticated-orcid":false,"given":"De Wet","family":"Swanepoel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Aurora, CO 80045, USA"},{"name":"Virtual Hearing Lab, Collaborative Initiative between University of Colorado School of Medicine and University of Pretoria, Aurora, CO 80045, USA"},{"name":"Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria 0001, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0040-6479","authenticated-orcid":false,"given":"Kristin","family":"Uhler","sequence":"additional","affiliation":[{"name":"Department of Audiology, Children\u2019s Hospital Colorado, Aurora, CO 80045, USA"},{"name":"Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, CO 80045, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Vinay","sequence":"additional","affiliation":[{"name":"Audiology Group, Department of Neuromedicine and Movement Sciences, Norwegian University of Science and Technology, 7030 Trondheim, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"888","DOI":"10.1001\/jamaneurol.2022.2189","article-title":"Global Prevalence and Incidence of Tinnitus: A Systematic Review and Meta-analysis","volume":"79","author":"Jarach","year":"2022","journal-title":"JAMA Neurol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1080\/00016489.2021.2019307","article-title":"Examining the consequences of tinnitus using the multidimensional perspective","volume":"142","author":"Manchaiah","year":"2022","journal-title":"Acta Oto Laryngol."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Moln\u00e1r, A., Mavrogeni, P., Tam\u00e1s, L., and Maihoub, S. 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