this article and any supplementary material should be cited as follows: myers pj, griest s, kaelin...
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![Page 1: This article and any supplementary material should be cited as follows: Myers PJ, Griest S, Kaelin C, Legro MW, Schmidt CJ, Zaugg TL, Henry JA. Development](https://reader036.vdocument.in/reader036/viewer/2022082518/56649ea35503460f94ba6ec5/html5/thumbnails/1.jpg)
This article and any supplementary material should be cited as follows: Myers PJ, Griest S, Kaelin C, Legro MW, Schmidt CJ, Zaugg TL, Henry JA. Development of a progressive audiologic tinnitus management program for Veterans with tinnitus. J Rehabil Res Dev. 2014;51(4):609–22.http://dx.doi.org/10.1682/JRRD.2013.08.0189
Slideshow ProjectDOI:10.1682/JRRD.2013.08.0189JSP
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
![Page 2: This article and any supplementary material should be cited as follows: Myers PJ, Griest S, Kaelin C, Legro MW, Schmidt CJ, Zaugg TL, Henry JA. Development](https://reader036.vdocument.in/reader036/viewer/2022082518/56649ea35503460f94ba6ec5/html5/thumbnails/2.jpg)
This article and any supplementary material should be cited as follows: Myers PJ, Griest S, Kaelin C, Legro MW, Schmidt CJ, Zaugg TL, Henry JA. Development of a progressive audiologic tinnitus management program for Veterans with tinnitus. J Rehabil Res Dev. 2014;51(4):609–22.http://dx.doi.org/10.1682/JRRD.2013.08.0189
Slideshow ProjectDOI:10.1682/JRRD.2013.08.0189JSP
• 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.
![Page 3: This article and any supplementary material should be cited as follows: Myers PJ, Griest S, Kaelin C, Legro MW, Schmidt CJ, Zaugg TL, Henry JA. Development](https://reader036.vdocument.in/reader036/viewer/2022082518/56649ea35503460f94ba6ec5/html5/thumbnails/3.jpg)
This article and any supplementary material should be cited as follows: Myers PJ, Griest S, Kaelin C, Legro MW, Schmidt CJ, Zaugg TL, Henry JA. Development of a progressive audiologic tinnitus management program for Veterans with tinnitus. J Rehabil Res Dev. 2014;51(4):609–22.http://dx.doi.org/10.1682/JRRD.2013.08.0189
Slideshow ProjectDOI:10.1682/JRRD.2013.08.0189JSP
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.
![Page 4: This article and any supplementary material should be cited as follows: Myers PJ, Griest S, Kaelin C, Legro MW, Schmidt CJ, Zaugg TL, Henry JA. Development](https://reader036.vdocument.in/reader036/viewer/2022082518/56649ea35503460f94ba6ec5/html5/thumbnails/4.jpg)
This article and any supplementary material should be cited as follows: Myers PJ, Griest S, Kaelin C, Legro MW, Schmidt CJ, Zaugg TL, Henry JA. Development of a progressive audiologic tinnitus management program for Veterans with tinnitus. J Rehabil Res Dev. 2014;51(4):609–22.http://dx.doi.org/10.1682/JRRD.2013.08.0189
Slideshow ProjectDOI:10.1682/JRRD.2013.08.0189JSP
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.
![Page 5: This article and any supplementary material should be cited as follows: Myers PJ, Griest S, Kaelin C, Legro MW, Schmidt CJ, Zaugg TL, Henry JA. Development](https://reader036.vdocument.in/reader036/viewer/2022082518/56649ea35503460f94ba6ec5/html5/thumbnails/5.jpg)
This article and any supplementary material should be cited as follows: Myers PJ, Griest S, Kaelin C, Legro MW, Schmidt CJ, Zaugg TL, Henry JA. Development of a progressive audiologic tinnitus management program for Veterans with tinnitus. J Rehabil Res Dev. 2014;51(4):609–22.http://dx.doi.org/10.1682/JRRD.2013.08.0189
Slideshow ProjectDOI:10.1682/JRRD.2013.08.0189JSP
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.