The Role of Training in Changing the Attitude of Audiologists in Iran Towards Using Cognitive-Behavioral Therapy for Tinnitus Management

IF 0.4 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Auditory and Vestibular Research Pub Date : 2024-01-29 DOI:10.18502/avr.v33i2.14815

Kamal Pahlavan Yali, Maryam Sadeghijam, F. Jarollahi, S. Saneii

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Abstract

Background and Aim: Evidence-Based Practice (EBP) is recommended by specialists for curing the patients more than other conventional treatments. In tinnitus management, Cognitive-Behavioral Therapy (CBT) is the only EBP-based method. Different factors, such as training, can affect the therapists’ attitudes towards the use of these treatments. This study aimed to investigate the effect of a training program in CBT on Iranian audiologists’ attitudes towards using CBT for tinnitus management. Methods: This descriptive-analytical study was conducted on 88 audiologists (including 65 females) with a mean age of 33±9.54 years, who were randomly divided into two groups of intervention (receiving CBT training) and control (no training). The data were collected by a researcher-made demographic/clinical questionnaire and the Persian version of the Evidence-Based Practice Attitude Scale-35 (EBPAS-P35), which was completed before and after training. Results: Comparison of the total score of EBPAS-P35 showed a significant difference in the intervention groups before and after training (p<0.001). In addition, all EBPAS-P35 subscales scores were significantly different before and after training in the intervention group (p<0.001). A positive significant correlation was observed between the total score of the EBPAS-P35 and two factors of age (r=0.38, p=0.009) and clinical experience (r=0.34, p=0.009). Conclusion: Training in CBT can improve the attitude of audiologists in Iran towards using CBT for tinnitus management in patients. The age and clinical experience can affect the attitude of audiologists toward using CBT. Keywords: Evidence-based practice; tinnitus; coping techniques; cognitive-behavioral therapy

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培训对改变伊朗听力学家使用认知行为疗法治疗耳鸣的态度的作用

背景和目的：与其他传统疗法相比，循证疗法（EBP）更受专家推崇，更能治愈患者。在耳鸣治疗中，认知行为疗法（CBT）是唯一以 EBP 为基础的方法。培训等不同因素会影响治疗师对使用这些疗法的态度。本研究旨在调查 CBT 培训项目对伊朗听力学家使用 CBT 治疗耳鸣态度的影响。方法：这项描述性分析研究的对象是 88 名听力学家（包括 65 名女性），平均年龄（33±9.54）岁，他们被随机分为干预组（接受 CBT 培训）和对照组（未接受培训）两组。数据通过研究人员制作的人口统计学/临床问卷和波斯语版的循证实践态度量表-35（EBPAS-P35）收集，并在培训前后完成。结果EBPAS-P35 总分比较显示，干预组在培训前后有显著差异（P<0.001）。此外，干预组所有 EBPAS-P35 分量表得分在培训前后均有显著差异（P<0.001）。EBPAS-P35的总分与年龄（r=0.38，p=0.009）和临床经验（r=0.34，p=0.009）这两个因素之间呈正相关。结论CBT培训可改善伊朗听力学家对使用CBT治疗耳鸣的态度。年龄和临床经验会影响听力学家对使用 CBT 的态度。关键词循证实践；耳鸣；应对技巧；认知行为疗法

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