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Continuous Improvement of Chronic Tinnitus Through a 9-Month Smartphone-Based Cognitive Behavioral Therapy: Randomized Controlled Trial

Continuous Improvement of Chronic Tinnitus Through a 9-Month Smartphone-Based Cognitive Behavioral Therapy: Randomized Controlled Trial

The multifaceted nature of tinnitus, risk factors, and the purely subjective evaluation and accompanying comorbidities make the treatment challenging [2,3]. Highly diverse treatment options have been developed, which may, however, be effective only in a certain subset of patients [4-7]. Treatment may also target not tinnitus itself but comorbidities (eg, hearing loss, depression) with secondary beneficial effects on the patients’ tinnitus [8,9].

Uso Walter, Stefan Pennig, Lothar Bleckmann, Kristina Röschmann-Doose, Thomas Wittig, Jörn Thomsen, Winfried Schlee

J Med Internet Res 2025;27:e59575

Digital Frequency Customized Relieving Sound for Chronic Subjective Tinnitus Management: Prospective Controlled Study

Digital Frequency Customized Relieving Sound for Chronic Subjective Tinnitus Management: Prospective Controlled Study

Tinnitus masking and tinnitus retraining therapy are the 2 most commonly used unmodulated strategies, and their ultimate goal is to help patients with tinnitus become accustomed to tinnitus, attenuating excessive attention to it and thus reducing the tinnitus-related negative emotions [14-17].

Dongmei Tang, Yuzhu Peng, Dantong Gu, Yongzhen Wu, Huawei Li

J Med Internet Res 2025;27:e60150

Ayurvedic Management of Presbycusis (Project TOPMAC): Protocol for an Exploratory Randomized Controlled Trial

Ayurvedic Management of Presbycusis (Project TOPMAC): Protocol for an Exploratory Randomized Controlled Trial

The treatment of tinnitus is also challenging [10]. Tinnitus should be managed using neurophysiological methods such as tinnitus retraining therapy—a combination of cognitive directive counseling and sound therapy, hearing aids, and white-noise generators. However, this retraining therapy also fails in 30%-40% of the patients [11]. A recent systematic review recommended that incorporating conventional or complementary and alternative therapies for treating mild cognitive impairment will be beneficial [12].

Krishna Kumar V, Sanjeev V Thomas, Murugan C Nair, Parvathy G Nair, Nisha M L, Anuradha S, Arunabh Tripathi, Pallavi Mundada, Babita Yadav, B C S Rao, Sudhakar D, Srikanth N

JMIR Res Protoc 2024;13:e55089

Explainable AI Method for Tinnitus Diagnosis via Neighbor-Augmented Knowledge Graph and Traditional Chinese Medicine: Development and Validation Study

Explainable AI Method for Tinnitus Diagnosis via Neighbor-Augmented Knowledge Graph and Traditional Chinese Medicine: Development and Validation Study

Consequently, achieving a high tinnitus diagnostic accuracy becomes difficult. Therefore, tinnitus diagnosis remains an urgent issue requiring further exploration and resolution by medical researchers. Previous studies have focused on the use of artificial intelligence (AI) to assist doctors in diagnosing tinnitus and improving diagnostic accuracy. Liu et al [7] proposed a meta-learning method based on lateral perception for cross–data set tinnitus diagnosis.

Ziming Yin, Zhongling Kuang, Haopeng Zhang, Yu Guo, Ting Li, Zhengkun Wu, Lihua Wang

JMIR Med Inform 2024;12:e57678

Exploring the Prevalence of Tinnitus and Ear-Related Symptoms in China After the COVID-19 Pandemic: Online Cross-Sectional Survey

Exploring the Prevalence of Tinnitus and Ear-Related Symptoms in China After the COVID-19 Pandemic: Online Cross-Sectional Survey

According to a systematic literature review, approximately 8% of individuals with COVID-19 reported experiencing tinnitus [4]. Tinnitus is characterized by the perception of sound in the absence of an external sound source [5], and individuals with tinnitus may experience buzzing, ringing, or hissing sounds. It is one of the most prevalent inner ear disorders worldwide, affecting 5% to 43% of adults [6].

Di Wang, Peifan Li, Xiaoling Huang, Yixuan Liu, Shihang Mao, Haoning Yin, Na Wang, Yan Luo, Shan Sun

JMIR Form Res 2024;8:e54326

Current Status and Trends in mHealth-Based Research for Treatment and Intervention in Tinnitus: Bibliometric and Comparative Product Analysis

Current Status and Trends in mHealth-Based Research for Treatment and Intervention in Tinnitus: Bibliometric and Comparative Product Analysis

The American Academy of Otolaryngology-Head and Neck Surgery defines tinnitus as “a sound perceived by the patient in the absence of an external sound source” [1]. Several studies have shown that the worldwide prevalence rate of tinnitus ranges from 5.1% to 42.7% [2]. Xu et al [3] showed that 9.6% of the global adult population has experienced tinnitus in the past 12 months. Of these, 36% had persistent tinnitus, and 27% had tinnitus for >15 years.

Yuanjia Hu, Yang Lu, Chenghua Tian, Yunfan He, Kaiyi Rong, Sijia Pan, Jianbo Lei

JMIR Mhealth Uhealth 2023;11:e47553

Effectiveness of Telerehabilitation Interventions for Self-management of Tinnitus: Systematic Review

Effectiveness of Telerehabilitation Interventions for Self-management of Tinnitus: Systematic Review

Most patients with tinnitus have chronic subjective tinnitus, that is, they have experienced tinnitus for ≥6 months, and the tinnitus sound is a phantom sensation of sound without the presence of a physical sound source and is hypothesized to be owing to abnormal neural activity [6-8]. The underlying cause of tinnitus varies widely and can be of an auditory as well as a nonauditory nature [9,10]. Consequently, there is also great variance in the clinical presentation.

Sara Demoen, Antonios Chalimourdas, Annick Timmermans, Vincent Van Rompaey, Olivier M Vanderveken, Laure Jacquemin, Winfried Schlee, Wim Marneffe, Janis Luyten, Annick Gilles, Sarah Michiels

J Med Internet Res 2023;25:e39076

The Treatment Outcome of Smart Device–Based Tinnitus Retraining Therapy: Prospective Cohort Study

The Treatment Outcome of Smart Device–Based Tinnitus Retraining Therapy: Prospective Cohort Study

Tinnitus retraining therapy (TRT) is a habituation therapy that can alleviate tinnitus-induced distress by means of directive counseling and sound therapy [1,2]. Despite the various attempts to cure tinnitus, currently there is no treatment that can completely eliminate tinnitus. Psychological and behavioral interventions such as cognitive behavioral therapy and TRT have been applied as alternatives.

Myung-Whan Suh, Moo Kyun Park, Yoonjoong Kim, Young Ho Kim

JMIR Mhealth Uhealth 2023;11:e38986

Chronic Tinnitus and the Positive Effects of Sound Treatment via a Smartphone App: Mixed-Design Study

Chronic Tinnitus and the Positive Effects of Sound Treatment via a Smartphone App: Mixed-Design Study

Experts dealing with tinnitus most often recommend sound therapy, which is the use of additional background sounds to change the patient’s reaction to tinnitus [10]. Sound therapy does not cure the condition, but may significantly lower its severity, reducing the level of distress or impact that tinnitus has on the individual [10]. The chronic nature of tinnitus often prompts patients to use various forms of self-help [10,12].

Justyna Jolanta Kutyba, W Wiktor Jędrzejczak, Elżbieta Gos, Danuta Raj-Koziak, Piotr Henryk Skarzynski

JMIR Mhealth Uhealth 2022;10(4):e33543

Internet-Based Audiologist-Guided Cognitive Behavioral Therapy for Tinnitus: Randomized Controlled Trial

Internet-Based Audiologist-Guided Cognitive Behavioral Therapy for Tinnitus: Randomized Controlled Trial

Tinnitus is a condition characterized by the perception of sound in the absence of an external stimulus. It is highly prevalent, with at least 10% of Americans experiencing some form of tinnitus, of which a proportion have chronic burdensome or debilitating tinnitus [1]. Bothersome tinnitus causes various functional impairments in sleep, concentration, cognitive performance, and thought processing [2,3].

Eldré W Beukes, Gerhard Andersson, Marc Fagelson, Vinaya Manchaiah

J Med Internet Res 2022;24(2):e27584