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Management of tinnitus in English NHS audiology departments: An evaluation of current practice

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Management of tinnitus in English NHS audiology departments : An evaluation of current practice. / Hoare, Derek J.; Gander, Phillip E.; Collins, Luke; Smith, Sandra; Hall, Deborah A.

In: Journal of Evaluation in Clinical Practice, Vol. 18, No. 2, 04.2012, p. 326-334.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Hoare, DJ, Gander, PE, Collins, L, Smith, S & Hall, DA 2012, 'Management of tinnitus in English NHS audiology departments: An evaluation of current practice', Journal of Evaluation in Clinical Practice, vol. 18, no. 2, pp. 326-334. https://doi.org/10.1111/j.1365-2753.2010.01566.x

APA

Hoare, D. J., Gander, P. E., Collins, L., Smith, S., & Hall, D. A. (2012). Management of tinnitus in English NHS audiology departments: An evaluation of current practice. Journal of Evaluation in Clinical Practice, 18(2), 326-334. https://doi.org/10.1111/j.1365-2753.2010.01566.x

Vancouver

Hoare DJ, Gander PE, Collins L, Smith S, Hall DA. Management of tinnitus in English NHS audiology departments: An evaluation of current practice. Journal of Evaluation in Clinical Practice. 2012 Apr;18(2):326-334. https://doi.org/10.1111/j.1365-2753.2010.01566.x

Author

Hoare, Derek J. ; Gander, Phillip E. ; Collins, Luke ; Smith, Sandra ; Hall, Deborah A. / Management of tinnitus in English NHS audiology departments : An evaluation of current practice. In: Journal of Evaluation in Clinical Practice. 2012 ; Vol. 18, No. 2. pp. 326-334.

Bibtex

@article{daa5a98ab3894dffbcec5d5d191df387,
title = "Management of tinnitus in English NHS audiology departments: An evaluation of current practice",
abstract = "Rationale, aim and objective In 2009, the UK Department of Health formalized recommended National Health Service practices for the management of tinnitus from primary care onwards. It is timely therefore to evaluate the perceived practicality, utility and impact of those guidelines in the context of current practice. Methods We surveyed current practice by posting a 36-item questionnaire to all audiology and hearing therapy staff that we were able to identify as being involved in tinnitus patient care in England. Results In total, 138 out of 351 clinicians responded (39% response rate). The findings indicate a consensus opinion that management should be tailored to individual symptom profiles but that there is little standardization of assessment procedures or tools in use. Conclusions While the lack of standardized practice might provide flexibility to meet local demand, it has drawbacks. It makes it difficult to ascertain key standards of best practice, it complicates the process of clinical audit, it implies unequal patient access to care, and it limits the implementation of translational research outcomes. We recommend that core elements of practice should be standardized, including use of a validated tinnitus questionnaires and an agreed pathway for decision making to better understand the rationale for management strategies offered.",
keywords = "good practice guidelines, hearing therapist, outcome measure",
author = "Hoare, {Derek J.} and Gander, {Phillip E.} and Luke Collins and Sandra Smith and Hall, {Deborah A.}",
note = "Re‐use of this article is permitted in accordance with the Terms and Conditions set out at http://wileyonlinelibrary.com/onlineopen#OnlineOpen_Terms",
year = "2012",
month = apr,
doi = "10.1111/j.1365-2753.2010.01566.x",
language = "English",
volume = "18",
pages = "326--334",
journal = "Journal of Evaluation in Clinical Practice",
issn = "1356-1294",
publisher = "Wiley-Blackwell",
number = "2",

}

RIS

TY - JOUR

T1 - Management of tinnitus in English NHS audiology departments

T2 - An evaluation of current practice

AU - Hoare, Derek J.

AU - Gander, Phillip E.

AU - Collins, Luke

AU - Smith, Sandra

AU - Hall, Deborah A.

N1 - Re‐use of this article is permitted in accordance with the Terms and Conditions set out at http://wileyonlinelibrary.com/onlineopen#OnlineOpen_Terms

PY - 2012/4

Y1 - 2012/4

N2 - Rationale, aim and objective In 2009, the UK Department of Health formalized recommended National Health Service practices for the management of tinnitus from primary care onwards. It is timely therefore to evaluate the perceived practicality, utility and impact of those guidelines in the context of current practice. Methods We surveyed current practice by posting a 36-item questionnaire to all audiology and hearing therapy staff that we were able to identify as being involved in tinnitus patient care in England. Results In total, 138 out of 351 clinicians responded (39% response rate). The findings indicate a consensus opinion that management should be tailored to individual symptom profiles but that there is little standardization of assessment procedures or tools in use. Conclusions While the lack of standardized practice might provide flexibility to meet local demand, it has drawbacks. It makes it difficult to ascertain key standards of best practice, it complicates the process of clinical audit, it implies unequal patient access to care, and it limits the implementation of translational research outcomes. We recommend that core elements of practice should be standardized, including use of a validated tinnitus questionnaires and an agreed pathway for decision making to better understand the rationale for management strategies offered.

AB - Rationale, aim and objective In 2009, the UK Department of Health formalized recommended National Health Service practices for the management of tinnitus from primary care onwards. It is timely therefore to evaluate the perceived practicality, utility and impact of those guidelines in the context of current practice. Methods We surveyed current practice by posting a 36-item questionnaire to all audiology and hearing therapy staff that we were able to identify as being involved in tinnitus patient care in England. Results In total, 138 out of 351 clinicians responded (39% response rate). The findings indicate a consensus opinion that management should be tailored to individual symptom profiles but that there is little standardization of assessment procedures or tools in use. Conclusions While the lack of standardized practice might provide flexibility to meet local demand, it has drawbacks. It makes it difficult to ascertain key standards of best practice, it complicates the process of clinical audit, it implies unequal patient access to care, and it limits the implementation of translational research outcomes. We recommend that core elements of practice should be standardized, including use of a validated tinnitus questionnaires and an agreed pathway for decision making to better understand the rationale for management strategies offered.

KW - good practice guidelines

KW - hearing therapist

KW - outcome measure

U2 - 10.1111/j.1365-2753.2010.01566.x

DO - 10.1111/j.1365-2753.2010.01566.x

M3 - Journal article

C2 - 21087449

AN - SCOPUS:84863295398

VL - 18

SP - 326

EP - 334

JO - Journal of Evaluation in Clinical Practice

JF - Journal of Evaluation in Clinical Practice

SN - 1356-1294

IS - 2

ER -