@文章{信息:doi/10.2196/38986，作者=“Suh, myung - hwan and Park, Moo Kyun and Kim, Yoonjoong and Kim, Young Ho”，标题=“基于智能设备的耳鸣再训练疗法的治疗效果:前瞻性队列研究”，期刊=“JMIR Mhealth Uhealth”，年=“2023”，月=“1”，日=“12”，卷=“11”，页=“e38986”，关键词=“耳鸣;耳鸣再训练疗法;智能设备;声音疗法;康复;治疗;平板电脑应用程序;app-based;数字疗法;背景:耳鸣再训练疗法(TRT)是一种标准的耳鸣治疗方法，包括指导咨询和声音治疗。 However, it is based on face-to-face education and a time-consuming protocol. Smart device--based TRT (smart-TRT) seems to have many advantages, but the efficacy of this new treatment has been questioned. Objective: The aim of this study was to compare the efficacy between smart-TRT and conventional TRT (conv-TRT). Methods: We recruited 84 patients with tinnitus. Results were compared between 42 patients who received smart-TRT and 42 control participants who received conv-TRT. An interactive smart pad application was used for directive counseling in the smart-TRT group. The smart pad application included detailed education on ear anatomy, the neurophysiological model of tinnitus, concept of habituation, and sound therapy. The smart-TRT was bidirectional: There were 17 multiple choice questions between each lesson as an interim check. The conv-TRT group underwent traditional person-to-person counseling. The primary outcome measure was the Tinnitus Handicap Inventory (THI), and the secondary outcome measure was assessed using a visual analogue scale (VAS). Results: Both treatments had a significant treatment effect, which comparably improved during the first 2 months. The best improvements in THI were --23.3 (95{\%} CI --33.1 to --13.4) points at 3 months and --16.8 (95{\%} CI --30.8 to --2.8) points at 2 months in the smart-TRT group and conv-TRT group, respectively. The improvements on the VAS were also comparable: smart-TRT group: --1.2 to --3.3; conv-TRT: --0.7 to --1.7. Conclusions: TRT based on smart devices can be an effective alternative for tinnitus patients. Considering the amount of time needed for person-to-person counseling, smart-TRT can be a cost-effective solution with similar treatment outcomes as conv-TRT. ", issn="2291-5222", doi="10.2196/38986", url="https://mhealth.www.mybigtv.com/2023/1/e38986", url="https://doi.org/10.2196/38986", url="http://www.ncbi.nlm.nih.gov/pubmed/36633890" }