About this trial
The broad goals of this project are to apply and validate the therapeutic utility of neurofeedback-guided intervention for tinnitus and its associated psychological sufferings. In this project, the investigators will evaluate whether targeted (non-auditory networks) neurofeedback-based training can restore emotional and cognitive health for individuals with bothersome tinnitus. The investigators will also link individual tinnitus scores with objective brain imaging measures before, during, and after the intervention. The investigators will accomplish these goals by using a combined brain imaging and behavioral experimental framework.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Non-pulsatile tinnitus for at least 6 months,
Bothersome tinnitus, based on a Tinnitus Functional Index score > 25,
Normal cognitive processing abilities, based on a Montreal Cognitive Assessment score> 25.
Disqualifiers
Clinically diagnosed dementia or Parkinson's disease,
Meniere's disease,
Severe physical or cognitive impairments that prevent completion of study tasks or scanning,
History of drug or alcohol abuse,
Trial design
Single group
Treatments tested in this trial
neurofeedback-guided brain connectivity modulation
BehavioralReal-time brain signal acquired through fMRI is used to measure ongoing functional connectivity of relevant brain regions (default mode network), and displayed to participants to mediate targeted regulation.
sham neurofeedback-guided brain connectivity modulation
BehavioralReal-time brain signal acquired through fMRI on a different participant in the past is displayed to participants under this arm during feedback training.
Treatment groups
Trial outcomes
Primary outcomes
Score on the Tinnitus Functional Index
The Tinnitus Functional Index (TFI) is a 25-item self-report questionnaire designed to measure the impact of tinnitus on an individual's daily life and functioning. The scale produces a global score ranging from 0 to 100, where a minimum score of 0 represents no impact and a maximum score of 100 represents severe impact. Higher scores indicate a worse outcome (greater tinnitus severity and distress).
Secondary outcomes
Score on the Hospital Anxiety and Depression Scale
The Hospital Anxiety and Depression Scale (HADS) is a 14-item self-report questionnaire used to screen for anxiety and depression in medical settings. Higher scores indicate a worse outcome. Unit of Measure: Score on a scale (0-21)
Percent-change in Functional Connectivity Strength from Baseline to Post-Intervention, participant-level
This measure evaluates changes in brain functional connectivity in the default mode network using functional Magnetic Resonance Imaging (fMRI), which is a correlation coefficient of brain activity. This will be measured for each participant. Unit: percentage (change in correlation coefficient)
Sponsors and contacts
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University of Illinois at Urbana-Champaign
Lead sponsor
Royal Royal National Institute for Deaf People (RNID)
Collaborator