Virtual progressive tinnitus management group care using VA Video Connect

Abstract: Purpose: This clinical study aimed to discuss the delivery and outcome of virtual group care for Veterans receiving progressive tinnitus management (PTM) services in the Bay Pines Veterans Affairs (VA) Healthcare System. Method: Virtual group PTM was provided to Veterans during fiscal years (FYs) 2022-2024 using the VA Video Connect (VVC) platform. Outcome measures were obtained via the Tinnitus Workshop Follow-Up form after completion of the virtual workshops. Results: Outcome data collected for FYs 2022-2024 showed that 80% of the respondents used all four strategies instructed in the workshops (using sound, relaxation, planning activities, changing unhelpful thoughts about tinnitus). Specifically, 94% reported using sound, 94% used relaxation strategies, 92% reported planning activities, and 88% reported changing unhelpful thoughts about tinnitus. The majority of respondents reported an improved sense of control of tinnitus (68%), improved ability to cope with tinnitus (68%), improved overall quality of life (QOL; 67%), and less bothersome tinnitus (60%) after participating in the workshops. Ninety-three percent of respondents recommended the workshops for other Veterans with bothersome tinnitus. Sixty percent requested text messages to support their tinnitus plan of care. Conclusions: Clinical outcomes of care delivered to Veterans with bothersome tinnitus showed use of the PTM coping strategies and improved QOL indicators after completion of care, with 93% of the respondents recommending virtual group PTM care to other Veterans with bothersome tinnitus. Veterans were receptive to receiving text messages to supplement their tinnitus plan of care. Clinical tele-audiology services for group participants in the VA can be successfully delivered via the VVC platform for a variety of audiologic needs including bothersome tinnitus.