SynthesisJournal of medical Internet research2026
Effectiveness of Telerehabilitation Interventions for Self-Management of Tinnitus: Update of a Systematic Review.
Synthesis in Journal of medical Internet research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundApproximately 14% of the adult population has tinnitus, and current treatments are often costly and time-consuming. Telerehabilitation might reduce treatment costs without compromising effectiveness.
objectiveTelerehabilitation is a quickly evolving research topic. Therefore, this systematic review update aims to give an overview of the research concerning the effectiveness of telerehabilitation interventions for self-management of tinnitus published between 2022 and 2025.
methodsThis systematic review adheres to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020) guidelines. PubMed, ScienceDirect, Scopus, Web of Science, and Cochrane Library were consulted for eligible studies concerning a study intervention of any possible form of self-management or telerehabilitation for adult patients with subjective tinnitus as a primary complaint. The risk of bias (RoB) and certainty of all included studies were assessed respectively by the Cochrane RoB2-tool and GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) framework.
resultsIn total, 24 papers were included, of which 6 studied multiple telerehabilitation forms. Internet-based cognitive behavioral therapy with guidance by a psychologist or audiologist was examined in 5 studies (n=619), self-help manuals in 1 study (n=10), technological self-help devices in 3 studies (n=286), smartphone apps in 13 studies (n=23,788), and other internet-based interventions in 5 studies (n=442). These rehabilitation categories were proven to be effective in decreasing tinnitus severity and relieving tinnitus distress as measured by tinnitus questionnaires.
conclusionsThe strength of this review is the gathering of recent studies on the very evolving topic of telerehabilitation for tinnitus. An important limitation of all included studies is that they raised some to great concerns of RoB. As a result, it is necessary to acknowledge that the overall certainty of the evidence ranged from low to moderate certainty. In addition, some crucial confounding parameters, such as the presence of hearing loss, hyperacusis, anxiety, depression, or sleeping problems, were not taken into consideration by all studies. This review gives an indication of the use of different telerehabilitation and self-management interventions for real-world clinical use, stating not only their possibilities but also their limitations. Overall, telerehabilitation was found to be effective in reducing tinnitus severity and distress. It forms a possible tool to improve the self-management capacities of the patient and the accessibility of tinnitus care as a replacement or an addition to in-person care. Nevertheless, barriers such as a lack of time, engagement, motivation, and openness of the patient, causing high dropout, should be taken into consideration. This review accentuated the shift from internet-based cognitive behavioral therapy to the growing interest in the use of smartphone apps, increasing the accessibility of the treatments even more.
trial registrationPROSPERO CRD 42021285450; https://www.crd.york.ac.uk/PROSPERO/view/CRD42021285450.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.