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Rationale and Development of a Remote Counseling Program for Hyperacusis.

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Title: Rationale and Development of a Remote Counseling Program for Hyperacusis.
Authors: Perreau, Ann1,2 annperreau@augustana.edu, Williamson, J. Austin3, Tyler, Richard S.2,4
Source: American Journal of Audiology. Jun2025, Vol. 34 Issue 2, p227-236. 10p.
Subject Terms: *Health services accessibility, *Fear, *Human services programs, *Psychological adaptation, *Visualization, *Counseling, *Hearing disorders, Evaluation of human services programs, Holistic medicine, Hyperacusis, Research funding, Medical care, Hearing protection, Internet, Telemedicine, Videoconferencing, Relaxation for health
Abstract: Purpose: This clinical focus article describes the development of a novel, remotely delivered counseling program for patients with hyperacusis. For many patients, seeking management of hyperacusis is limited by accessibility and affordability issues of care. By reducing these barriers, remote counseling has the potential to advance hyperacusis care and improve outcomes for many people suffering from hyperacusis. Method: We created a 4-week remote counseling program that included asynchronous videos, hands-on activities and quizzes, handouts and resources for teaching coping skills and keeping patients engaged, and synchronous discussions for coaching. Weekly content was derived from in-person therapy using hyperacusis activities treatment (HAT) and focused on five relevant topics that included (a) an overview of hyperacusis, tinnitus, hearing, and hearing loss; (b) reactions to hyperacusis and strategies to reduce negative reactions to sounds; (c) thought analysis and restructuring; (d) relaxation techniques and mindfulness; and (e) gradual sound exposure and proper use of hearing protection. Results: Our remote counseling program, HAT-Online, provides holistic education about hyperacusis, coping strategies to lessen reactions to everyday sounds and challenge thoughts and fears, and management options including customized sound therapy and relaxation exercises. Conclusion: With implementation of this remote counseling program, our team anticipates gathering early clinical evidence needed to support larger, multisite, future randomized clinical trials that will be designed to more fully evaluate the effectiveness of the remote delivery of HAT's counseling and customized sound therapy components to reduce reactions to hyperacusis. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Rationale and Development of a Remote Counseling Program for Hyperacusis.
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  Data: <searchLink fieldCode="AR" term="%22Perreau%2C+Ann%22">Perreau, Ann</searchLink><relatesTo>1,2</relatesTo><i> annperreau@augustana.edu</i><br /><searchLink fieldCode="AR" term="%22Williamson%2C+J%2E+Austin%22">Williamson, J. Austin</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Tyler%2C+Richard+S%2E%22">Tyler, Richard S.</searchLink><relatesTo>2,4</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Audiology%22">American Journal of Audiology</searchLink>. Jun2025, Vol. 34 Issue 2, p227-236. 10p.
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  Data: *<searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br />*<searchLink fieldCode="DE" term="%22Fear%22">Fear</searchLink><br />*<searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink><br />*<searchLink fieldCode="DE" term="%22Psychological+adaptation%22">Psychological adaptation</searchLink><br />*<searchLink fieldCode="DE" term="%22Visualization%22">Visualization</searchLink><br />*<searchLink fieldCode="DE" term="%22Counseling%22">Counseling</searchLink><br />*<searchLink fieldCode="DE" term="%22Hearing+disorders%22">Hearing disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+human+services+programs%22">Evaluation of human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Holistic+medicine%22">Holistic medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Hyperacusis%22">Hyperacusis</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Hearing+protection%22">Hearing protection</searchLink><br /><searchLink fieldCode="DE" term="%22Internet%22">Internet</searchLink><br /><searchLink fieldCode="DE" term="%22Telemedicine%22">Telemedicine</searchLink><br /><searchLink fieldCode="DE" term="%22Videoconferencing%22">Videoconferencing</searchLink><br /><searchLink fieldCode="DE" term="%22Relaxation+for+health%22">Relaxation for health</searchLink>
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  Data: Purpose: This clinical focus article describes the development of a novel, remotely delivered counseling program for patients with hyperacusis. For many patients, seeking management of hyperacusis is limited by accessibility and affordability issues of care. By reducing these barriers, remote counseling has the potential to advance hyperacusis care and improve outcomes for many people suffering from hyperacusis. Method: We created a 4-week remote counseling program that included asynchronous videos, hands-on activities and quizzes, handouts and resources for teaching coping skills and keeping patients engaged, and synchronous discussions for coaching. Weekly content was derived from in-person therapy using hyperacusis activities treatment (HAT) and focused on five relevant topics that included (a) an overview of hyperacusis, tinnitus, hearing, and hearing loss; (b) reactions to hyperacusis and strategies to reduce negative reactions to sounds; (c) thought analysis and restructuring; (d) relaxation techniques and mindfulness; and (e) gradual sound exposure and proper use of hearing protection. Results: Our remote counseling program, HAT-Online, provides holistic education about hyperacusis, coping strategies to lessen reactions to everyday sounds and challenge thoughts and fears, and management options including customized sound therapy and relaxation exercises. Conclusion: With implementation of this remote counseling program, our team anticipates gathering early clinical evidence needed to support larger, multisite, future randomized clinical trials that will be designed to more fully evaluate the effectiveness of the remote delivery of HAT's counseling and customized sound therapy components to reduce reactions to hyperacusis. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1044/2025_AJA-24-00229
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        Text: English
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        PageCount: 10
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      – SubjectFull: Health services accessibility
        Type: general
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      – SubjectFull: Human services programs
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      – SubjectFull: Psychological adaptation
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      – SubjectFull: Visualization
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      – SubjectFull: Counseling
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      – SubjectFull: Hearing disorders
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      – SubjectFull: Evaluation of human services programs
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      – SubjectFull: Hyperacusis
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      – SubjectFull: Medical care
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      – SubjectFull: Internet
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      – SubjectFull: Videoconferencing
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      – SubjectFull: Relaxation for health
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      – TitleFull: Rationale and Development of a Remote Counseling Program for Hyperacusis.
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              M: 06
              Text: Jun2025
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