Smartphone-Based vs Face-to-Face Counseling for Tinnitus

This study is a randomized, parallel-group clinical trial designed to evaluate two counseling delivery formats for chronic tinnitus. Eligible adult participants with chronic subjective tinnitus are allocated to either smartphone-based counseling or face-to-face counseling. Both groups receive the same structured counseling content, with the delivery format being the only difference between interventions.

The counseling protocol focuses on tinnitus education, correction of maladaptive beliefs, and development of coping strategies. In the face-to-face group, counseling is delivered through scheduled in-person sessions using a structured educational booklet. In the smartphone-based group, the same content is delivered through a mobile application consisting of sequential modules, including assessment, education, coping strategies, and a clinician support feature.

Participants in both groups complete baseline assessments prior to counseling and follow-up evaluations at two and six weeks. The study is designed to examine whether smartphone-based counseling can achieve outcomes comparable to traditional face-to-face counseling when a unified counseling protocol is applied.

Inclusion criteria

Adults aged 18 years or older

Diagnosis of chronic subjective tinnitus lasting at least 6 months

Completion of a comprehensive audiological evaluation

Ability to read and understand the study materials

Adequate cognitive function as determined by a Mini-Mental State Examination score of 25 or higher

Willingness and ability to provide written informed consent

Exclusion criteria

Presence of objective tinnitus

History of neurological disorders

Diagnosed major psychiatric disorders

Receipt of tinnitus-related treatment within the previous 3 months

Inability to use or access the smartphone application (for technical or device-related reasons)