liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Predicting the Outcomes of Internet-Based Cognitive Behavioral Therapy for Tinnitus : Applications of Artificial Neural Network and Support Vector Machine
Univ Texas Rio Grande Valley, TX 78539 USA; Lamar Univ, TX 77705 USA; Univ Pretoria, South Africa.
Lamar Univ, TX 77705 USA; Univ Pretoria, South Africa; Anglia Ruskin Univ, England.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Linköping University, Department of Biomedical and Clinical Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Otorhinolaryngology. Linköping University, Faculty of Medicine and Health Sciences. Karolinska Inst, Sweden.ORCID iD: 0000-0003-4753-6745
Lamar Univ, TX 77705 USA; Univ Pretoria, South Africa; Univ Colorado, CO USA; Univ Colorado Hosp, CO USA; Univ Pretoria, South Africa; Dept Speech & Hearing, India.
2022 (English)In: American Journal of Audiology, ISSN 1059-0889, E-ISSN 1558-9137, Vol. 31, no 4, p. 1167-1177Article in journal (Refereed) Published
Abstract [en]

Purpose: Internet-based cognitive behavioral therapy (ICBT) has been found to be effective for tinnitus management, although there is limited understanding about who will benefit the most from ICBT. Traditional statistical models have largely failed to identify the nonlinear associations and hence find strong predic-tors of success with ICBT. This study aimed at examining the use of an artificial neural network (ANN) and support vector machine (SVM) to identify variables associated with treatment success in ICBT for tinnitus.Method: The study involved a secondary analysis of data from 228 individuals who had completed ICBT in previous intervention studies. A 13-point reduction in Tinnitus Functional Index (TFI) was defined as a successful outcome. There were 33 predictor variables, including demographic, tinnitus, hearing-related and treatment-related variables, and clinical factors (anxiety, depression, insom-nia, hyperacusis, hearing disability, cognitive function, and life satisfaction). Pre-dictive models using ANN and SVM were developed and evaluated for classifi-cation accuracy. SHapley Additive exPlanations (SHAP) analysis was used to identify the relative predictor variable importance using the best predictive model for a successful treatment outcome.Results: The best predictive model was achieved with the ANN with an average area under the receiver operating characteristic value of 0.73 +/- 0.03. The SHAP analysis revealed that having a higher education level and a greater baseline tin-nitus severity were the most critical factors that influence treatment outcome positively.Conclusions: Predictive models such as ANN and SVM help predict ICBT treat-ment outcomes and identify predictors of outcome. However, further work is needed to examine predictors that were not considered in this study as well as to improve the predictive power of these models.Supplemental Material: https://doi.org/10.23641/asha.21266487

Place, publisher, year, edition, pages
AMER SPEECH-LANGUAGE-HEARING ASSOC , 2022. Vol. 31, no 4, p. 1167-1177
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:liu:diva-190957DOI: 10.1044/2022_AJA-21-00270ISI: 000894847900010PubMedID: 36215687OAI: oai:DiVA.org:liu-190957DiVA, id: diva2:1725048
Note

Funding Agencies|National Institute on Deafness and Communication Disorders; [R21DC017214]

Available from: 2023-01-10 Created: 2023-01-10 Last updated: 2023-04-21

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Andersson, Gerhard
By organisation
PsychologyFaculty of Arts and SciencesDepartment of Biomedical and Clinical SciencesDepartment of OtorhinolaryngologyFaculty of Medicine and Health Sciences
In the same journal
American Journal of Audiology
Applied Psychology

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 36 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf