Gameplay as a source of intrinsic motivation in a randomized controlled trial of auditory training for tinnitus.
rct · Level II
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- Record sourced from PubMed, PMID 25215617.
- Also identified by DOI 10.1371/journal.pone.0107430 and PMC identifier PMC3313073.
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Abstract
BACKGROUND: Previous studies of frequency discrimination training (FDT) for tinnitus used repetitive task-based training programmes relying on extrinsic factors to motivate participation. Studies reported limited improvement in tinnitus symptoms. PURPOSE: To evaluate FDT exploiting intrinsic motivations by integrating training with computer-gameplay. METHODS: Sixty participants were randomly assigned to train on either a conventional task-based training, or one of two interactive game-based training platforms over six weeks. Outcomes included assessment of motivation, tinnitus handicap, and performance on tests of attention. RESULTS: Participants reported greater intrinsic motivation to train on the interactive game-based platforms, yet compliance of all three groups was similar (∼ 70%) and changes in self-reported tinnitus severity were not significant. There was no difference between groups in terms of change in tinnitus severity or performance on measures of attention. CONCLUSION: FDT can be integrated within an intrinsically motivating game. Whilst this may improve participant experience, in this instance it did not translate to additional compliance or therapeutic benefit. TRIAL REGISTRATION: ClinicalTrials.gov NCT02095262.