RT Journal Article T1 Unification of Treatments and Interventions for Tinnitus Patients (UNITI): a study protocol for a multi-center randomized clinical trial. A1 Schoisswohl, Stefan A1 Langguth, Berthold A1 Schecklmann, Martin A1 Bernal-Robledano, Alberto A1 Boecking, Benjamin A1 Cederroth, Christopher R A1 Chalanouli, Dimitra A1 Cima, Rilana A1 Denys, Sam A1 Dettling-Papargyris, Juliane A1 Escalera-Balsera, Alba A1 Espinosa-Sanchez, Juan Manuel A1 Gallego-Martinez, Alvaro A1 Giannopoulou, Efi A1 Hidalgo-Lopez, Leyre A1 Hummel, Michael A1 Kikidis, Dimitris A1 Koller, Michael A1 Lopez-Escamez, Jose A A1 Marcrum, Steven C A1 Markatos, Nikolaos A1 Martin-Lagos, Juan A1 Martinez-Martinez, Maria A1 Martinez-Martinez, Marta A1 Ferron, Maria Mata A1 Mazurek, Birgit A1 Mueller-Locatelli, Nicolas A1 Neff, Patrick A1 Oppel, Kevin A1 Perez-Carpena, Patricia A1 Robles-Bolivar, Paula A1 Rose, Matthias A1 Schiele, Tabea A1 Schiller, Axel A1 Simoes, Jorge A1 Stark, Sabine A1 Staudinger, Susanne A1 Stege, Alexandra A1 Verhaert, Nicolas A1 Schlee, Winfried K1 Cognitive behavioral therapy K1 Hearing aids K1 Multi-center K1 RCT K1 Sound therapy K1 Structured counseling K1 Tinnitus K1 Treatment AB Tinnitus represents a relatively common condition in the global population accompanied by various comorbidities and severe burden in many cases. Nevertheless, there is currently no general treatment or cure, presumable due to the heterogeneity of tinnitus with its wide variety of etiologies and tinnitus phenotypes. Hence, most treatment studies merely demonstrated improvement in a subgroup of tinnitus patients. The majority of studies are characterized by small sample sizes, unstandardized treatments and assessments, or applications of interventions targeting only a single organ level. Combinatory treatment approaches, potentially targeting multiple systems as well as treatment personalization, might provide remedy and enhance treatment responses. The aim of the present study is to systematically examine established tinnitus therapies both alone and in combination in a large sample of tinnitus patients. Further, it wants to provide the basis for personalized treatment approaches by evaluating a specific decision support system developed as part of an EU-funded collaborative project (Unification of treatments and interventions for tinnitus patients; UNITI project). This is a multi-center parallel-arm randomized clinical trial conducted at five different clinical sites over the EU. The effect of four different tinnitus therapy approaches (sound therapy, structured counseling, hearing aids, cognitive behavioral therapy) applied over a time period of 12 weeks as a single or rather a combinatory treatment in a total number of 500 chronic tinnitus patients will be investigated. Assessments and interventions are harmonized over the involved clinical sites. The primary outcome measure focuses on the domain tinnitus distress assessed via the Tinnitus Handicap Inventory. Results and conclusions from the current study might not only provide an essential contribution to combinatory and personalized treatment approaches in tinnitus but could also provide more profound insights in the heterogeneity of tinnitus, representing an important step towards a cure for tinnitus. ClinicalTrials.gov NCT04663828 . Registered on 11 December 2020. YR 2021 FD 2021-12-04 LK https://hdl.handle.net/10668/26226 UL https://hdl.handle.net/10668/26226 LA en DS RISalud RD Apr 5, 2025