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Final Assessment and 4C

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    Watch this video before starting the module

    Module ID iCBT for Tinnitus self-help, Module number 7
    Title Final Assessment and 4C
    Author

    Dr. Hashir Aazh
    (Tinnitus and Hyperacusis Team-lead at the Royal Surrey County Hospital)
    Collaborators

    Professor Brian C.J. Moore
    (Department of Psychology, University of Cambridge)

    Dr Fiona Seaman-Thornton
    (Clinical Psychologist at the Royal Surrey County Hospital)
    Duration 10 pages

    Terms and conditions: By accessing this module you consent to (1) adhere to Copyright regulations (i.e., not to reproduce or copy any parts of this programme without written permission from the author), (2) you understand that we do not keep any identifiable information but anonymised data will be used for service improvement and research, (3) the email address you provide will be used for forwarding you the assessment reports, CBT information and worksheets relevant to your iCBT treatment and future communications in order to inform you about research updates, new services, future events, and tinnitus-related news (4) Like most websites we use cookies to deliver a personalised service, (5) For full information about our policies click on the relevant links here: Terms and conditions, Copyright, Privacy policy, Cookies policy, Medical information disclaimer.

    Final Assessment and 4C

    Welcome to this final assessment module. It is required to complete this assessment section one month after finishing all of the 6 modules of this i-CBT programme. Please answer the questions to the best of your knowledge. Based on the answers you provide a report will be developed automatically and will be sent to your email address. The report will include recommendations for further medical evaluations and/or psychological support (if indicated). This report will remain confidential but you may share it with your doctor, audiologist, or other relevant healthcare providers.

    This assessment module has 3 aims:

    • Assess your progress in tinnitus management.
    • Enhance your confidence and motivation in using CBT skills for tinnitus management.
    • Evaluate the usefulness of this iCBT programme for future improvement of this service and research.

    Service evaluation questions

    For each question please choose one number.

    How effective was iCBT in helping you manage your tinnitus?
    Are you able to manage your tinnitus differently compared to before you started the iCBT?

    Please rate the effectiveness of each of the iCBT modules in helping you manage your tinnitus?

    Doing a “Behavioural Experiment” and reflecting on its outcome
    Filling in the “Diary of Thoughts” and reflecting on them
    Completing the Assessment & 4C questions
    Learning about Positive Psychology
    General learning about CBT for tinnitus
    Learning how to challenge your negative thoughts

    Screening for symptoms of anxiety and depression

    Please answer these questions with regard to general anxiety and depression symptoms. These do not have to be related to tinnitus. Over the last 2 weeks, how often have you been bothered by any of the following problems?

    Feeling nervous, anxious or on edge
    Not being able to stop or control worrying
    Little interest or pleasure in doing things
    Feeling down, depressed or hopeless

    4C TINNITUS MANAGEMENT QUESTIONNAIRE

    For each question please select one number based on how you are feeling now.

    How confident are you that you are able to carry out your day-to-day tasks even with tinnitus?
    How confident are you that you are able to rest and relax even with tinnitus?
    How confident are you that you can enjoy your life fully even with tinnitus?
    How confident are you that you can do all the above without using any distraction or avoidance (e.g., background music or tinnitus maskers)?

    4C results

    Based on your responses to the 4C questionnaire, your total score for tinnitus management is XX%.

    In the other words, there is about XX% scope for further positive changes to your current tinnitus management skills.

    Well done for managing your tinnitus very well.

    In the next few pages we will focus on:

    1. Exploring the ways that you currently manage your tinnitus
    2. Identifying your strengths and weaknesses in coping with tinnitus
    3. Planning for a way forward

    4C: At the times that you are aware of your tinnitus, how confident you are that you can still complete your day-to-day tasks?

    For the question asking “how confident you are that you can still complete your day to day tasks even with tinnitus” you gave a response of XX.

    Why not 0? Use the space below to type your reasons that you didn’t give yourself 0.
    Use the space below to type your thoughts about why you gave yourself 0.

    Now think what can help you to move to a higher number? What would you need to be doing differently if you were to give yourself a 10 out of 10 in being confident in completing your day-to-day tasks even with tinnitus? Use the space below to type your ideas about what might help you to move to a higher number on this question:

    4C: At the times that you are aware of your tinnitus, loud and clear, how confident are you that you can still rest and relax?

    For the question asking “how confident you are that you can still rest and relax even with tinnitus” you gave a response of XX.

    Why not 0? Use the space below to type your reasons that you didn’t give yourself 0.
    Use the space below to type your thoughts about why you gave yourself 0.

    Now think what can help you to move to a higher number? What would you need to be doing differently if you were to give yourself a 10 out of 10 in being confident that you can rest and relax even with tinnitus? Use the space below to type your ideas about what might help you to move to a higher number on this question:

    4C: How confident are you that you can enjoy your life fully even with tinnitus?

    For the question asking “How confident you are that you can enjoy your life fully even with tinnitus” you gave a response of XX.

    Why not 0? Use the space below to type your reasons that you didn’t give yourself 0.
    Use the space below to type your thoughts about why you gave yourself 0.

    Now think what can help you to move to a higher number? What would you need to be doing differently if you were to give yourself a 10 out of 10 in being confident that you can enjoy your life even with tinnitus? Use the space below to type your ideas about what can help you to move to a higher number on this question:

    4C: How confident are you that you can do your day to day tasks, rest and relax, and enjoy your life without using any distraction or avoidance (e.g., background music or tinnitus maskers)?

    The ultimate goal of tinnitus management based on CBT is to enable you to lead a normal satisfying life without having to be dependent on any device, background noise etc. For the question asking “How confident are you that you can do all the above without using any distraction or avoidance (e.g., background music or tinnitus maskers)” you gave a response of XX.

    Why not 0? Use the space below to type your reasons that you didn’t give yourself 0.
    Use the space below to type your thoughts about why you gave yourself 0.

    Now think what can help you to move to a higher number? What would you need to be doing differently if you were to give yourself a 10 out of 10 in being confident that you can manage your tinnitus without using any avoidance techniques? Use the space below to type your ideas about what can help you to move to a higher number on this question:

    4C summary

    Here is a summary of your ideas on how to improve your tinnitus management:

    4C aspects
    Your ideas on how to improve
    Improving your confidence that you can complete your day to day tasks despite tinnitus
    Improving your confidence that you can still rest and relax
    Improving your confidence that you can enjoy a satisfying life despite your tinnitus
    Improving your confidence that you can do all of the above without using any distraction or avoidance (e.g., background music or tinnitus maskers)

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