Gameplay as a source of intrinsic motivation in a randomized controlled trial of auditory training for tinnitus
Derek J Hoare, Nicolas Van Labeke, Abby McCormack, Magdalena Sereda, Sandra Smith, Hala Al Taher, Victoria L Kowalkowski, Mike Sharples, Deborah A Hall, Derek J Hoare, Nicolas Van Labeke, Abby McCormack, Magdalena Sereda, Sandra Smith, Hala Al Taher, Victoria L Kowalkowski, Mike Sharples, Deborah A Hall
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.
Conflict of interest statement
Competing Interests: The authors have declared that no competing interests exist.
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Source: PubMed