The components of the internet-based cognitive behavioural therapy (iCBT) intervention
| Week | Module | Explanation | Application |
|---|---|---|---|
| 1 | About this treatment | Introduction to the modules | Reading |
| Tinnitus overview | In-depth information | Quizzes | |
| 2 | Relaxation: step 1 | Deep relaxation | 10–15 min, twice/day |
| Identifying negative thoughts | The link between thoughts and feelings | Writing down thoughts | |
| Sound enrichment* | Using background sounds | Applying external sounds | |
| 3 | Relaxation: step 2 | Diaphragmatic breathing | 5–7 min, twice/day |
| Cognitive restructuring | Analysing thoughts | Writing down situation, thoughts, feelings | |
| Sleep guidelines* | Various techniques | Choose and apply techniques | |
| 4 | Relaxation: step 3 | Entire body relaxation | 2–3 min, twice/day |
| Positive imagery | Use to enhance relaxation | Twice/day after relaxation | |
| Concentration tips* | Techniques discussed | Engage in mentally engaging activities | |
| 5 | Relaxation: step 4 | Rapid relaxation | 20–60 s, 5–10 times/day |
| Focus exercises | Mindful awareness | Twice/day after relaxation | |
| Sensitivity to sound* | Gradual exposure | Listen to non-damaging, non-annoying sounds | |
| 6 | Relaxation: step 5 | Rapid relaxation in more difficult situations | 30–60 s, 10–15 times/day |
| Reinterpretation of tinnitus | Change negative tinnitus associations | Writing about tinnitus thoughts | |
| Hearing tactics* | Communication advice | Follow advice | |
| 7 | Relaxation: step 6 | Making relaxation part of daily routines and habits | Rapid relaxation, 10–20 times/day |
| Exposure to tinnitus | Decrease negative emotions and avoidance of tinnitus | Actively listen to tinnitus for 5–10 min, once/day, after relaxation | |
| 8 | Key points summary | Highlighting key concepts | Online quiz |
| Future planning | Maintenance and relapse prevention | Making a plan to use tools in daily life |
*Optional modules.