Gameplay as a source of intrinsic motivation in a randomized controlled trial of auditory training for tinnitus.

PLoS One

National Institute for Health Research Nottingham Hearing Biomedical Research Unit, Nottingham, United Kingdom; Otology and Hearing group, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, United Kingdom.

Published: December 2015

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4162598PMC
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0107430PLOS

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