JAAA CEU Program

Questions refer to Searchfield, “A Client Oriented Scale of Improvement in Tinnitus for Therapy Goal Planning and Assessing Outcomes,” 327–337.

Learner Outcomes:

Readers of this article should be able to:


• List typical client focused tinnitus treatment goals.

• Describe how the COSIT can be applied in clinical practice.

CEU Questions:

1. The original COSI was published by Dillon et al in:

   • 2006

   • 2000

   • 1987

2. To administer the COSIT participants were asked?

   • How much of a problem their tinnitus was during the previous week.

   • Five improvements that they hoped to realize with tinnitus therapy.

   • To list their preferences for different therapy options.

3. The COSIT outcomes were compared to:

   • TFI, THI and THQ

   • TPFQ, TFI and THI

   • TFI, THI and HHI

4. What was the most frequent COSIT goal?

   • Getting to sleep

   • Hear better

   • Cope with or control tinnitus

5. Most participants identified this many treatment goals:

   • Five

   • Four

   • Three

6. How much of the time were participants annoyed by their tinnitus following therapy?

   • Half the time (score 3)

   • Occasionally (score 4)

   • Hardly ever (score 5)

7. Most participants reported their tinnitus was what following therapy?

   • Worse (score 1)

   • No different (score 2)

   • Better (score 3)

8. The COSIT final score was most strongly correlated with which questionnaire?

   • TFI

   • THI

   • THQ

9. The COSIT change score was most strongly correlated with which questionnaire?

   • TFI

   • THI

   • THQ

10. Based on this study’s recommendations which COSIT goal should be given priority?

    • The goal rated as highest priority by client

    • The goal driving the most symptoms

    • The goal most easily achievable with therapy

No conflict of interest has been declared by the author(s).