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While other questionnaires are available, the committee explained the TFI is the only tinnitus questionnaire which has been designed to measure change and therefore it was specifically named as the preferred questionnaire in the recommendation.
The Tinnitus Handicap Inventory (THI; Newman et al., 1996) is a 25-item self-report measure to determine perceived tinnitus handicap severity. The THI is a useful measure for determining the efficacy of psychological treatment for tinnitus (Zeman et al., 2011).
Tinnitus Handicap Inventory The scale consists of 25 questions with 3 subscales: functional, affective, and catastrophic subscales. Each question is divided into three stepwise scales of response, with a score of 100 representing the most severe degree of tinnitus.
The TFI is a self-report questionnaire measuring severity and negative impacts of tinnitus (Meikle et al. 2012). It allows the clinician to comprehensively assess how severe tinnitus is in multiple domains.
The five severity points are: slight, mild, moderate, severe and catastrophic.
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The THI score of 0-16 means no or slight handicap, 18 to 36 indicates mild, 38 to 56 indicates moderate, 58 to 76 indicates severe, and a score of 78-100 is classified as catastrophic handicap. Mun, et al.
Tinnitus is a condition that the VA rates under 38 CFR 4.87, Schedule of Ratings Ear, Diagnostic Code 6260. This means that tinnitus VA ratings are a flat 10 percent disability rating for both ears. Va Rating Tinnitus smith.edu browser default browser smith.edu browser default browser
VA rates tinnitus under 38 CFR 4.87, Schedule of Ratings Ear, Diagnostic Code 6260. The condition of tinnitus is typically assigned 10 percent disability rating. Importantly, this singular 10 percent disability rating takes both ears into account. VA Disability Rating for Hearing Loss and Tinnitus - CCK Law cck-law.com blog va-disability-rating-for-hear cck-law.com blog va-disability-rating-for-hear
TinniTus Handicap invenTory severiTy scaLe 1 0-16 Slight: Only heard in quiet environment, very easily masked. No interference with sleep or daily activities. 2 18-36 Mild: Easily masked by environmental sounds and easily forgotten with activities. May occasionally interfere with sleep but not daily activities.
Conclusion: At baseline, the THI provided a higher score than the TFI for a higher degree of tinnitus but a lower score for lower tinnitus severity. Both THI and TFI were good questionnaires for baseline assessment and for treatment-related changes.

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