Tinnitus Online Step 2 (Australia & Sweden)


This program is an English language version of a Swedish tinnitus distress program which has shown positive outcomes.  It is an extension of the Tinnitus Online Step 1 program too.  Tinnitus Online Step 2 comprises 10 components, delivered in six modules, with on module to be completed each week.  The components include relaxation and imagery techniques, attentional and concentration control skills and other self management skills.  The program also includes homework assignments and a weekly diary, which are submitted to therapists who respond via email to help with any issues.

Service URL:
Agency Responsible:
Swinburne University eTherapy Unit.


Intervention Type:
Psychological – CBT.
Course Length:
Long (more than 5 modules). Comprises 10 components in 6 weekly modules
Support Option:
Clinical support.

Target Audience

Primary Category:
Target Audience:


Open: With registration.
Contact Details:


Research evidence

Research Trials:
Research RCTs:
Outcome Summary:

A cluster randomised trial has compared Tinnitus Online Step 2 with an information control (Tinnitus Online Step 1).  At the conclusion of the study both groups reported that their tinnitus was quieter and less annoying than when they started the study.  However, no significant differences were identified between the treatment group and the information control group, though the CBT program was reported to improve tinnitus distress.  Additional studies are required to determine the efficacy of Tinnitus Online Step 2, but this evidence provides preliminary support for the program.

Recommended rating, reviewer 1:

There is evidence that the site might work. More conclusive studies are needed.
Recommended rating, reviewer 2:

There is evidence that the site might work. More conclusive studies are needed.

Read more about Beacon's Smiley Rating System.

Research paper citations

  1. Abbott, J., Kaldo, V., Klein B., Austin, D., Hamilton, C., Piterman, L, Andersson, G., & Williams, B. (2009). A cluster randomised trial of an internet-based intervention program for tinnitus distress in an industrial setting.  Cognitive Behaviour Therapy, 38, 162-173.

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Last Updated: January 27th 2010