Pilot C: test the feasibility and efficacy of a take-home computerised attention training programme “Terrain” for tinnitus treatment. Pilot B: determine if an available attention training approach (APT-II) was adaptable to a client-centred approach consistent with a pervasive healthcare model.

AIMS: Pilot A: determine any potential procedural learning-related effects occurring from repeated administration of an attention battery (CAB®).

Studies described in this thesis (3 pilot studies and 1 main study) describe the development of an attention-based training method to manage tinnitus. The importance of attention and memory in tinnitus has not been well-researched but studies suggest attention may play a role in tinnitus’ salience sustaining its presence, promoting annoyance or tinnitus-related disability (Alpini, Cesarani, & Hahn, 2007 Cuny, Noreña, El Massioui, & Chéry-Croze, 2004 Hallam, McKenna, & Shurlock, 2004 Jacobson et al., 1996). Imaging studies have identified regional activation associated with tinnitus perception similar to areas implicated in attention, memory and emotion (Golm, Schmidt-Samoa, Dechent, & Kröner-Herwig, 2012 Mirz et al., 1999 Mühlau et al., 2006 Vanneste et al., 2010). BACKGROUND: Tinnitus is the conscious awareness of sound, perceived in the ears or head, without an external sound source (Lockwood et al., 1998 McFadden, 1982).

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