 Gweithio, mae gweld Llywodraeth Gweithneidwyr, ac rydw i'n ddwych chi'n ddysgu'r Llywodraeth Cymru, gyda ymddangos ei ddiddordeb honno oherwydd i gael raddysgwladu am ymddangos yr interweithiau gyda ymddangos yr COVID-19 ymddangos. Rydw i'n ddiddordeb arweithio'r llwyglod mwy o ffordd yng Nalech Ariond, 39 ymddi Tiolaeth, 40 ymddiad diwethaf, 21 o eni i gyrnasol, a 12 o unrhyw ar ysgolgoi'r ysgriffaith. Rose What we're discussing today is outlining rationale for doing this intervention, the outcomes of the intervention and our experiences delivering this intervention during the Covid-19 pandemic. So, when we live in permission management, they are to you the main schools of thought when is trying to reduce the, first step of the opportunity. So, to make it less noticeable I medicine approaches, and often some based approaches, so things like sound enrichments and fitment hearing devices. Another big approach is trying to reduce the reaction stitulitis and the life effects to matter's hands. This is generally psychological approaches such as cognitive behavioural therapy, acceptance of lipid therapy and mindfulness. Now, of all these approaches, the one with the most evidence of effectiveness is CBT for Tenters Development Systematic Reviews. So, dwi'n spidol y ffordd, ac mae'r prifysg Llywodraeth Llywodraeth CBC worldwide, ac mae'r prifysg Llywodraeth Llywodraeth Llywodraeth Llywodraeth Llywodraeth Llywodraeth Llywodraeth Llywodraeth Llywodraeth Llywodraeth. After this assessment, the control group received the intervention, an experimental group were finished with the intervention, and they just went through a waiting period. After this, another assessment was done, and two months after both groups had done the intervention, there was another assessment. Ielwch i gael y cwmhwys i'r unrhyw o'r mewn ynglynig i'r spaniadau, ond mae'r ffordd yn i gael i'r unrhyw o'r mewn ymlaen i'r 8 o'r mewn spaniadau. Y cyfnodd yw'r ymddangosod yn 2020. Yn ymddangosod yn ymddangosod, ac ymddangosod yn ymddangosod yn ymddangosod ymddangosod ymddangosod ymddangosod, ac yn ymddangosod ymddangosod, Yn 2020, rwy'n credu bod ymweld i'r ddwylo'n dweud i'ch gweithio'r gwaith o'r panfyniadau arall yn y gweithio. Roedd yn march, roeddwn i'r 12 o'u cyfeithio yn fwy ar y dyfodol, a dwi'n credu bod dwi'n credu ar y dyfodol yn fwy o'r cyfeithio'r panfyniadau ar y cyfnodol. Mae gweithio'r cyfnodol yn ni wedi cyflym yn texas ac yn cael ei ddyliadau arall yn y drwynghod. So, overall, in this trial, there were equal numbers of males and females with a mean age of 56 years and maintenance duration of 15 years, which represented a sort of the same population as we'd seen in previous clinical trials. So for this intervention, this graph shows the different time points. Now, top line into blue-green shows a steady decline, but the time point one, T1, not that much of a decline, although a small decline, as the decline in the orange-pink bar, which showed the experimental group. So, after only the experimental group had the intervention, they had a greater decline in the tinnitus severity compared to the control group with an effect size of 0.46. After both groups had the intervention at time point T2, they both had a reduced tinnitus duration, which wasn't significantly different. So, the intervention was beneficial and at two months' follow-up, both groups had maintained the results of the tinnitus distress and improved slightly more, so we see this reduction over time. And we looked at the magnitude of change in the different groups, so with the main outcome measure, it runs between 0 to 100, and we wanted to see how much change could be expected to the experimental group on blue lines, a lot of score change after the intervention of about 20 to 250 points will change, and after the control group did the intervention also the same, a lot of people between 10 and 30 point difference. So, regarding the secondary outcomes, the ones that were significantly different were insomnia and tinnitus cognitions with effect sizes of 3 and 4, and the results for these were also maintained two months' post-intervention and nobody had any adverse effects. So, because this is quite an active intervention, we looked at how people were engaging with the intervention, and then intervention is what we call the guided interventions so people could send the therapist messages. And we found that very few messages were sent on average about one in the whole intervention, which is very unlike other trials. When we looked at the models read out of 22, an average of about six models were read, which was also really low. And the logins over the period about one log in a week into the intervention, so this was much lower than we saw previously. Also with the outcome completion, the rates were lower than we'd seen previously, so we looked into this a bit more. And asked people, so what were barriers during the intervention, and found there were quite a few COVID related barriers, so firstly people being ill with COVID and just being too fatigued to do anything. Lots of people had increased workload during the pandemic, or had to look after family, and found just the focus on the pandemic may make concentrating on an intervention or anything else difficult. And lots of people also mentioned soon fatigue being on the computers all day long, due to working just different ways of working and just not wanting to look at the computer after work time. There were some positives though, so the intervention did help people deal with the daily stresses of the intervention and help them problem solve more and feel less isolated and alone. And were able to manage their thoughts during the pandemic better so overall there were positives to help people through the pandemic with a wider pandemic effects, running the intervention so it was good running the intervention to help individuals. I think the pandemic effects did have an impact on the engagement of the intervention, which is important to put things in place if clinical trials are run during such difficult times. So thank you for listening. I just wanted to thank the wider study team for the involvement in this research. Bye bye.