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What changes are reflected in the TFI Subscales as individuals progress through the CBT4T process?


  • The study uses 24 sets of Tinnitus Functional Index (TFI) Outcomes
  • Each person joining CBT4T completes a Tinnitus Functional Index initially, repeated and compared at Stages 4, 6, 7 and/or 8
  • Data for this study is provided by individuals using the CBT4T programme during 2026 who have completed at least up to Stage 4
  • Of the 24 sets of Outcomes, 15 are current and actively participating in the CBT4T programme at the time of publication (August 2026); 9 have completed
  • Individual qualitative feedback and evaluations (and individual TFI results) can be viewed in Reviews

Note: Flexibility is built in to CBT4T so that every person uses the process at a pace that suits their own needs and responsibilities. This means that some individuals progress more quickly / more slowly through the Stages than others. View CBT4T Enrolment

The 24 sets of Tinnitus Functional Index (TFI) outcomes are presented below in two parts:
  1. Outcomes for 9 sets of TFI results comprising TFI category changes for the Completed CBT4T group according to their initial TFI category at CBT4T enrolment
  2. Outcomes for 15 sets of TFI results comprising TFI category changes for the Current / active CBT4T group according to their initial TFI category at CBT4T enrolment

Tinnitus Functional Index (TFI) categories:
  • Category 5: 73-100% (very big problem)
  • Category 4: 54-72% (big problem)
  • Category 3: 32-53% (moderate problem)
  • Category 2: 18-31% (small problem)
  • Category 1: 0-17% (not a problem)

Outcomes for 9 sets of TFI results comprising TFI category changes for the Completed CBT4T group according to their initial TFI category at CBT4T enrolment:

Outcomes for 15 sets of TFI results comprising TFI category changes for the Current / active CBT4T group according to their initial TFI category at CBT4T enrolment:




CBT4T was developed specifically for those with an initial category 4 (54-72%) or 5 (73-100%) Tinnitus Functional Index (TFI). It has proven to be suitable for those with an initial category 3 (moderate problem), but those presenting with an initial category 2 (small problem) TFI are encouraged to consider the CBT4T-6 Module course rather than the main CBT4T programme.

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Debbie Featherstone MSc Hearing Therapy | Psychotherapy & CBT Specialist
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