Internet-based vestibular rehabilitation for older dizzy adults: does it work? A single blind, three arm, randomised controlled trial in general practice

Completed

Conditions: Vertigo/dizziness
10022396

Registration Number: NL-OMON42858

Lead Sponsor: Vrije Universiteit Medisch Centrum

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: Not specified

Target Recruitment: 322

Inclusion Criteria

- being 50 years or older
- having access to internet and an email account
- having consulted a general practitioner for dizziness in the last two years, defined as recurrent dizziness for at least one month, including a giddy or rotational sensation, loss of balance, faint feeling, light-headedness, instability, or tendency to fall
- being able to speak, read and write Dutch
- still experiencing dizziness at time of inclusion
- head movements increase the dizziness (otherwise it is unlikely that the dizziness is of vestibular origin and therefore unlikely to respond to VR).

Exclusion Criteria

- An identifiable non-vestibular cause of dizziness in the electronic record of the patient
- Medical contraindications for making the required head movements (for example, severe cervical arthrosis).
- Serious comorbid conditions that preclude participation in an exercise programme.
- Current enrolment in another * interfering * study.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>The primary outcome, dizziness symptoms at 6 months, will be assessed using the<br /><br>Vertigo Symptoms Scale-Short Form.</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Secondary outcome measures will be dizziness-related impairment (Dizziness<br /><br>Handicap Inventory), subjective improvement in dizziness symptoms, anxiety and<br /><br>depression (Patient Health Questionnaire), quality of life (EQ-5D-5L) and<br /><br>adherence to treatment (Problematic Experiences of Therapy Scale). Costs will<br /><br>be measured from a societal perspective using the iMTA Medical Consumption and<br /><br>Productivity Cost questionnaires (iMCQ and iPCQ). Also, we will investigate<br /><br>predictors of successful treatment with internet-based VR (with and without<br /><br>physiotherapeutic support), and investigate patients* experiences with<br /><br>semi-structured face-to-face interviews to analyse patients* perceptions on the<br /><br>intervention and difficulties/practical barriers that they faced. </p><br>