Online treatment for older dizzy patients in general practice

Completed

Conditions: Dizziness / Duizeligheid

Registration Number: NL-OMON22573

Lead Sponsor: VU University Medical Center/EMGO+

Brief Summary: 1. Van Vugt VA, van der Horst HE, Payne RA, Maarsingh OR. Chronic vertigo: treat with exercise, not drugs. BMJ. 2017 Aug 23;358:j3727. doi: 10.1136/bmj.j3727. 2. Van Vugt VA, Diaz Nerio PM, van der Wouden JC, van der Horst HE, Maarsingh OR. Use of canalith repositioning manoeuvres and vestibular rehabilitation: a GP survey. Scand J Prim Health Care. 2017 Mar;35(1):19-26. doi:10.1080/02813432.2017.1288683. 3. Van Vugt VA, van der Wouden JC, Bosmans JE, Smalbrugge M, van Diest W, Essery R, Yardley L, van der Horst HE, Maarsingh OR. Guided and unguided internet-based vestibular rehabilitation versus usual care for dizzy adults of 50 years and older: a protocol for a three-armed randomised trial. BMJ Open. 2017 Jan 20;7(1):e015479. doi: 10.1136/bmjopen-2016-015479.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: Not specified

Target Recruitment: 300

Inclusion Criteria

a. Aged 50 years and over.
b. Reported symptoms of dizziness.
c. Head movements increase the dizziness.
d. Acces to internet and an email account.
e. Ability to speak, read and write Dutch.

Exclusion Criteria

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

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Dizziness symptoms at six months -> Vertigo Symptoms Scale-Short Form (VSS-SF)<br>2. Health economic outcomes -> iMTA Medical Consumption Questionnaire (iMCQ)

Secondary Outcome Measures

Name	Time	Method
1. Dizziness-related impairment -> Dizziness Handicap Inventory<br>2. Subjective improvement in dizziness symptoms (SI)<br>3. Anxiety or depression -> Patient Health Questionnaire<br>4. Adherence to treatment -> Problematic Experiences of Therapy Scale