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Internet-Based Vest...
Internet-Based Vestibular Rehabilitation for Older Adults With Chronic Dizziness : A Randomized Controlled Trial in Primary Care
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- Geraghty, Adam W. A. (författare)
- Karolinska Institutet,University of Southampton, England
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- Essery, Rosie (författare)
- University of Southampton, England
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- Kirby, Sarah (författare)
- University of Southampton, England
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- Stuart, Beth (författare)
- University of Southampton, England
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- Turner, David (författare)
- University of East Anglia, England
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- Little, Paul (författare)
- University of Southampton, England
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- Bronstein, Adolfo (författare)
- Imperial Coll London, England
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- Andersson, Gerhard (författare)
- Linköpings universitet,Psykologi,Filosofiska fakulteten,Karolinska Institute, Sweden
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- Carlbring, Per (författare)
- Stockholms universitet,Klinisk psykologi,Stockholm University, Sweden
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- Yardley, Lucy (författare)
- University of Southampton, England; University of Oxford, England
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(creator_code:org_t)
- 2017-05-08
- 2017
- Engelska.
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Ingår i: Annals of Family Medicine. - : Annals of Family Medicine. - 1544-1709 .- 1544-1717. ; 15:3, s. 209-216
- Relaterad länk:
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https://www.annfamme...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
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- PURPOSE: Vestibular rehabilitation is an effective intervention for dizziness due to vestibular dysfunction, but is seldom provided. We aimed to determine the effectiveness of an Internet-based vestibular rehabilitation program for older adults experiencing dizziness in primary care.METHODS: We undertook a single-center, single-blind randomized controlled trial comparing an Internet-based vestibular rehabilitation intervention (Balance Retraining, freely available from https://balance.lifeguidehealth.org) with usual primary care in patients from 54 primary care practices in southern England. Patients aged 50 years and older with current dizziness exacerbated by head movements were enrolled. Those in the intervention group accessed an automated Internet-based program that taught vestibular rehabilitation exercises and suggested cognitive behavioral management strategies. Dizziness was measured by the Vertigo Symptom Scale–Short Form (VSS-SF) at baseline, 3 months, and 6 months. The primary outcome was VSS-SF score at 6 months.RESULTS: A total of 296 patients were randomized in the trial; 66% were female, and the median age was 67 years. The VSS-SF was completed by 250 patients (84%) at 3 months and 230 patients (78%) at 6 months. Compared with the usual care group, the Internet-based vestibular rehabilitation group had less dizziness on the VSS-SF at 3 months (difference, 2.75 points; 95% CI, 1.39–4.12; P <.001) and at 6 months (difference, 2.26 points; 95% CI, 0.39–4.12; P = .02, respectively). Dizziness-related disability was also lower in the Internet-based vestibular rehabilitation group at 3 months (difference, 6.15 points; 95% CI, 2.81–9.49; P <.001) and 6 months (difference, 5.58 points; 95% CI, 1.19–10.0; P = .01).CONCLUSIONS: Internet-based vestibular rehabilitation reduces dizziness and dizziness-related disability in older primary care patients without requiring clinical support. This intervention has potential for wide application in community settings.
Ämnesord
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- behavioral medicine
- chronic care
- ear
- nose
- and throat (ENT)
- vertigo
- Meniere disease
- primary care
- practice-based research
- Psychology
- psykologi
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Geraghty, Adam W ...
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Essery, Rosie
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Kirby, Sarah
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Stuart, Beth
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Turner, David
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Little, Paul
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Bronstein, Adolf ...
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Andersson, Gerha ...
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Carlbring, Per
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Yardley, Lucy
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- Om ämnet
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- SAMHÄLLSVETENSKAP
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SAMHÄLLSVETENSKA ...
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och Psykologi
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Omvårdnad
- Artiklar i publikationen
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Annals of Family ...
- Av lärosätet
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Stockholms universitet
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Karolinska Institutet
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Linköpings universitet