Efficacy of intergrating vestibular rehabilitation and cognitive behaviour therapy in persons with persistent dizziness in primary care- a study protocol for a randomised controlled trial.
Adolescent
Adult
Aged
Cognitive Behavioral Therapy
Combined Modality Therapy
Dizziness
/ diagnosis
Female
Humans
Male
Middle Aged
Norway
Physical Therapy Modalities
Primary Health Care
Prospective Studies
Randomized Controlled Trials as Topic
Time Factors
Treatment Outcome
Vestibule, Labyrinth
/ physiopathology
Young Adult
Cognitive behaviour therapy
Dizziness Handicap Inventory
Gait velocity
Persistent dizziness
Protocol
RCT
Rehabilitation
Vestibular rehabilitation
Journal
Trials
ISSN: 1745-6215
Titre abrégé: Trials
Pays: England
ID NLM: 101263253
Informations de publication
Date de publication:
07 Oct 2019
07 Oct 2019
Historique:
received:
06
06
2019
accepted:
14
08
2019
entrez:
9
10
2019
pubmed:
9
10
2019
medline:
7
3
2020
Statut:
epublish
Résumé
Dizziness is a common complaint, and the symptom often persists, together with additional complaints. A treatment combining Vestibular Rehabilitation (VR) and Cognitive Behaviour Therapy (CBT) is suggested. However, further research is necessary to evaluate the efficacy of such an intervention. The objective of this paper is to present the design of a randomised controlled trial aiming at evaluating the efficacy of an integrated treatment of VR and CBT on dizziness, physical function, psychological complaints and quality of life in persons with persistent dizziness. The randomised controlled trial is an assessor-blinded, block-randomised, parallel-group design, with a 6- and 12-month follow-up. The study includes 125 participants from Bergen (Norway) and surrounding areas. Included participants present with persistent dizziness lasting for at least 3 months, triggered or exacerbated by movement. All participants receive a one-session treatment (Brief Intervention Vestibular Rehabilitation; BI-VR) with VR before being randomised into a control group or an intervention group. The intervention group will further be offered an eight-session treatment integrating VR and CBT. The primary outcomes in the study are the Dizziness Handicap Inventory and preferred gait velocity. Previous studies combining these treatments have been of varying methodological quality, with small samples, and long-term effects have not been maintained. In addition, only the CBT has been administered in supervised sessions, with VR offered as home exercises. The current study focusses on the integrated treatment, a sufficiently powered sample size, and a standardised treatment programme evaluated by validated outcomes using a standardised assessment protocol. www.clinicaltrials.gov, ID: NCT02655575 . Registered on 14 January 2016.
Sections du résumé
BACKGROUND
BACKGROUND
Dizziness is a common complaint, and the symptom often persists, together with additional complaints. A treatment combining Vestibular Rehabilitation (VR) and Cognitive Behaviour Therapy (CBT) is suggested. However, further research is necessary to evaluate the efficacy of such an intervention. The objective of this paper is to present the design of a randomised controlled trial aiming at evaluating the efficacy of an integrated treatment of VR and CBT on dizziness, physical function, psychological complaints and quality of life in persons with persistent dizziness.
METHODS/DESIGN
METHODS
The randomised controlled trial is an assessor-blinded, block-randomised, parallel-group design, with a 6- and 12-month follow-up. The study includes 125 participants from Bergen (Norway) and surrounding areas. Included participants present with persistent dizziness lasting for at least 3 months, triggered or exacerbated by movement. All participants receive a one-session treatment (Brief Intervention Vestibular Rehabilitation; BI-VR) with VR before being randomised into a control group or an intervention group. The intervention group will further be offered an eight-session treatment integrating VR and CBT. The primary outcomes in the study are the Dizziness Handicap Inventory and preferred gait velocity.
DISCUSSION
CONCLUSIONS
Previous studies combining these treatments have been of varying methodological quality, with small samples, and long-term effects have not been maintained. In addition, only the CBT has been administered in supervised sessions, with VR offered as home exercises. The current study focusses on the integrated treatment, a sufficiently powered sample size, and a standardised treatment programme evaluated by validated outcomes using a standardised assessment protocol.
TRIAL REGISTRATION
BACKGROUND
www.clinicaltrials.gov, ID: NCT02655575 . Registered on 14 January 2016.
Identifiants
pubmed: 31590692
doi: 10.1186/s13063-019-3660-5
pii: 10.1186/s13063-019-3660-5
pmc: PMC6781377
doi:
Banques de données
ClinicalTrials.gov
['NCT02655575']
Types de publication
Clinical Trial Protocol
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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