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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.

Publication ,  Journal Article
Kristiansen, L; Magnussen, LH; Wilhelmsen, KT; Mæland, S; Nordahl, SHG; Clendaniel, R; Hovland, A; Juul-Kristensen, B
Published in: Trials
October 7, 2019

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: 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: 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: www.clinicaltrials.gov, ID: NCT02655575 . Registered on 14 January 2016.

Duke Scholars

Published In

Trials

DOI

EISSN

1745-6215

Publication Date

October 7, 2019

Volume

20

Issue

1

Start / End Page

575

Location

England

Related Subject Headings

  • Young Adult
  • Vestibule, Labyrinth
  • Treatment Outcome
  • Time Factors
  • Randomized Controlled Trials as Topic
  • Prospective Studies
  • Primary Health Care
  • Physical Therapy Modalities
  • Norway
  • Middle Aged
 

Citation

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Kristiansen, L., Magnussen, L. H., Wilhelmsen, K. T., Mæland, S., Nordahl, S. H. G., Clendaniel, R., … Juul-Kristensen, B. (2019). 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. Trials, 20(1), 575. https://doi.org/10.1186/s13063-019-3660-5
Kristiansen, Lene, L. H. Magnussen, K. T. Wilhelmsen, S. Mæland, S. H. G. Nordahl, R. Clendaniel, A. Hovland, and B. Juul-Kristensen. “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.Trials 20, no. 1 (October 7, 2019): 575. https://doi.org/10.1186/s13063-019-3660-5.
Kristiansen L, Magnussen LH, Wilhelmsen KT, Mæland S, Nordahl SHG, Clendaniel R, Hovland A, Juul-Kristensen B. 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. Trials. 2019 Oct 7;20(1):575.
Journal cover image

Published In

Trials

DOI

EISSN

1745-6215

Publication Date

October 7, 2019

Volume

20

Issue

1

Start / End Page

575

Location

England

Related Subject Headings

  • Young Adult
  • Vestibule, Labyrinth
  • Treatment Outcome
  • Time Factors
  • Randomized Controlled Trials as Topic
  • Prospective Studies
  • Primary Health Care
  • Physical Therapy Modalities
  • Norway
  • Middle Aged