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

A. Hovland¹  Lene Kristiansen²  K. T. Wilhelmsen²  L. H. Magnussen²  S. Mæland²  B. Juul-Kristensen³  R. Clendaniel⁴  S. H. G. Nordahl⁵ 

[1] Department of Clinical Psychology, University of Bergen;Department of Health and Functioning, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences;Department of Sports Science and Clinical Biomechanics, University of Southern Denmark;Doctor of Physical Therapy Division, Department of Orthopedics, Duke University School of Medicine;Norwegian National Advisory Unit on Vestibular Disorders, Department of Otorhinolaryngology and Head Neck Surgery, Haukeland University Hospital;

关键词: Protocol;    RCT;    Persistent dizziness;    Vestibular rehabilitation;    Cognitive behaviour therapy;    Dizziness Handicap Inventory;   

DOI  :  10.1186/s13063-019-3660-5

来源: DOAJ

【 摘 要 】

Abstract 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.

【 授权许可】

Unknown