Construction and Validation of the Vestibular Screening Tool for Use in the Emergency Department and Acute Hospital Setting

Stewart, Vicky; Mendis, M. Dilani; Rowland, Jeffrey; Choy, Nancy Low

doi:10.1016/j.apmr.2015.08.413

Cited by 14 publications

(20 citation statements)

References 19 publications

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“…A more recent prospective observational study (13), found patients attending a physiotherapist-led vestibular rehabilitation service within emergency and acute services experienced signi cantly reduced dizziness and vertigo and signi cantly improved mobility (which was sustained for three months post discharge). A validated vestibular screening tool has also been developed for physiotherapists working emergency and acute settings, which was found to have good levels of sensitivity and reliability (14).…”

Section: Understanding the Implementation Of Specialized Vestibular Pmentioning

confidence: 99%

Implementing specialized vestibular physiotherapy in an emergency department: A process evaluation

Lloyd

Luscombe

et al. 2021

Preprint

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Background:Dizziness and vertigo-like symptoms, often caused by common peripheral vestibular disorders such as Benign Paroxysmal Positional Vertigo (BPPV), may have a significant detrimental impact on function and quality of life. The impact of these symptoms often result in Emergency Department (ED) presentations. Evidence based clinical practice guidelines strongly recommend the use of physical assessment and treatment maneuvers for the assessment, diagnosis and treatment of these symptoms. The aim of this study was to evaluate the process of implementing specialized vestibular physiotherapy in an emergency department, from the clinician perspective. Methods:This implementation study utilized a retrospective mixed methods process evaluation to understand how specialized vestibular physiotherapy operated in an Australian emergency department. The PARiHS Framework was embedded within the methodology and analytical approach of the study, to ensure a comprehensive approach which was closely aligned to implementation science. Nine clinicians retrospectively completed the Organizational Readiness for Change Assessment (ORCA), Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM) and Feasibility of Intervention Measure (FIM). Seven clinicians also participate in a focus group or interview. Results: A range of barriers and facilitators to the implementation process were identified by participants, some of which spanned multiple domains of the PARiHS framework. Relationships with service leaders, champions and medical staff were found to be a key facilitator to implementation, along with a generally held perception that specialized vestibular physiotherapy was acceptable and feasible. The main barrier identified was a lack of capacity to deliver and support this innovation, both within the physiotherapy workforce and the broader multidisciplinary team. Conclusions: This study demonstrates the process of implementation of a specialized vestibular physiotherapy team in an ED setting was generally well received by clinicians, but also involved some challenges and barriers. Services looking to implement specialized vestibular physiotherapy in the ED may refer to the recommendations arising from the findings of this study to guide their approach to innovation.

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Section: Understanding the Implementation Of Specialized Vestibular Pmentioning

confidence: 99%

Implementing specialized vestibular physiotherapy in an emergency department: A process evaluation

Lloyd

Luscombe

et al. 2021

Preprint

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“…Primary measures included the VST 4 and the DHI 14 . The VST items were scored (0-8) with a higher score indicative of a vestibular disorder 4 . The DHI is a 25-item questionnaire (0-100) split into three categories: functional, physical and emotional.…”

Section: Outcome Measuresmentioning

confidence: 99%

“…A new tool, the vestibular screening tool (VST) has been shown to be a valid and reliable tool to screen for non-emergent vestibular disorders when people with dizziness present to ED or acute hospital settings 4 . The VST is a unidimensional tool with strong construct validity, high inter-rater and intra-rater reliability, and discriminative validity for identifying vestibular disorders for use in the acute hospital setting 4 . The 4-item VST is scored out of eight (8) with the cut-off score (≥ 4 / 8) indicative of the likely presence of vestibular dysfunction.…”

Section: Introductionmentioning

confidence: 99%

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Clinical effectiveness of a physiotherapy-led, hospital-based vestibular service

Stewart¹,

Mendis²,

Choy³

2019

Otorinolaringol

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“…. 현재까지 어지럼, 균형 및 전정 장애와 관련한 임상척도 중에서는 Dizziness Handicap Inventory (DHI) [16] 를 포함하여 Vision-Related Dizziness Questionnaire [17], Vestibular Activities and Participation Questionnaire [18], Vestibular Screening Tool [19], Berg Balance Scale [20]…”

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Rasch Analysis of the Clinimetric Properties of the Korean Dizziness Handicap Inventory in Patients with Parkinson Disease

Lee¹,

Yang²,

Yang³

et al. 2018

Res Vestib Sci

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Objectives: The Korean Dizziness Handicap Inventory (KDHI), which includes 25 patient-reported items, has been used to assess self-reported dizziness in Korean patients with Parkinson disease (PD). Nevertheless, few studies have examined the KDHI based on item-response theory within this population. The aim of our study was to address the feasibility and clinimetric properties of the KDHI instrument using polytomous Rasch measurement analysis. Methods: The unidimensionality, scale targeting, separation reliability, item difficulty (severity), and response category utility of the KDHI were statistically assessed based on the Andrich rating scale model. The utilities of the orderedresponse categories of the 3-point Likert scale were analyzed with reference to the probability curves of the response categories. The separation reliability of the KDHI was assessed based on person separation reliability (PSR), which is used to measure the capacity to discriminate among groups of patients with different levels of balance deficits. Results: Principal component analyses of residuals revealed that the KDHI had unidimensionality. The KHDI had satisfactory PSR and there were no disordered thresholds in the 3-point rating scale. However, the KDHI showed several issues for inappropriate scale targeting and misfit items (items 1 and 2) for Rasch model. Conclusions: The KDHI provide unidimensional measures of imbalance symptoms in patients with PD with adequate separation reliability. There was no statistical evidence of disorder in polytomous rating scales. The Rasch analysis results suggest that the KDHI is a reliable scale for measuring the imbalance symptoms in PD patients, and identified parts for possible amendments in order to further improve the linear metric scale.

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Construction and Validation of the Vestibular Screening Tool for Use in the Emergency Department and Acute Hospital Setting

Cited by 14 publications

References 19 publications

Implementing specialized vestibular physiotherapy in an emergency department: A process evaluation

Implementing specialized vestibular physiotherapy in an emergency department: A process evaluation

Clinical effectiveness of a physiotherapy-led, hospital-based vestibular service

Rasch Analysis of the Clinimetric Properties of the Korean Dizziness Handicap Inventory in Patients with Parkinson Disease

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