A risk-factor guided approach is more effective than usual care when treating dizziness in older patients in general practice.
ID
Bron
Verkorte titel
Aandoening
ENGLISH: dizziness - older patients - impairment - general practice - prognosis
DUTCH: duizeligheid - ouderen - beperking - huisartsgeneeskunde - prognose
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Dizziness-related impairment, as measured by the Dizziness Handicap Inventory (DHI).
Health related quality of life, as measured by the SF-36.
Incidence of falls, as measured with a fall calendar.
Achtergrond van het onderzoek
N/A
Doel van het onderzoek
A risk-factor guided approach is more effective than usual care when treating dizziness in older patients in general practice.
Onderzoeksopzet
Baseline: questionnaires previously sent by mail and standardized baseline assessment during home visits.
3-months/6-months/9-months/12-months: questionnaire sent by mail.
Onderzoeksproduct en/of interventie
The patients assigned to the intervention group will receive – in addition to usual care as described below – a targeted
intervention, consisting of a standardized intervention protocol for the risk factors ‘FRID (fall-risk-increasing drugs’, ‘anxiety and/or depression’, and ‘impaired functional mobility’.
Publiek
Van der Boechorststraat 7, room D-531
Otto Maarsingh
Amsterdam 1081 BT
The Netherlands
+31-20-4441401
o.maarsingh@amsterdamumc.nl
Wetenschappelijk
Van der Boechorststraat 7, room D-531
Otto Maarsingh
Amsterdam 1081 BT
The Netherlands
+31-20-4441401
o.maarsingh@amsterdamumc.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
Patients of 65 years or older are eligible if they have consulted their GP for a new episode of dizziness, defined as recurrent
dizziness, including a giddy or rotational sensation, loss of balance, faint feeling, light-headedness, instability, or tendency to fall.
Selected patients will be invited by their GP to participate in the study after confirming the following eligibility criteria:
a. Suspected current dizziness-related impairment.
b. The ability to speak, read and write Dutch.
c. No severe cognitive impairment.
d. No serious comorbid condition that precludes participation in an exercise programme.
e. No current enrolment in another – interfering – study.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
See above.
Opzet
Deelname
Voornemen beschikbaar stellen Individuele Patiënten Data (IPD)
Toelichting
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Geen registraties gevonden.
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
| Register | ID |
|---|---|
| NTR-new | NL4195 |
| NTR-old | NTR4346 |
| Ander register | 839110001 : ZonMw/HGOG |
| ISRCTN | ISRCTN wordt niet meer aangevraagd. |
Samenvatting resultaten
and Persistence of Dizziness in Older European Home Care Recipients: A Prospective Cohort Study. J Am Med Dir Assoc. 2019 Oct 28. pii:S1525-8610(19)30666-8. doi: 10.1016/j.jamda.2019.09.008.
2: Stam H, van der Wouden JC, Hugtenburg JG, Twisk JWR, van der Horst HE, Maarsingh OR. Effectiveness of a multifactorial intervention for dizziness in older people in primary care: A cluster randomised controlled trial. PLoS One. 2018 Oct 9;13(10):e0204876. doi: 10.1371/journal.pone.0204876.
3: Stam H, Maarsingh OR, Heymans MW, van Weert HCPM, van der Wouden JC, van der Horst HE. Predicting an Unfavorable Course of Dizziness in Older Patients. Ann
Fam Med. 2018 Sep;16(5):428-435. doi: 10.1370/afm.2289.
4: Stam H, Wisse M, Mulder B, van der Wouden JC, Maarsingh OR, van der Horst HE. Dizziness in older people: at risk of shared therapeutic nihilism between patient
and physician. A qualitative study. BMC Fam Pract. 2016 Jul 16;17:74. doi:10.1186/s12875-016-0474-3.
5: Stam H, Harting T, Sluijs Mv, van Marum R, Horst Hv, Wouden JC, Maarsingh OR. Usual care and management of fall risk increasing drugs in older dizzy patients
in Dutch general practice. Scand J Prim Health Care. 2016 Jun;34(2):165-71. doi:10.3109/02813432.2016.1160634.
6: Stam H, van der Wouden JC, van der Horst HE, Maarsingh OR. Impairment reduction in older dizzy people in primary care: study protocol for a cluster
randomised controlled trial. Trials. 2015 Jul 25;16:313. doi:10.1186/s13063-015-0848-1.
7: Maarsingh OR, Stam H, van der Horst HE. A Different Approach of Dizziness in Older Patients: Away from the Diagnostic Dance between Patient and Physician.
Front Med (Lausanne). 2014 Dec 1;1:50. doi: 10.3389/fmed.2014.00050.
8: Stam H, van der Horst HE, Smalbrugge M, Maarsingh OR. [Chronic dizziness in older people: apply a multifactorial approach]. Ned Tijdschr Geneeskd.
2014;159:A8301. Review. Dutch.
9: Maarsingh OR, Stam H, van de Ven PM, van Schoor NM, Ridd MJ, van der Wouden JC. Predictors of dizziness in older persons: a 10-year prospective cohort study
in the community. BMC Geriatr. 2014 Dec 15;14:133. doi: 10.1186/1471-2318-14-133.