Effectiveness of a training intervention to improve the management of vertigo in primary care: a multicentre cluster-randomised trial, VERTAP

Background: Benign paroxysmal positional vertigo (BPPV) is the most common type of vertigo. While BPPV is best treated with canalicular repositioning manoeuvres, they are not routinely performed in primary care (PC). Methods: To evaluate the effectiveness of blended training (online and face-to-face...

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Autores: Pérez Patiño, Jenniffer Elizabeth, Ballvé Moreno, José Luis, Rando Matos, Yolanda, Almeda Ortega, Jesús, Cunillera Puértolas, Oriol, Carrillo Muñoz, Ricard, Villar Balboa, Iván, González Compta, Xavier, Arias Agudelo, Olga Lucía, Calero Muñoz, Sebastiá, Monforte Rodríguez, Vanessa, Navarro Cortes, Anna, Peguero Rodríguez, Eva
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2022
País:España
Recursos:Universidad de Barcelona
Repositório:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/188633
Acesso em linha:https://hdl.handle.net/2445/188633
Access Level:Acceso aberto
Palavra-chave:Vertigen
Atenció primària
Assaigs clínics
Vertigo
Primary care
Clinical trials
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spelling Effectiveness of a training intervention to improve the management of vertigo in primary care: a multicentre cluster-randomised trial, VERTAPPérez Patiño, Jenniffer ElizabethBallvé Moreno, José LuisRando Matos, YolandaAlmeda Ortega, JesúsCunillera Puértolas, OriolCarrillo Muñoz, RicardVillar Balboa, IvánGonzález Compta, XavierArias Agudelo, Olga LucíaCalero Muñoz, SebastiáMonforte Rodríguez, VanessaNavarro Cortes, AnnaPeguero Rodríguez, EvaVertigenAtenció primàriaAssaigs clínicsVertigoPrimary careClinical trialsBackground: Benign paroxysmal positional vertigo (BPPV) is the most common type of vertigo. While BPPV is best treated with canalicular repositioning manoeuvres, they are not routinely performed in primary care (PC). Methods: To evaluate the effectiveness of blended training (online and face-to-face) on the diagnosis and management of vertigo to improve adherence of family doctors to clinical practice guidelines, we designed a community multicentre cluster-randomised open-label trial with an intervention (IG) and a control (GC) group of 10 primary care teams (PCT) each. Outcome variables will be ICD-10 diagnostic codes (proportion of nonspecific diagnoses such as dizziness and vertigo versus specific diagnoses such as BPPV, vestibular neuritis, and Meniere's disease); number of referrals to ENT or neurology specialists; prescription of antivertigo agents; and duration of sick leave due to vertigo. The baseline comparability of the two study groups will be analysed to ensure homogeneity. A description of all baseline variables will be performed. Student's t-test will be used to evaluate the differences between the groups. Logistic regression multivariate analysis will be performed to study the relationship between baseline variables of professionals and centres with outcome variables. Discussion: With the improvement of the diagnosis and management of vertigo by family doctors after this training, we expect an increase in the proportion of specific diagnoses, a decrease in the prescription of antivertigo agents, a decrease in referrals to ENT or neurology specialists and a reduction in the duration of sick leave due to temporary disability. The blended training will be easily expanded within primary care services, since it is mainly delivered online, with a single face-to-face session to ensure that the manoeuvres have been adequately learned.Springer Science and Business Media LLC2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/188633Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1186/s13063-022-06548-7Trials, 2022, vol. 23, num. 1, p. 608https://doi.org/10.1186/s13063-022-06548-7cc by (c) Pérez Patiño, Jenniffer Elizabeth et al., 2002http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1886332026-05-27T06:46:51Z
dc.title.none.fl_str_mv Effectiveness of a training intervention to improve the management of vertigo in primary care: a multicentre cluster-randomised trial, VERTAP
title Effectiveness of a training intervention to improve the management of vertigo in primary care: a multicentre cluster-randomised trial, VERTAP
spellingShingle Effectiveness of a training intervention to improve the management of vertigo in primary care: a multicentre cluster-randomised trial, VERTAP
Pérez Patiño, Jenniffer Elizabeth
Vertigen
Atenció primària
Assaigs clínics
Vertigo
Primary care
Clinical trials
title_short Effectiveness of a training intervention to improve the management of vertigo in primary care: a multicentre cluster-randomised trial, VERTAP
title_full Effectiveness of a training intervention to improve the management of vertigo in primary care: a multicentre cluster-randomised trial, VERTAP
title_fullStr Effectiveness of a training intervention to improve the management of vertigo in primary care: a multicentre cluster-randomised trial, VERTAP
title_full_unstemmed Effectiveness of a training intervention to improve the management of vertigo in primary care: a multicentre cluster-randomised trial, VERTAP
title_sort Effectiveness of a training intervention to improve the management of vertigo in primary care: a multicentre cluster-randomised trial, VERTAP
dc.creator.none.fl_str_mv Pérez Patiño, Jenniffer Elizabeth
Ballvé Moreno, José Luis
Rando Matos, Yolanda
Almeda Ortega, Jesús
Cunillera Puértolas, Oriol
Carrillo Muñoz, Ricard
Villar Balboa, Iván
González Compta, Xavier
Arias Agudelo, Olga Lucía
Calero Muñoz, Sebastiá
Monforte Rodríguez, Vanessa
Navarro Cortes, Anna
Peguero Rodríguez, Eva
author Pérez Patiño, Jenniffer Elizabeth
author_facet Pérez Patiño, Jenniffer Elizabeth
Ballvé Moreno, José Luis
Rando Matos, Yolanda
Almeda Ortega, Jesús
Cunillera Puértolas, Oriol
Carrillo Muñoz, Ricard
Villar Balboa, Iván
González Compta, Xavier
Arias Agudelo, Olga Lucía
Calero Muñoz, Sebastiá
Monforte Rodríguez, Vanessa
Navarro Cortes, Anna
Peguero Rodríguez, Eva
author_role author
author2 Ballvé Moreno, José Luis
Rando Matos, Yolanda
Almeda Ortega, Jesús
Cunillera Puértolas, Oriol
Carrillo Muñoz, Ricard
Villar Balboa, Iván
González Compta, Xavier
Arias Agudelo, Olga Lucía
Calero Muñoz, Sebastiá
Monforte Rodríguez, Vanessa
Navarro Cortes, Anna
Peguero Rodríguez, Eva
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Vertigen
Atenció primària
Assaigs clínics
Vertigo
Primary care
Clinical trials
topic Vertigen
Atenció primària
Assaigs clínics
Vertigo
Primary care
Clinical trials
description Background: Benign paroxysmal positional vertigo (BPPV) is the most common type of vertigo. While BPPV is best treated with canalicular repositioning manoeuvres, they are not routinely performed in primary care (PC). Methods: To evaluate the effectiveness of blended training (online and face-to-face) on the diagnosis and management of vertigo to improve adherence of family doctors to clinical practice guidelines, we designed a community multicentre cluster-randomised open-label trial with an intervention (IG) and a control (GC) group of 10 primary care teams (PCT) each. Outcome variables will be ICD-10 diagnostic codes (proportion of nonspecific diagnoses such as dizziness and vertigo versus specific diagnoses such as BPPV, vestibular neuritis, and Meniere's disease); number of referrals to ENT or neurology specialists; prescription of antivertigo agents; and duration of sick leave due to vertigo. The baseline comparability of the two study groups will be analysed to ensure homogeneity. A description of all baseline variables will be performed. Student's t-test will be used to evaluate the differences between the groups. Logistic regression multivariate analysis will be performed to study the relationship between baseline variables of professionals and centres with outcome variables. Discussion: With the improvement of the diagnosis and management of vertigo by family doctors after this training, we expect an increase in the proportion of specific diagnoses, a decrease in the prescription of antivertigo agents, a decrease in referrals to ENT or neurology specialists and a reduction in the duration of sick leave due to temporary disability. The blended training will be easily expanded within primary care services, since it is mainly delivered online, with a single face-to-face session to ensure that the manoeuvres have been adequately learned.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/188633
url https://hdl.handle.net/2445/188633
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1186/s13063-022-06548-7
Trials, 2022, vol. 23, num. 1, p. 608
https://doi.org/10.1186/s13063-022-06548-7
dc.rights.none.fl_str_mv cc by (c) Pérez Patiño, Jenniffer Elizabeth et al., 2002
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Pérez Patiño, Jenniffer Elizabeth et al., 2002
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer Science and Business Media LLC
publisher.none.fl_str_mv Springer Science and Business Media LLC
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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