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Open Access 01-12-2020 | Bilateral Vestibulopathy | Original Communication

Introducing the DizzyQuest: an app-based diary for vestibular disorders

Authors: E. C. Martin, C. Leue, P. Delespaul, F. Peeters, A. M. L. Janssen, R. Lousberg, A. Erdkamp, S. van de Weijer, J. Widdershoven, H. Blom, T. Bruintjes, A. Zwergal, E. Grill, N. Guinand, A. Perez-Fornos, M. R. van de Berg, J. J. A. Stultiens, H. Kingma, R. van de Berg

Published in: Journal of Neurology | Special Issue 1/2020

Abstract

Background

Most questionnaires currently used for assessing symptomatology of vestibular disorders are retrospective, inducing recall bias and lowering ecological validity. An app-based diary, administered multiple times in daily life, could increase the accuracy and ecological validity of symptom measurement. The objective of this study was to introduce a new experience sampling method (ESM) based vestibular diary app (DizzyQuest), evaluate response rates, and to provide examples of DizzyQuest outcome measures which can be used in future research.

Methods

Sixty-three patients diagnosed with a vestibular disorder were included. The DizzyQuest consisted of four questionnaires. The morning- and evening-questionnaires were administered once each day, the within-day-questionnaire 10 times a day using a semi-random time schedule, and the attack questionnaire could be completed after the occurrence of a vertigo or dizziness attack. Data were collected for 4 weeks. Response rates and loss-to-follow-up were determined. Reported symptoms in the within-day-questionnaire were compared within and between patients and subgroups of patients with different vestibular disorders.

Results

Fifty-one patients completed the study period. Average response rates were significantly higher than the desired response rate of > 50% (p < 0.001). The attack-questionnaire was used 159 times. A variety of neuro-otological symptoms and different disease profiles were demonstrated between patients and subgroups of patients with different vestibular disorders.

Conclusion

The DizzyQuest is able to capture vestibular symptoms within their psychosocial context in daily life, with little recall bias and high ecological validity. The DizzyQuest reached the desired response rates and showed different disease profiles between subgroups of patients with different vestibular disorders. This is the first time ESM was used to assess daily symptoms and quality of life in vestibular disorders, showing that it might be a useful tool in this population.

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Title: Introducing the DizzyQuest: an app-based diary for vestibular disorders
Authors: E. C. Martin
C. Leue
P. Delespaul
F. Peeters
A. M. L. Janssen
R. Lousberg
A. Erdkamp
S. van de Weijer
J. Widdershoven
H. Blom
T. Bruintjes
A. Zwergal
E. Grill
N. Guinand
A. Perez-Fornos
M. R. van de Berg
J. J. A. Stultiens
H. Kingma
R. van de Berg
Publication date: 01-12-2020
Publisher: Springer Berlin Heidelberg
Keyword: Bilateral Vestibulopathy
Published in: Journal of Neurology / Issue Special Issue 1/2020
Print ISSN: 0340-5354
Electronic ISSN: 1432-1459
DOI: https://doi.org/10.1007/s00415-020-10092-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Introducing the DizzyQuest: an app-based diary for vestibular disorders

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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