Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2012

Open Access 01-12-2012 | Research

Identification of aspects of functioning, disability and health relevant to patients experiencing vertigo: a qualitative study using the international classification of functioning, disability and health

Authors: Martin Mueller, Edith Schuster, Ralf Strobl, Eva Grill

Published in: Health and Quality of Life Outcomes | Issue 1/2012

Login to get access

Abstract

Purpose

Aims of this study were to identify aspects of functioning and health relevant to patients with vertigo expressed by ICF categories and to explore the potential of the ICF to describe the patient perspective in vertigo.

Methods

We conducted a series of qualitative semi-structured face-to-face interviews using a descriptive approach. Data was analyzed using the meaning condensation procedure and then linked to categories of the International Classification of Functioning, Disability and Health (ICF).

Results

From May to July 2010 12 interviews were carried out until saturation was reached. Four hundred and seventy-one single concepts were extracted which were linked to 142 different ICF categories. 40 of those belonged to the component body functions, 62 to the component activity and participation, and 40 to the component environmental factors. Besides the most prominent aspect “dizziness” most participants reported problems within “Emotional functions (b152), problems related to mobility and carrying out the daily routine. Almost all participants reported “Immediate family (e310)” as a relevant modifying environmental factor.

Conclusions

From the patients’ perspective, vertigo has impact on multifaceted aspects of functioning and disability, mainly body functions and activities and participation. Modifying contextual factors have to be taken into account to cover the complex interaction between the health condition of vertigo on the individuals’ daily life. The results of this study will contribute to developing standards for the measurement of functioning, disability and health relevant for patients suffering from vertigo.
Appendix
Available only for authorised users
Literature
1.
go back to reference Yardley L, Owen N, Nazareth I, Luxon L: Prevalence and presentation of dizziness in a general practice community sample of working age people. Br J Gen Pract 1998, 48: 1131–1135.PubMedCentralPubMed Yardley L, Owen N, Nazareth I, Luxon L: Prevalence and presentation of dizziness in a general practice community sample of working age people. Br J Gen Pract 1998, 48: 1131–1135.PubMedCentralPubMed
2.
go back to reference Kroenke K, Price RK: Symptoms in the community. Prevalence, classification, and psychiatric comorbidity. Arch Intern Med 1993, 153: 2474–2480. 10.1001/archinte.1993.00410210102011CrossRefPubMed Kroenke K, Price RK: Symptoms in the community. Prevalence, classification, and psychiatric comorbidity. Arch Intern Med 1993, 153: 2474–2480. 10.1001/archinte.1993.00410210102011CrossRefPubMed
3.
go back to reference Neuhauser HK, von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, Lempert T: Epidemiology of vestibular vertigo: a neurotologic survey of the general population. Neurology 2005, 65: 898–904. 10.1212/01.wnl.0000175987.59991.3dCrossRefPubMed Neuhauser HK, von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, Lempert T: Epidemiology of vestibular vertigo: a neurotologic survey of the general population. Neurology 2005, 65: 898–904. 10.1212/01.wnl.0000175987.59991.3dCrossRefPubMed
4.
go back to reference Gopinath B, McMahon CM, Rochtchina E, Mitchell P: Dizziness and vertigo in an older population: the Blue Mountains prospective cross-sectional study. Clin Otolaryngol 2009, 34: 552–556. 10.1111/j.1749-4486.2009.02025.xCrossRefPubMed Gopinath B, McMahon CM, Rochtchina E, Mitchell P: Dizziness and vertigo in an older population: the Blue Mountains prospective cross-sectional study. Clin Otolaryngol 2009, 34: 552–556. 10.1111/j.1749-4486.2009.02025.xCrossRefPubMed
5.
go back to reference Neuhauser HK: Epidemiology of vertigo. Curr Opin Neurol 2007, 20: 40–46. 10.1097/WCO.0b013e328013f432CrossRefPubMed Neuhauser HK: Epidemiology of vertigo. Curr Opin Neurol 2007, 20: 40–46. 10.1097/WCO.0b013e328013f432CrossRefPubMed
6.
go back to reference Brandt T, Dieterich M, Strupp M: Vertigo and dizziness: common complaints. London: Springer; 2005. Brandt T, Dieterich M, Strupp M: Vertigo and dizziness: common complaints. London: Springer; 2005.
7.
go back to reference Fielder H, Denholm SW, Lyons RA, Fielder CP: Measurement of health status in patients with vertigo. Clin Otolaryngol Allied Sci 1996, 21: 124–126. 10.1111/j.1365-2273.1996.tb01314.xCrossRefPubMed Fielder H, Denholm SW, Lyons RA, Fielder CP: Measurement of health status in patients with vertigo. Clin Otolaryngol Allied Sci 1996, 21: 124–126. 10.1111/j.1365-2273.1996.tb01314.xCrossRefPubMed
8.
go back to reference Neuhauser HK, Radtke A, von Brevern M, Lezius F, Feldmann M, Lempert T: Burden of dizziness and vertigo in the community. Arch Intern Med 2008, 168: 2118–2124. 10.1001/archinte.168.19.2118CrossRefPubMed Neuhauser HK, Radtke A, von Brevern M, Lezius F, Feldmann M, Lempert T: Burden of dizziness and vertigo in the community. Arch Intern Med 2008, 168: 2118–2124. 10.1001/archinte.168.19.2118CrossRefPubMed
9.
go back to reference Morris AE, Lutman ME, Yardley L: Measuring outcome from Vestibular Rehabilitation, Part I: Qualitative development of a new self-report measure. Int J Audiol 2008, 47: 169–177. 10.1080/14992020701843129CrossRefPubMed Morris AE, Lutman ME, Yardley L: Measuring outcome from Vestibular Rehabilitation, Part I: Qualitative development of a new self-report measure. Int J Audiol 2008, 47: 169–177. 10.1080/14992020701843129CrossRefPubMed
10.
go back to reference Jacobson GP, Newman CW: The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg 1990, 116: 424–427. 10.1001/archotol.1990.01870040046011CrossRefPubMed Jacobson GP, Newman CW: The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg 1990, 116: 424–427. 10.1001/archotol.1990.01870040046011CrossRefPubMed
11.
go back to reference Yardley L, Masson E, Verschuur C, Haacke N, Luxon L: Symptoms, anxiety and handicap in dizzy patients: development of the vertigo symptom scale. J Psychosom Res 1992, 36: 731–741. 10.1016/0022-3999(92)90131-KCrossRefPubMed Yardley L, Masson E, Verschuur C, Haacke N, Luxon L: Symptoms, anxiety and handicap in dizzy patients: development of the vertigo symptom scale. J Psychosom Res 1992, 36: 731–741. 10.1016/0022-3999(92)90131-KCrossRefPubMed
12.
go back to reference Scientific Advisory Committee of the Medical Outcomes Trust: Assessing health status and quality-of-life instruments: attributes and review criteria. Qual Life Res 2002, 11: 193–205. 10.1023/A:1015291021312CrossRef Scientific Advisory Committee of the Medical Outcomes Trust: Assessing health status and quality-of-life instruments: attributes and review criteria. Qual Life Res 2002, 11: 193–205. 10.1023/A:1015291021312CrossRef
13.
go back to reference Hillier SL, Hollohan V: Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev 2007, CD005397. Hillier SL, Hollohan V: Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev 2007, CD005397.
14.
go back to reference Stucki G, Grimby G: Applying the ICF in medicine. J Rehabil Med 2004, 5–6. Stucki G, Grimby G: Applying the ICF in medicine. J Rehabil Med 2004, 5–6.
15.
go back to reference Ustun B, Chatterji S, Kostanjsek N: Comments from WHO for the Journal of Rehabilitation Medicine Special Supplement on ICF Core Sets. J Rehabil Med 2004, 7–8. Ustun B, Chatterji S, Kostanjsek N: Comments from WHO for the Journal of Rehabilitation Medicine Special Supplement on ICF Core Sets. J Rehabil Med 2004, 7–8.
16.
go back to reference Cieza A, Ewert T, Ustun TB, Chatterji S, Kostanjsek N, Stucki G: Development of ICF Core Sets for patients with chronic conditions. J Rehabil Med 2004, 9–11. Cieza A, Ewert T, Ustun TB, Chatterji S, Kostanjsek N, Stucki G: Development of ICF Core Sets for patients with chronic conditions. J Rehabil Med 2004, 9–11.
17.
go back to reference Grill E, Ewert T, Chatterji S, Kostanjsek N, Stucki G: ICF Core Sets development for the acute hospital and early post-acute rehabilitation facilities. Disabil Rehabil 2005, 27: 361–366. 10.1080/09638280400013974CrossRefPubMed Grill E, Ewert T, Chatterji S, Kostanjsek N, Stucki G: ICF Core Sets development for the acute hospital and early post-acute rehabilitation facilities. Disabil Rehabil 2005, 27: 361–366. 10.1080/09638280400013974CrossRefPubMed
18.
go back to reference Grill E, Stucki G: Criteria for validating comprehensive ICF Core Sets and developing brief ICF Core Set versions. J Rehabil Med 2011, 43: 87–91. 10.2340/16501977-0616CrossRefPubMed Grill E, Stucki G: Criteria for validating comprehensive ICF Core Sets and developing brief ICF Core Set versions. J Rehabil Med 2011, 43: 87–91. 10.2340/16501977-0616CrossRefPubMed
19.
go back to reference Sandelowski M: Whatever happened to qualitative description? Res Nurs Health 2000, 23: 334–340. 10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-GCrossRefPubMed Sandelowski M: Whatever happened to qualitative description? Res Nurs Health 2000, 23: 334–340. 10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-GCrossRefPubMed
20.
go back to reference Stamm TA, Cieza A, Coenen M, Machold KP, Nell VP, Smolen JS, Stucki G: Validating the International Classification of Functioning, Disability and Health Comprehensive Core Set for Rheumatoid Arthritis from the patient perspective: a qualitative study. Arthritis Rheum 2005, 53: 431–439. 10.1002/art.21159CrossRefPubMed Stamm TA, Cieza A, Coenen M, Machold KP, Nell VP, Smolen JS, Stucki G: Validating the International Classification of Functioning, Disability and Health Comprehensive Core Set for Rheumatoid Arthritis from the patient perspective: a qualitative study. Arthritis Rheum 2005, 53: 431–439. 10.1002/art.21159CrossRefPubMed
21.
go back to reference Coenen M, Cieza A, Stamm TA, Amann E, Kollerits B, Stucki G: Validation of the International Classification of Functioning, Disability and Health (ICF) Core Set for rheumatoid arthritis from the patient perspective using focus groups. Arthritis Res Ther 2006, 8: R84. 10.1186/ar1956PubMedCentralCrossRefPubMed Coenen M, Cieza A, Stamm TA, Amann E, Kollerits B, Stucki G: Validation of the International Classification of Functioning, Disability and Health (ICF) Core Set for rheumatoid arthritis from the patient perspective using focus groups. Arthritis Res Ther 2006, 8: R84. 10.1186/ar1956PubMedCentralCrossRefPubMed
22.
go back to reference Karlsson G: Psychological Qualitative Research from a Phenomenological Perspective. Stockholm: Almquist & Wiskell International; 1995. Karlsson G: Psychological Qualitative Research from a Phenomenological Perspective. Stockholm: Almquist & Wiskell International; 1995.
23.
go back to reference Glaser Barney G, Strauss Anselm L: The Discovery of Grounded Theory. Strategies for Qualitative Research. Aldine Transaction; 1967. Glaser Barney G, Strauss Anselm L: The Discovery of Grounded Theory. Strategies for Qualitative Research. Aldine Transaction; 1967.
24.
go back to reference Kvale S: Interviews - An Introduction to Qualitative Research Interviewing. Sage Publications; 1996. Kvale S: Interviews - An Introduction to Qualitative Research Interviewing. Sage Publications; 1996.
25.
go back to reference Cieza A, Geyh S, Chatterji S, Kostanjsek N, Üstün B, Stucki G: ICF linking rules: an update based on lessons learned. J Rehabil Med 2005, 37: 212. 10.1080/16501970510040263CrossRefPubMed Cieza A, Geyh S, Chatterji S, Kostanjsek N, Üstün B, Stucki G: ICF linking rules: an update based on lessons learned. J Rehabil Med 2005, 37: 212. 10.1080/16501970510040263CrossRefPubMed
26.
go back to reference Ware JE, Sherbourne CD: The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992, 30: 473–483. 10.1097/00005650-199206000-00002CrossRefPubMed Ware JE, Sherbourne CD: The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992, 30: 473–483. 10.1097/00005650-199206000-00002CrossRefPubMed
27.
go back to reference Tinetti ME, Williams CS, Gill TM: Health, functional, and psychological outcomes among older persons with chronic dizziness. J Am Geriatr Soc 2000, 48: 417–421.CrossRefPubMed Tinetti ME, Williams CS, Gill TM: Health, functional, and psychological outcomes among older persons with chronic dizziness. J Am Geriatr Soc 2000, 48: 417–421.CrossRefPubMed
28.
go back to reference Simon NM, Pollack MH, Tuby KS, Stern TA: Dizziness and panic disorder: a review of the association between vestibular dysfunction and anxiety. Ann Clin Psychiatry 1998, 10: 75–80.CrossRefPubMed Simon NM, Pollack MH, Tuby KS, Stern TA: Dizziness and panic disorder: a review of the association between vestibular dysfunction and anxiety. Ann Clin Psychiatry 1998, 10: 75–80.CrossRefPubMed
29.
go back to reference Monzani D, Genovese E, Rovatti V, Malagoli ML, Rigatelli M, Guidetti G: Life events and benign paroxysmal positional vertigo: a case-controlled study. Acta Otolaryngol 2006, 126: 987–992. 10.1080/00016480500546383CrossRefPubMed Monzani D, Genovese E, Rovatti V, Malagoli ML, Rigatelli M, Guidetti G: Life events and benign paroxysmal positional vertigo: a case-controlled study. Acta Otolaryngol 2006, 126: 987–992. 10.1080/00016480500546383CrossRefPubMed
30.
go back to reference Kroenke K, Lucas CA, Rosenberg ML, Scherokman BJ: Psychiatric disorders and functional impairment in patients with persistent dizziness. J Gen Intern Med 1993, 8: 530–535. 10.1007/BF02599633CrossRefPubMed Kroenke K, Lucas CA, Rosenberg ML, Scherokman BJ: Psychiatric disorders and functional impairment in patients with persistent dizziness. J Gen Intern Med 1993, 8: 530–535. 10.1007/BF02599633CrossRefPubMed
31.
go back to reference Eckhardt-Henn A, Dieterich M: Psychiatric disorders in otoneurology patients. Neurol Clin 2005, 23: 731–749. vi 10.1016/j.ncl.2005.01.008CrossRefPubMed Eckhardt-Henn A, Dieterich M: Psychiatric disorders in otoneurology patients. Neurol Clin 2005, 23: 731–749. vi 10.1016/j.ncl.2005.01.008CrossRefPubMed
32.
go back to reference Mariani P, Pelagatti M, Hahn A, Alpini D: Epidemiology of paroxysmal positioning vertigo: correlation with seasons, climate, and pollution. Int Tinnitus J 2008, 14: 168–174.PubMed Mariani P, Pelagatti M, Hahn A, Alpini D: Epidemiology of paroxysmal positioning vertigo: correlation with seasons, climate, and pollution. Int Tinnitus J 2008, 14: 168–174.PubMed
33.
go back to reference Holmes S, Padgham ND: A review of the burden of vertigo. J Clin Nurs 2011. Holmes S, Padgham ND: A review of the burden of vertigo. J Clin Nurs 2011.
34.
go back to reference Grunfeld E, Jahanshahi M, Gresty M, Bronstein A: Using locus of control measures with patients experiencing vertigo. Psychol, Health Med 2003, 8: 335–342. 10.1080/1354850031000135777CrossRef Grunfeld E, Jahanshahi M, Gresty M, Bronstein A: Using locus of control measures with patients experiencing vertigo. Psychol, Health Med 2003, 8: 335–342. 10.1080/1354850031000135777CrossRef
Metadata
Title
Identification of aspects of functioning, disability and health relevant to patients experiencing vertigo: a qualitative study using the international classification of functioning, disability and health
Authors
Martin Mueller
Edith Schuster
Ralf Strobl
Eva Grill
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2012
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-10-75

Other articles of this Issue 1/2012

Health and Quality of Life Outcomes 1/2012 Go to the issue