PURPOSE: This article outlines the rationale and development process for an online intervention based on vestibular rehabilitation therapy (VRT). The intervention aims to assist adults aged 50 years and older t o self-manage and reduce dizziness symptoms. METHOD: The intervention was developed according to the person-based approach to digital intervention design focused on accommodating perspectives of target users. A prototype version of the intervention was provided to 18 adults (11 women, 7 men) aged 50 years and older with dizziness. These adults were invited to use the intervention over a 6-week period and, during this time, took part in a think-aloud session. This session sought to understand users' perceptions of how acceptable, engaging, and easy to use they found the online intervention. RESULTS: Users were extremely positive regarding how easy to navigate, visually appealing, and informative they found the intervention. Think-aloud sessions provided valuable data for informing small amendments to further enhance acceptability of the intervention for target users. CONCLUSIONS: Informed by these development-phase data, a finalized version of the intervention is now being investigated in a primary care-based randomized controlled trial. Results should provide an understanding of whether VRT can be effectively-especially, cost-effectively-delivered via an online intervention to adults aged 50 years and older.
PURPOSE: This article outlines the rationale and development process for an online intervention based on vestibular rehabilitation therapy (VRT). The intervention aims to assist adults aged 50 years and older t o self-manage and reduce dizziness symptoms. METHOD: The intervention was developed according to the person-based approach to digital intervention design focused on accommodating perspectives of target users. A prototype version of the intervention was provided to 18 adults (11 women, 7 men) aged 50 years and older with dizziness. These adults were invited to use the intervention over a 6-week period and, during this time, took part in a think-aloud session. This session sought to understand users' perceptions of how acceptable, engaging, and easy to use they found the online intervention. RESULTS: Users were extremely positive regarding how easy to navigate, visually appealing, and informative they found the intervention. Think-aloud sessions provided valuable data for informing small amendments to further enhance acceptability of the intervention for target users. CONCLUSIONS: Informed by these development-phase data, a finalized version of the intervention is now being investigated in a primary care-based randomized controlled trial. Results should provide an understanding of whether VRT can be effectively-especially, cost-effectively-delivered via an online intervention to adults aged 50 years and older.
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Authors: Kirsten Ailsa Smith; Katherine Bradbury; Rosie Essery; Sebastien Pollet; Fiona Mowbray; Joanna Slodkowska-Barabasz; James Denison-Day; Victoria Hayter; Jo Kelly; Jane Somerville; Jin Zhang; Elisabeth Grey; Max Western; Anne E Ferrey; Adele Krusche; Beth Stuart; Nanette Mutrie; Sian Robinson; Guiqing Lily Yao; Gareth Griffiths; Louise Robinson; Martin Rossor; John Gallacher; Simon Griffin; Tony Kendrick; Shanaya Rathod; Bernard Gudgin; Rosemary Phillips; Tom Stokes; John Niven; Paul Little; Lucy Yardley Journal: JMIR Res Protoc Date: 2020-11-20