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Older adults’ experiences of internet-based vestibular rehabilitation for dizziness: a longitudinal study

Essery, Rosie, Kirby, Sarah, Geraghty, Adam and Yardley, Lucy (2017) Older adults’ experiences of internet-based vestibular rehabilitation for dizziness: a longitudinal study Psychology and Health

Record type: Article


Objective: Factors influencing engagement with self-managed rehabilitation are not well understood, but evidence suggests they may change over time. Despite increasing digitalisation of self-managed interventions, little is known about the role of internet-based interventions in patients’ experiences of self-directed rehabilitation. This longitudinal qualitative study investigated individuals’ ongoing experiences of internet-guided, self-managed rehabilitation within the context of rehabilitation for dizziness.

Methods: Eighteen adults aged fifty and over who experienced dizziness used the ‘Balance Retraining’ internet intervention for six weeks. Participants took part in semi-structured telephone interviews at two-week intervals to explore their experiences. Data were inductively thematically analysed.

Results: The internet intervention was reported to facilitate engagement with rehabilitation exercises, providing motivation to continue through symptom reduction and simple but helpful strategies. It was perceived as informative, reassuring, visually pleasing and easy to use. Barriers to engagement included practicalities, symptoms and doubts about exercise efficacy. Participants’ perceptions did not always remain consistent over time.

Conclusion: The internet intervention may be a feasible method of supporting self-managed vestibular rehabilitation. More generally, longitudinal findings suggest that appearance-related perceptions of online interventions may be especially important for initial engagement. Furthermore, intervention features targeting self-efficacy seem important in overcoming barriers to engagement.

Other P+H Experiences of internet-based Vestibular Rehabilitation accepted manuscript - Accepted Manuscript
Restricted to Repository staff only until 19 December 2018.
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Accepted/In Press date: 19 March 2017
Keywords: dizziness, rehabilitation, self-management, online intervention, older adults
Organisations: Primary Care & Population Sciences, Human Wellbeing, Psychology


Local EPrints ID: 407598
PURE UUID: 454b00f9-4872-4a27-96eb-de9074840595
ORCID for Sarah Kirby: ORCID iD

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Date deposited: 16 Apr 2017 16:59
Last modified: 23 Aug 2017 16:32

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