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The Development of Balance Retraining: An online intervention for dizziness in adults aged 50 years and older

The Development of Balance Retraining: An online intervention for dizziness in adults aged 50 years and older
The Development of Balance Retraining: An online intervention for dizziness in 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.

Dizziness/rehabilitation, Female, Humans, Internet, Male, Middle Aged, Postural Balance, Qualitative Research, Self Care/methods, Sensation Disorders/rehabilitation
1059-0889
276-279
Essery, Rosie
6bf53e81-577f-4a95-ba45-11aa64d1ee53
Kirby, Sarah
9be57c1b-5ab7-4444-829e-d8e5dbe2370b
Geraghty, Adam W A
2c6549fe-9868-4806-b65a-21881c1930af
Andersson, Gerhard
1965d18a-9891-41f3-8149-ce6aebe2f5ff
Carlbring, Per
0b7ffcfa-66a5-435d-a64e-a3b6606adc71
Bronstein, Adolfo
cb85c34e-25c0-4103-a66c-28e33e983af8
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Essery, Rosie
6bf53e81-577f-4a95-ba45-11aa64d1ee53
Kirby, Sarah
9be57c1b-5ab7-4444-829e-d8e5dbe2370b
Geraghty, Adam W A
2c6549fe-9868-4806-b65a-21881c1930af
Andersson, Gerhard
1965d18a-9891-41f3-8149-ce6aebe2f5ff
Carlbring, Per
0b7ffcfa-66a5-435d-a64e-a3b6606adc71
Bronstein, Adolfo
cb85c34e-25c0-4103-a66c-28e33e983af8
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e

Essery, Rosie, Kirby, Sarah, Geraghty, Adam W A, Andersson, Gerhard, Carlbring, Per, Bronstein, Adolfo, Little, Paul and Yardley, Lucy (2015) The Development of Balance Retraining: An online intervention for dizziness in adults aged 50 years and older. American Journal of Audiology, 24 (3), 276-279. (doi:10.1044/2015_AJA-14-0081).

Record type: Article

Abstract

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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More information

Published date: 1 September 2015
Keywords: Dizziness/rehabilitation, Female, Humans, Internet, Male, Middle Aged, Postural Balance, Qualitative Research, Self Care/methods, Sensation Disorders/rehabilitation

Identifiers

Local EPrints ID: 509759
URI: http://eprints.soton.ac.uk/id/eprint/509759
ISSN: 1059-0889
PURE UUID: 95de383e-5af4-4625-9e50-832afc560b60
ORCID for Rosie Essery: ORCID iD orcid.org/0000-0002-2702-6951
ORCID for Sarah Kirby: ORCID iD orcid.org/0000-0003-1759-1356
ORCID for Adam W A Geraghty: ORCID iD orcid.org/0000-0001-7984-8351
ORCID for Paul Little: ORCID iD orcid.org/0000-0003-3664-1873
ORCID for Lucy Yardley: ORCID iD orcid.org/0000-0002-3853-883X

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Date deposited: 04 Mar 2026 17:46
Last modified: 05 Mar 2026 02:45

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Contributors

Author: Rosie Essery ORCID iD
Author: Sarah Kirby ORCID iD
Author: Gerhard Andersson
Author: Per Carlbring
Author: Adolfo Bronstein
Author: Paul Little ORCID iD
Author: Lucy Yardley ORCID iD

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