{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T12:53:33Z","timestamp":1791550413238,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gen and Family Med"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo encountered in general practice. The definitive diagnosis relies on the Dix\u2010Hallpike test (DHT), which remains underperformed in primary care due to limited training and unfamiliarity among general practitioners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To develop the color\u2010bar bedsheet as a simple visual positioning guide for DHT and demonstrate its usefulness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and Setting<\/jats:title>\n                    <jats:p>After the color\u2010bar bedsheet was developed, a prospective within\u2010subject comparative design in healthy participants was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Healthy adult subjects with 141\u2013190\u2009cm height were recruited. Each examiner performed the DHT with and without bedsheet. The proportion of the appropriate position and the satisfaction of subjects and examiners were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty subjects and 12 examiners were enrolled. Subjects' average age was 37.8\u2009\u00b1\u200915.0\u2009years and average BMI was 22.5\u2009\u00b1\u20093.6\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . The DHT with the bedsheet showed significantly better appropriate positions when compared to the group without using the bedsheet (65% vs. 18.33%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with the odds ratios (OR) of 8.27. Also, there was significantly higher satisfaction of subjects and examiners in DHT with the bedsheet, compared to DHT without the bedsheet (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The DHT with the color\u2010bar bedsheet provided an 8 times higher chance of appropriate position (particularly in individuals under 170\u2009cm in height) with better satisfaction of both examiners and subjects. The bedsheet could be used as an assistive tool for the DHT, especially for novice examiners, in order to increase the diagnostic yield of BPPV in primary care settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jgf2.70184","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T12:22:35Z","timestamp":1791548555000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Color\u2010Bar Bedsheet: Affordable Assistive Tool for Dix\u2010Hallpike Test in Primary Care"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1332-9940","authenticated-orcid":false,"given":"Suwicha Kaewsiri","family":"Isaradisaikul","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Faculty of Medicine Chiang Mai University  Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3554-139X","authenticated-orcid":false,"given":"Pitchayanan","family":"Namung","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Faculty of Medicine Chiang Mai University  Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0326-5031","authenticated-orcid":false,"given":"Sanathorn","family":"Chowsilpa","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Faculty of Medicine Chiang Mai University  Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-010-1309-9"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12668-016-0351-5"},{"issue":"3","key":"e_1_2_13_4_1","first-page":"S1","article-title":"Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)","volume":"156","author":"Bhattacharyya N.","year":"2017","journal-title":"Otolaryngology\u2010Head and Neck Surgery"},{"issue":"7","key":"e_1_2_13_5_1","first-page":"681","article-title":"Diagnosis and Management of Benign Paroxysmal Positional Vertigo (BPPV)","volume":"169","author":"Parnes L. 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