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This study examined adherence changes and associations with condition-related and patient-related factors from 3 to 12\u00a0months after therapeutic recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used data from the MobilE-TRA 2 prospective cohort of adults aged \u226560\u00a0years treated for VDB at a tertiary referral centre in Germany. The participants were assessed at baseline and followed up after 3 and 12\u00a0months. Self-reported adherence was measured using a five-point Likert scale and dichotomised at predefined cut-offs. Perceived dizziness-related handicap was assessed using the Dizziness Handicap Inventory (DHI). Longitudinal associations were analysed using logistic generalised linear mixed-effects models with random intercepts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 337 participants were included (53% women; mean age 71\u00a0years). In adjusted analyses, adherence to specific exercises was lower at 12 than at 3\u00a0months (odds ratio (OR) 0.28; 95% confidence interval (CI) 0.12\u20130.67). Higher baseline DHI scores were significantly associated with higher adherence to specific exercises (OR 1.03; 95% CI 1.00\u20131.06), but not with lifestyle-related recommendations (OR 1.00; 95% CI 0.98\u20131.02). Male gender was associated with lower adherence to lifestyle-related recommendations (OR 0.37; 95% CI 0.16\u20130.88), while higher self-efficacy was associated with higher adherence (OR 1.65; 95%CI 1.02\u20132.66).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Adherence differed by recommendation type, participant characteristics and over time in older adults with VDB. These findings may inform strategies to support adherence in VDB beyond initial follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00415-026-14195-0","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T02:09:43Z","timestamp":1791425383000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adherence to treatment recommendations in older adults with vertigo, dizziness, and balance disorders: the MobilE-TRA 2 cohort study"],"prefix":"10.1007","volume":"273","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7650-421X","authenticated-orcid":false,"given":"Sophia P.","family":"Schulze","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1043-4104","authenticated-orcid":false,"given":"Benedict","family":"Katzenberger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3203-7188","authenticated-orcid":false,"given":"Daniela","family":"Koller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1473-5898","authenticated-orcid":false,"given":"Doreen","family":"Huppert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0273-7984","authenticated-orcid":false,"given":"Eva","family":"Grill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7719-948X","authenticated-orcid":false,"given":"Ralf","family":"Strobl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"14195_CR1","doi-asserted-by":"publisher","first-page":"938","DOI":"10.1001\/archinternmed.2009.66","volume":"169","author":"Y Agrawal","year":"2009","unstructured":"Agrawal Y, Carey JP, Della Santina CC, Schubert MC, Minor LB (2009) Disorders of balance and vestibular function in US adults: data from the national health and nutrition examination survey, 2001\u20132004. 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