{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T16:40:05Z","timestamp":1792600805084,"version":"4.5.0"},"reference-count":58,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009729","name":"Norwegian Fund for Post-graduate training in Physiotherapy","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009729","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Chronic dizziness is common in primary care. Cognitive strategies combined with vestibular rehabilitation (VR) may enhance outcomes, but evidence from randomized controlled trials with long-term follow-up is limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective was to evaluate whether a group-based intervention integrating vestibular rehabilitation and cognitive behavioral strategies (VR-CBT) provides added benefit beyond a single-session brief vestibular intervention (BI-VR) in individuals with chronic dizziness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A single-blinded, randomized controlled trial with assessments at baseline and after 6 and 12\u00a0months was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The study was conducted in a primary care setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>One hundred five adults with chronic dizziness were included in the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention\/Exposure<\/jats:title>\n                    <jats:p>All participants received BI-VR prior to allocation to either intervention or control group. The intervention comprised of an 8-session group-based program (VR-CBT) and was compared to telephone follow-up (control).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome(s) and Measure(s)<\/jats:title>\n                    <jats:p>Primary outcomes were dizziness-related handicap (DHI-N) and preferred gait speed, in addition to several secondary outcomes. Between-group differences were estimated using linear mixed-effects models with Holm\u2013Bonferroni adjustment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>DHI-N improved in both groups over time with no statistically significant between-group differences 6\u00a0months (6.3 points, 95% CI\u2009=\u2009\u221212.7 to 0.2) or 12\u00a0months (7.0 points, 95% CI\u2009=\u2009\u221213.3 to \u22120.6). No between-group differences were observed in preferred gait speed at 6\u00a0months (MD\u2009=\u20090.05\u00a0m\/s, 95% CI\u2009=\u2009\u22120.03 to 0.13) or 12\u00a0months (MD\u2009=\u20090.07\u00a0m\/s, 95% CI\u2009=\u2009\u22120.01 to 0.15). A between-group difference was observed for dizziness intensity after head movement at both follow-ups. No other consistent between-group differences were found.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both groups showed sustained improvement in dizziness-related handicap over 12\u00a0months, with no statistically significant between-group differences in the primary outcomes. Further research is needed to clarify the usefulness of combined vestibular rehabilitation and cognitive behavioral strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance<\/jats:title>\n                    <jats:p>Both approaches were associated with improvement over time, while the added value of VR-CBT remains uncertain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ptj\/pzag095","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T11:51:38Z","timestamp":1788954698000},"source":"Crossref","is-referenced-by-count":0,"title":["Evaluating the effectiveness of an integrated treatment of vestibular rehabilitation and cognitive behavior therapy for chronic dizziness in a community-based population: a randomized controlled 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Thulin","family":"Wilhelmsen","sequence":"additional","affiliation":[{"name":"Department of Health and Functioning, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences , 5020 Bergen ,","place":["Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7287-8643","authenticated-orcid":false,"given":"Birgitte","family":"Espehaug","sequence":"additional","affiliation":[{"name":"Department of Health and Functioning, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences , 5020 Bergen ,","place":["Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9852-3990","authenticated-orcid":false,"given":"Silje","family":"M\u00e6land","sequence":"additional","affiliation":[{"name":"Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen , 5020 Bergen 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