{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T16:15:42Z","timestamp":1771258542063,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,2,18]],"date-time":"2011-02-18T00:00:00Z","timestamp":1297987200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate whether an interdisciplinary program for vestibular patients improved health outcomes and health care utilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Outpatient neurotology clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Patients (N = 167) with dizziness attended an interdisciplinary neurotology clinic; 129 were offered group treatment. After an introductory session, group treatment included 5 sessions incorporating mindfulness, cognitive\u2010behavioral techniques, and vestibular rehabilitation. Physical and emotional functioning, depression, anxiety, dizziness, impairment, coping, skill use, and patient satisfaction were measured with rating scales pre\u2010 and postgroup treatment. Data from 51 patients (male\/female = 14\/37; age range, 25\u201082 years) were analyzed with paired <jats:italic>t<\/jats:italic> tests or nonparametric tests. Logistic regression analyzed predictors of outcome and utilization for 116 patients (male\/female = 81\/35; age range, 11\u201086 years) attending the interdisciplinary clinic, introductory session, and\/or group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After group treatment, patients reported better mood (<jats:italic>P<\/jats:italic> =. 0482); better physical (<jats:italic>P<\/jats:italic> =. 0006) and mental (<jats:italic>P<\/jats:italic> =. 0183) health; better functionality, coping, and skill use (<jats:italic>P<\/jats:italic>s &lt;. 0001); less impairment (<jats:italic>P<\/jats:italic> &lt;. 0001); and fewer limitations from dizziness (<jats:italic>P<\/jats:italic> &lt;. 0001). Higher pretreatment levels of depression (<jats:italic>P<\/jats:italic> =. 0216), poorer initial mental (<jats:italic>P<\/jats:italic> =. 0164) or physical (<jats:italic>P<\/jats:italic> =. 0059) health, and peripheral diagnosis (<jats:italic>P<\/jats:italic> =. 0220) predicted better outcome. Group treatment decreased utilization more than the interdisciplinary clinic with (<jats:italic>P<\/jats:italic> =. 0183) or without (<jats:italic>P<\/jats:italic> =. 0196) the introductory session; 78% of patients with any level of participation showed less utilization. Clinic patients had fewer radiology procedures than group patients (<jats:italic>P<\/jats:italic> =. 0365). Patients were highly satisfied with the program and found it more effective than previous treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Interdisciplinary treatment improves patient coping, functionality, and satisfaction and decreases overall health care utilization in vestibular patients.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599811399371","type":"journal-article","created":{"date-parts":[[2011,2,18]],"date-time":"2011-02-18T23:50:53Z","timestamp":1298073053000},"page":"117-124","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Interdisciplinary Treatment for Vestibular Dysfunction"],"prefix":"10.1002","volume":"145","author":[{"given":"Christine M.","family":"Naber","sequence":"first","affiliation":[{"name":"Department of Neurology Kaiser Permanente Santa Rosa California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omay","family":"Water\u2010Schmeder","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Kaiser Permanente Santa Rosa California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pamela S.","family":"Bohrer","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Kaiser Permanente Santa Rosa California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathy","family":"Matonak","sequence":"additional","affiliation":[{"name":"Department of Audiology Kaiser Permanente Santa Rosa California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allan L.","family":"Bernstein","sequence":"additional","affiliation":[{"name":"Department of Neurology Kaiser Permanente Santa Rosa California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maqdooda A.","family":"Merchant","sequence":"additional","affiliation":[{"name":"Division of Research Kaiser Permanente Oakland California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,2,18]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2005.09.008"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0887-6185(00)00042-6"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0887-6185(00)00045-1"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(05)70229-2"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)30399-6"},{"key":"e_1_2_8_7_2","volume-title":"Handbook of Vestibular Rehabilitation","author":"Luxon LM","year":"1997"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(00)00202-6"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00020840-200310000-00008"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.1997.tb00063.x"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0887-6185(00)00046-3"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2001.118127"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-005-0050-6"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-005-0699-x"},{"key":"e_1_2_8_15_2","volume-title":"Skills Training Manual for Treating Borderline Personality Disorder","author":"Linehan MM","year":"1993"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/105504999305686"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.68.4.615"},{"key":"e_1_2_8_18_2","first-page":"581","volume-title":"Handbook of Emotion Regulation","author":"Linehan MM","year":"2007"},{"key":"e_1_2_8_19_2","volume-title":"Beck Depression Inventory II Manual","author":"Beck AT","year":"1996"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.56.6.893"},{"key":"e_1_2_8_21_2","volume-title":"How to Score Version 2 of the SF\u201012 Health Survey","author":"Ware JE","year":"2002"},{"key":"e_1_2_8_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-199905000-00009"},{"key":"e_1_2_8_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70102-8"},{"key":"e_1_2_8_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2003.06.006"},{"key":"e_1_2_8_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2005.08.003"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599811399371","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599811399371","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599811399371","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T12:05:54Z","timestamp":1760961954000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599811399371"}},"subtitle":["The Effectiveness of Mindfulness, Cognitive\u2010Behavioral Techniques, and Vestibular Rehabilitation"],"short-title":[],"issued":{"date-parts":[[2011,2,18]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2011,7]]}},"alternative-id":["10.1177\/0194599811399371"],"URL":"https:\/\/doi.org\/10.1177\/0194599811399371","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,2,18]]},"assertion":[{"value":"2010-09-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-01-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-02-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}