Essery Rosie, Kirby Sarah, Geraghty Adam W A, Andersson Gerhard, Carlbring Per, Bronstein Adolfo, Little Paul, Yardley Lucy
Am J Audiol. 2015 Sep;24(3):276-9. doi: 10.1044/2015_AJA-14-0081.
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.
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.
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.
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.
本文概述了一种基于前庭康复治疗（VRT）的在线干预措施的基本原理和开发过程。该干预旨在帮助50岁及以上的成年人自我管理并减轻头晕症状。
该干预措施是根据以人为本的数字干预设计方法开发的，重点是考虑目标用户的观点。向18名50岁及以上有头晕症状的成年人（11名女性，7名男性）提供了该干预措施的原型版本。邀请这些成年人在6周内使用该干预措施，在此期间，参加一次出声思考会议。本次会议旨在了解用户对在线干预措施的可接受性、吸引力和易用性的看法。
用户对干预措施的导航便利性、视觉吸引力和信息丰富性给予了高度评价。出声思考会议提供了有价值的数据，可用于指导进行小的修改，以进一步提高目标用户对干预措施的接受度。
根据这些开发阶段的数据，目前正在一项基于初级保健的随机对照试验中对干预措施的最终版本进行研究。研究结果应能让我们了解VRT是否可以通过在线干预有效地——尤其是具有成本效益地——提供给50岁及以上的成年人。
