Smith Rebecca M, Sahu Bithi, Burgess Caroline, Beattie Jenna, Newdick Abby, Tahtis Vassilios, Marsden Jonathan, Seemungal Barry M
Centre of Vestibular Neurology, Imperial College London, London, UK.
Population Health Sciences, Kings College London, London, UK.
Brain Inj. 2025 Mar;39(5):400-409. doi: 10.1080/02699052.2024.2435952. Epub 2024 Dec 3.
The purpose of this study was to explore the experiences of patients and healthcare professionals participating in a randomized feasibility trial exploring the management of acute post-traumatic benign paroxysmal positional vertigo (BPPV), and to establish the acceptability and tolerability of BPPV assessment and treatment procedures.
This was a multi-center qualitative study nested within a wider randomized feasibility trial. Purposive sampling was used to gather a cohort of healthcare professionals and patients from three major trauma centres in London, UK. Data were gathered using semi-structured interviews and were analyzed using Framework analysis.
Fifteen healthcare professionals and 26 patients participated. Patients and healthcare professionals reported acute BPPV diagnosis was acceptable and practicable. However, divergence was noted regarding views of randomization. Participants proposed several research delivery and protocol modifications for a future trial, including changes to study design and outcome measures.
Healthcare professionals and patients participating in a multi-center qualitative study felt post-traumatic BPPV was feasible and acceptable to diagnose and treat acutely. Findings from this study will enhance the content and delivery of a future trial and may assist in influencing the development of clinical practice guidelines.
本研究旨在探讨参与一项随机可行性试验的患者和医护人员的经历，该试验探索急性创伤后良性阵发性位置性眩晕（BPPV）的管理，并确定BPPV评估和治疗程序的可接受性和耐受性。
这是一项嵌套在更广泛随机可行性试验中的多中心定性研究。采用目的抽样法从英国伦敦的三个主要创伤中心收集一组医护人员和患者。通过半结构化访谈收集数据，并使用框架分析法进行分析。
15名医护人员和26名患者参与。患者和医护人员报告急性BPPV诊断是可接受且可行的。然而，在随机化观点上存在分歧。参与者为未来试验提出了几项研究实施和方案修改建议，包括研究设计和结局指标的改变。
参与多中心定性研究的医护人员和患者认为创伤后BPPV急性诊断和治疗是可行且可接受的。本研究结果将完善未来试验的内容和实施，并可能有助于影响临床实践指南的制定。
