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Protocol - Vertigo

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Description:

The Dizziness Handicap Inventory (DHI) assesses perceived disability due to dizziness (e.g., vertigo [spinning sensation] or other perceived instability). This 25-item, self-administered questionnaire contains three subscales that cover the areas of function, emotion, and physical aspects. Points from each subscale can be combined to assign a total score, or they can be combined by subscale. The item scores can also be used to calculate statistically uncorrelated factor scores for perceived disability (Asmundson et al., 1999; Perez et al., 2001; Tamber et al., 2009; Kurre et al., 2010). Longitudinal improvement parallels clinical improvement, including the Headache Impact Test-6 (HIT-6) scores in individuals reporting headache.

Specific Instructions:

None

Protocol:

Dizziness Handicap Inventory

Instructions: The purpose of this scale is to identify difficulties that you may be experiencing because of dizziness or unsteadiness. Please answer "yes," "no," or "sometimes" to each question. Answer each question as it applies to your dizziness or unsteadiness only.

1. Does looking up increase your problem?

4[ ]Yes

0[ ]No

2[ ]Sometimes

2. Because of your problem, do you feel frustrated?

4[ ]Yes

0[ ]No

2[ ]Sometimes

3. Because of your problem, do you restrict your travel for business or recreation?

4[ ]Yes

0[ ]No

2[ ]Sometimes

4. Does walking down the aisle of a supermarket increase your problem?

4[ ]Yes

0[ ]No

2[ ]Sometimes

5. Because of your problem, do you have difficulty getting into or out of bed?

4[ ]Yes

0[ ]No

2[ ]Sometimes

6. Does your problem significantly restrict your participation in social activities such as going out to dinner, the movies, dancing, or to parties?

4[ ]Yes

0[ ]No

2[ ]Sometimes

7. Because of your problem, do you have difficulty reading?

4[ ]Yes

0[ ]No

2[ ]Sometimes

8. Does performing more ambitious activities such as sports or dancing or household chores such as sweeping or putting dishes away increase your problem?

4[ ]Yes

0[ ]No

2[ ]Sometimes

9. Because of your problem, are you afraid to leave your home without having someone accompany you?

4[ ]Yes

0[ ]No

2[ ]Sometimes

10. Because of your problem, are you embarrassed in front of others?

4[ ]Yes

0[ ]No

2[ ]Sometimes

11. Do quick movements of your head increase your problem?

4[ ]Yes

0[ ]No

2[ ]Sometimes

12. Because of your problem, do you avoid heights?

4[ ]Yes

0[ ]No

2[ ]Sometimes

13. Does turning over in bed increase your problem?

4[ ]Yes

0[ ]No

2[ ]Sometimes

14. Because of your problem, is it difficult for you to do strenuous housework or yard work?

4[ ]Yes

0[ ]No

2[ ]Sometimes

15. Because of your problem, are you afraid people may think you are intoxicated?

4[ ]Yes

0[ ]No

2[ ]Sometimes

16. Because of your problem, is it difficult for you to walk by yourself?

4[ ]Yes

0[ ]No

2[ ]Sometimes

17. Does walking down a sidewalk increase your problem?

4[ ]Yes

0[ ]No

2[ ]Sometimes

18. Because of your problem, is it difficult for you to concentrate?

4[ ]Yes

0[ ]No

2[ ]Sometimes

19. Because of your problem, is it difficult for you to walk around the house in the dark?

4[ ]Yes

0[ ]No

2[ ]Sometimes

20. Because of your problem, are you afraid to stay at home alone?

4[ ]Yes

0[ ]No

2[ ]Sometimes

21. Because of your problem, do you feel handicapped?

4[ ]Yes

0[ ]No

2[ ]Sometimes

22. Has your problem placed stress on your relationship with members of your family or friends?

4[ ]Yes

0[ ]No

2[ ]Sometimes

23. Because of your problem, are you depressed?

4[ ]Yes

0[ ]No

2[ ]Sometimes

24. Does your problem interfere with your job or household responsibilities?

4[ ]Yes

0[ ]No

2[ ]Sometimes

25. Does bending over increase your problem?

4[ ]Yes

0[ ]No

2[ ]Sometimes

Scoring

Physical Subscale: questions 1, 4, 8, 11, 13, 17, 25
Emotional Subscale: questions 2, 9, 10, 15, 18, 20, 21, 22, 23
Functional Subscale: questions 3, 5, 6, 7, 12, 14, 16, 19, 24

A "Yes" response receives 4 points. A "Sometimes" response receives 2 points. A "No" response receives 0 points. The points can be combined to assign a total score, or they can be combined by subscale. The higher the points a patient scores, either total or for a particular subscale, the greater their perceived disability due to dizziness.

Total Score

100–70 = severe perception of having a handicap
69–40 = moderate perception of handicap
39–0 = low perception of handicap

Protocol Name from Source:

Dizziness Handicap Inventory (DHI)

Availability:

Publicly available

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Life Stage:

Adult

Participants:

Adults ages 18 years and older

Selection Rationale

The Dizziness Handicap Inventory (DHI) was selected because it is validated, reliable, requires little time to administer, and is easy to score and interpret. It also has been validated cross-culturally and has been translated into many languages.  

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Hearing Vertigo Assessment Score 3139297 CDE Browser
Logical Observation Identifiers Names and Codes (LOINC) Vertigo proto 63000-4 LOINC
Common Data Elements (CDE) Hearing Vertigo Assessment Score 3139297 CDE Browser
Human Phenotype Ontology Vertigo HP:0002321 HPO
Derived Variables

None

Process and Review

The Expert Review Panel #7 (ERP 7) reviewed the measures in the Speech and Hearing domain.

Guidance from ERP 7 includes the following:

  • Minor changes to the description of the protocol

Source

Jacobson, G. P., & Newman, C. W. (1990). The development of the Dizziness Handicap Inventory. Archives of Otolaryngology Head Surgery, 116, 424–427.

Copyright © (1990) American Medical Association. All rights reserved.

General References

Asmundson, G. J. G., Stein, M. B., & Ireland, D. (1999). A factor analytic study of the dizziness handicap inventory: Does it assess phobic avoidance in vestibular referrals? Journal of Vestibular Research, 9, 63–68.

Kurre, A., Bastiaenen, C. H. G., van Gool, C. J. A. W., Gloo-Juzi, T., de Bruin, E. D., & Straumann, D. (2010). Exploratory factor analysis of the Dizziness Handicap Inventory (German version). BMC Ear, Nose and Throat Disorders, 10, 3.

Perez, N., Garmendia, I., Garcia-Granero, M., Martin, E., & Garcia-Tapia, R. (2001). Factor analysis and correlation between Dizziness Handicap Inventory and dizziness characteristics and impact on Quality of Life scales. Acta Oto-Laryngologica. Supplementum, 545, 145–154.

Tamber, A. L., Wilhelmsen, K. T., & Strand, L. I. (2009). Measurement properties of the Dizziness Handicap Inventory by cross-sectional and longitudinal designs. Health and Quality of Life Outcomes, 7, 101.

Protocol ID:

201101

Variables:
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX201101_Vertigo_Ambitious_Activities
PX201101080000 Does performing more ambitious activities more
such as sports or dancing or household chores such as sweeping or putting dishes away increase your problem? show less
N/A
PX201101_Vertigo_Avoid_Heights
PX201101120000 Because of your problem, do you avoid heights? N/A
PX201101_Vertigo_Bed_In_Out
PX201101050000 Because of your problem, do you have more
difficulty getting into or out of bed? show less
N/A
PX201101_Vertigo_Bending_Over
PX201101250000 Does bending over increase your problem? N/A
PX201101_Vertigo_Concentrate
PX201101180000 Because of your problem, is it difficult for more
you to concentrate? show less
N/A
PX201101_Vertigo_Dark_House
PX201101190000 Because of your problem, is it difficult for more
you to walk around the house in the dark? show less
N/A
PX201101_Vertigo_Depressed
PX201101230000 Because of your problem, are you depressed? N/A
PX201101_Vertigo_Embarrassed
PX201101100000 Because of your problem, are you embarrassed more
in front of others? show less
N/A
PX201101_Vertigo_Frustrated
PX201101020000 Because of your problem, do you feel frustrated? N/A
PX201101_Vertigo_Handicapped
PX201101210000 Because of your problem, do you feel handicapped? N/A
PX201101_Vertigo_Home_Alone
PX201101200000 Because of your problem, are you afraid to more
stay at home alone? show less
N/A
PX201101_Vertigo_Intoxicated
PX201101150000 Because of your problem, are you afraid more
people may think you are intoxicated? show less
N/A
PX201101_Vertigo_Leave_Home
PX201101090000 Because of your problem, are you afraid to more
leave your home without having someone accompany you? show less
N/A
PX201101_Vertigo_Looking_Up
PX201101010000 Does looking up increase your problem? N/A
PX201101_Vertigo_Quick_Head_Movements
PX201101110000 Do quick movements of your head increase more
your problem? show less
N/A
PX201101_Vertigo_Reading
PX201101070000 Because of your problem, do you have more
difficulty reading? show less
N/A
PX201101_Vertigo_Relationships
PX201101220000 Has your problem placed stress on your more
relationship with members of your family or friends? show less
N/A
PX201101_Vertigo_Responsibilities
PX201101240000 Does your problem interfere with your job or more
household responsibilities? show less
N/A
PX201101_Vertigo_Sidewalk
PX201101170000 Does walking down a sidewalk increase your more
problem? show less
N/A
PX201101_Vertigo_Social_Activities
PX201101060000 Does your problem significantly restrict more
your participation in social activities such as going out to dinner, the movies, dancing, or to parties? show less
N/A
PX201101_Vertigo_Supermarket
PX201101040000 Does walking down the aisle of a supermarket more
increase your problem? show less
N/A
PX201101_Vertigo_Travel
PX201101030000 Because of your problem, do you restrict more
your travel for business or recreation? show less
N/A
PX201101_Vertigo_Turning_In_Bed
PX201101130000 Does turning over in bed increase your problem? N/A
PX201101_Vertigo_Walk_Alone
PX201101160000 Because of your problem, is it difficult for more
you to walk by yourself? show less
N/A
PX201101_Vertigo_Work
PX201101140000 Because of your problem, is it difficult for more
you to do strenuous housework or yard work? show less
N/A
Speech, Language and Hearing
Measure Name:

Vertigo

Release Date:

October 8, 2010

Definition

This measure is a questionnaire to assess perceived disability due to dizziness and balance dysfunction

Purpose

This measure can be used to assess perceived disability due to dizziness symptoms in order to detect the presence of vestibular system disease. Vestibular diseases would include conditions such as Meniere’s disease, vestibular neuritis, and vestibular migraine.

Keywords

Dizziness Handicap Inventory, DHI, vertigo, vestibular system disease, balance disorder, speech and hearing, migraine, concussion