Implementation of Evidence-Based Practice for Dizziness (DIZZTINCT2)
BPPV, Vestibular Diseases, Vertigo
About this trial
This is an interventional health services research trial for BPPV
Eligibility Criteria
Inclusion Criteria: Age >= 18 years Dizziness diagnosis as the primary discharge diagnosis (ICD-10 codes: R42.xx "Dizziness"; H81.xx "Disorders of vestibular system" (e.g., BPPV, vestibular neuritis); H82.xx "Other vertiginous syndromes"; H83.xx "Other diseases of inner ear"; R26.0 "Ataxic gait"; R26.2 "Difficulty in walking"; R26.81 "Unsteadiness on feet"; R26.89 "Other abnormalities of gait"; R27.xx "Other lack of coordination"; A88.1 "Epidemic vertigo") Discharged home from ED or Observation from one of 14 Kaiser Permanente Southern California (KPSC) Emergency Departments within the last 48 hours (Enrolled population) Continuous health plan membership in the last 31 days prior to the encounter English or Spanish speaker Exclusion Criteria: Prisoners Death Level 1 trauma diagnosis Previously enrolled in study Does not demonstrate capacity to consent assessed by the Older Adults' Capacity to Consent to Research (OACCR) scale48
Sites / Locations
- Kaiser Permanente Southern CaliforniaRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Experimental
No Intervention
No Intervention
Experimental
Experimental
Experimental
Group 1: Pre-CME with Patient Education
Group 2: Pre-CME with Standard Patient Care
Group 3: Pre-CME with Chart Review Only
Group 4: Post-CME with Patient Education
Group 5: Post-CME with Standard Patient Care
Group 6: Post-CME with Chart Review Only
Physicians in hospitals that have not received the DIZZTINCT educational intervention. Patients have received the DIZZTINCT educational intervention
Physicians in hospitals that have not received the DIZZTINCT educational intervention. Patients have not received the DIZZTINCT educational intervention
Physicians in hospitals that have not received the DIZZTINCT educational intervention. Eligible patient will have their medical records abstracted to assess the main study outcome
Physicians in hospitals that have received the DIZZTINCT educational intervention. Patients have receive the DIZZTINCT educational intervention
Physicians in hospitals that have received the DIZZTINCT educational intervention. Patients have not receive the DIZZTINCT educational intervention
Physicians in hospitals that have received the DIZZTINCT educational intervention. Eligible patient will have their medical records abstracted to assess the main study outcome