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Protocol - Vertigo

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Protocol Name from Source:

This section will be completed when reviewed by an Expert Review Panel.

Availability:

Publicly available

Description:

The Dizziness Handicap Inventory (DHI) assesses perceived disability due to dizziness (i.e., vertigo). This 25-item self-administered questionnaire contains three subscales which 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.

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 your 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

Personnel and Training Required

None

Equipment Needs

The respondent will need a copy of the questionnaire.

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adult

Specific Instructions:

None
Research Domain Information

Release Date:

October 8, 2010

Definition

This measure is a questionnaire to assess perceived disability due to dizziness.

Purpose

This measure can be used to assess perceived disability due to dizziness in order to determine the presence of vestibular system disease such as vertigo. Vertigo is a key component of Meniere's disease, an inner ear disorder that can affect balance.

Selection Rationale

The Dizziness Handicap Inventory was selected because it is validated, reliable, requires little time to administer, and is easy to score and interpret.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Hearing Vertigo Assessment Score3139297CDE Browser
Logical Observation Identifiers Names and Codes (LOINC)Vertigo proto63000-4LOINC

Process and Review

This section will be completed when reviewed by an Expert Review Panel.

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

None

Protocol ID:

201101

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX201101_Looking_Up_Increases_ProblemPX201101010000Does looking up increase your problem?4N/A
PX201101_Feel_FrustratedPX201101020000Because of your problem, do you feel frustrated?4N/A
PX201101_Restrict_TravelPX201101030000Because of your problem, do you restrict your travel for business or recreation?4N/A
PX201101_Walking_Down_Aisle_Increase_ProblemPX201101040000Does walking down the aisle of a supermarket increase your problem?4N/A
PX201101_Difficulty_Getting_Out_Of_BedPX201101050000Because of your problem, do you have difficulty getting into or out of bed?4N/A
PX201101_Problem_Restricts_Social_ParticipationPX201101060000Does your problem significantly restrict your participation in social activities such as going out to dinner, the movies, dancing or to parties?4N/A
PX201101_Difficulty_ReadingPX201101070000Because of your problem, do you have difficulty reading?4N/A
PX201101_Sports_Dancing_Chores_Increases_ProblemsPX201101080000Does performing more ambitious activities such as sports or dancing or household chores such as sweeping or putting dishes away increase your problem?4N/A
PX201101_Afraid_To_Leave_Home_UnaccompaniedPX201101090000Because of your problem, are your afraid to leave your home without having someone accompany you?4N/A
PX201101_Embarrassed_In_Front_Of_OthersPX201101100000Because of your problem, are you embarrassed in front of others?4N/A
PX201101_Quick_Head_Movements_Increase_ProblemPX201101110000Do quick movements of your head increase your problem?4N/A
PX201101_Avoid_HeightsPX201101120000Because of your problem, do you avoid heights?4N/A
PX201101_Turning_In_Bed_Increases_ProblemsPX201101130000Does turning over in bed increase your problem?4N/A
PX201101_Difficulty_With_House_Yard_WorkPX201101140000Because of your problem, is it difficult for you to do strenuous housework or yard work?4N/A
PX201101_People_Think_IntoxicatedPX201101150000Because of your problem, are you afraid people may think you are intoxicated?4N/A
PX201101_Difficult_Walk_AlonePX201101160000Because of your problem, is it difficult for you to walk by yourself?4N/A
PX201101_Sidewalk_Increase_ProblemPX201101170000Does walking down a sidewalk increase your problem?4N/A
PX201101_Difficult_To_ConcentratePX201101180000Because of your problem, is it difficult for you to concentrate?4N/A
PX201101_Difficult_To_Walk_In_DarkPX201101190000Because of your problem, is it difficult for you to walk around the house in the dark?4N/A
PX201101_Afraid_To_Stay_Home_AlonePX201101200000Because of your problem, are you afraid to stay at home alone?4N/A
PX201101_Feel_HandicappedPX201101210000Because of your problem, do you feel handicapped?4N/A
PX201101_Relationship_StressPX201101220000Has your problem placed stress on your relationship with members of your family or friends?4N/A
PX201101_Problem_Causes_DepressionPX201101230000Because of your problem, are you depressed?4N/A
PX201101_Problem_Interfere_With_JobPX201101240000Does your problem interfere with your job or household responsibilities?4N/A
PX201101_Bending_Over_Increases_ProblemPX201101250000Does bending over increase your problem?4N/A