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Protocol - Vertigo

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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

Protocol Name from Source:

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

Availability:

Publicly available

Personnel and Training Required
None
Equipment Needs
The respondent will need a copy of the questionnaire.
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

Specific Instructions:
None
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 Score 3139297 CDE Browser
Logical Observation Identifiers Names and Codes (LOINC) Vertigo proto 63000-4 LOINC
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_Afraid_To_Leave_Home_Unaccompanied PX201101090000 Because of your problem, are your afraid to leave your home without having someone accompany you? 4 N/A
PX201101_Afraid_To_Stay_Home_Alone PX201101200000 Because of your problem, are you afraid to stay at home alone? 4 N/A
PX201101_Avoid_Heights PX201101120000 Because of your problem, do you avoid heights? 4 N/A
PX201101_Bending_Over_Increases_Problem PX201101250000 Does bending over increase your problem? 4 N/A
PX201101_Difficulty_Getting_Out_Of_Bed PX201101050000 Because of your problem, do you have difficulty getting into or out of bed? 4 N/A
PX201101_Difficulty_Reading PX201101070000 Because of your problem, do you have difficulty reading? 4 N/A
PX201101_Difficulty_With_House_Yard_Work PX201101140000 Because of your problem, is it difficult for you to do strenuous housework or yard work? 4 N/A
PX201101_Difficult_To_Concentrate PX201101180000 Because of your problem, is it difficult for you to concentrate? 4 N/A
PX201101_Difficult_To_Walk_In_Dark PX201101190000 Because of your problem, is it difficult for you to walk around the house in the dark? 4 N/A
PX201101_Difficult_Walk_Alone PX201101160000 Because of your problem, is it difficult for you to walk by yourself? 4 N/A
PX201101_Embarrassed_In_Front_Of_Others PX201101100000 Because of your problem, are you embarrassed in front of others? 4 N/A
PX201101_Feel_Frustrated PX201101020000 Because of your problem, do you feel frustrated? 4 N/A
PX201101_Feel_Handicapped PX201101210000 Because of your problem, do you feel handicapped? 4 N/A
PX201101_Looking_Up_Increases_Problem PX201101010000 Does looking up increase your problem? 4 N/A
PX201101_People_Think_Intoxicated PX201101150000 Because of your problem, are you afraid people may think you are intoxicated? 4 N/A
PX201101_Problem_Causes_Depression PX201101230000 Because of your problem, are you depressed? 4 N/A
PX201101_Problem_Interfere_With_Job PX201101240000 Does your problem interfere with your job or household responsibilities? 4 N/A
PX201101_Problem_Restricts_Social_Participation PX201101060000 Does your problem significantly restrict your participation in social activities such as going out to dinner, the movies, dancing or to parties? 4 N/A
PX201101_Quick_Head_Movements_Increase_Problem PX201101110000 Do quick movements of your head increase your problem? 4 N/A
PX201101_Relationship_Stress PX201101220000 Has your problem placed stress on your relationship with members of your family or friends? 4 N/A
PX201101_Restrict_Travel PX201101030000 Because of your problem, do you restrict your travel for business or recreation? 4 N/A
PX201101_Sidewalk_Increase_Problem PX201101170000 Does walking down a sidewalk increase your problem? 4 N/A
PX201101_Sports_Dancing_Chores_Increases_Problems PX201101080000 Does performing more ambitious activities such as sports or dancing or household chores such as sweeping or putting dishes away increase your problem? 4 N/A
PX201101_Turning_In_Bed_Increases_Problems PX201101130000 Does turning over in bed increase your problem? 4 N/A
PX201101_Walking_Down_Aisle_Increase_Problem PX201101040000 Does walking down the aisle of a supermarket increase your problem? 4 N/A
Research Domain Information
Measure Name:

Vertigo

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.

Keywords

Dizziness Handicap Inventory, DHI, Vertigo, Vestibular system disease, Speech and Hearing