Feasibility Study: Physical Therapy for Dizziness in the Emergency Department
This study is looking at a new way to provide physical therapy for people experiencing dizziness in the emergency department (ED). Instead of waiting for an outpatient referral, a physical therapist will be directly available in the ED to start care sooner. This approach, called "Embedded Emergency Department Physical Therapy," is being compared to "Usual Care," which is the standard treatment for dizziness in the ED. The study aims to see how well this new model works in two different hospitals. You might be able to join if you are at least 18 years old, speak English or Spanish, and visit one of the participating EDs for dizziness between 8 am and 8 pm. The researchers will track how many people complete surveys and stay in the study for up to 12 months to understand its success.
- Study design
- This is a randomized feasibility clinical trial with 100 planned participants. Two hospital emergency departments will be randomly assigned to either receive the embedded physical therapy intervention or usual care.
- What's involved
- Not specified in the trial record.
- Compensation
- Not stated in the trial record.
- Follow-up
- Participants will be followed for 12 months after the intervention period to collect survey data.
AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.
A Multi-Site Feasibility Trial of Embedded Emergency Department Physical Therapy for Dizziness
At a glance
Conditions
Where it's being run
2 sites across 2 statesWho to contact
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Do you actually qualify for this trial?
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Inclusion
Exclusion
What this trial measures
- Longitudinal participant surveys (effectiveness): missing data rate for the Dizziness Handicap Inventory12 months
Rate of missing data for assessments administered between baseline and 12 months. Variable type: binary / proportion.
- Longitudinal participant surveys (effectiveness): screening-to-enrollment ratioBaseline
Number of participants who enter screening compared to the number of participants who enroll in the study. Variable type: binary / proportion.
- Longitudinal participant surveys (effectiveness): participant retention rate defined as completion of at least one follow-up survey.12 months
Ratio of participants enrolled to the number who complete at least one follow-up survey.
- Electronic Health Record (EHR) extraction (implementation): adoption of Emergency Department (ED) physical therapyBaseline
Adoption is defined as the number of potentially eligible dizziness ED visits have a documented order for a physical therapy evaluation. Cross-sectional at the level of site/Emergency Department during the trial. Variable type: Proportion.
- Electronic Health Record (EHR) extraction (implementation): fidelity of Emergency Department (ED) physical therapyBaseline
Fidelity is defined as the number of dizziness ED visits that have a structured research note documenting use of the protocol. Cross-sectional at the level of site/Emergency Department (ED) during the trial. Variable type: proportion.
- Clinician surveys before and after implementation of the intervention (implementation): Normalisation Measure Development Questionnaire (NoMAD) questionnaire scores1-6 months prior to opening study to accrual and 1-6 months after the last participant enrolls at the site.
1-6 months prior to opening study to accrual and 1-6 months after the last participant enrolls at the site. Variable type: continuous.