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Dizztinct

Evidence Tier:DOCUMENTED

Published in academic literature

For:General Public & EnthusiastsPatients & Caregivers

App Summary

Dizztinct provides step-by-step visual guides for the Dix-Hallpike Test and Epley Maneuver to help clinicians and patients manage Benign Paroxysmal Positional Vertigo (BPPV). The app operationalizes these gold-standard, guideline-recommended maneuvers and is the subject of a stepped-wedge randomized trial designed to improve their use in the emergency department. The associated study protocol states that successfully increasing the use of these maneuvers would be an important step in implementing evidence-based processes of care for this common condition.

App Screenshots

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Detailed Description

Functionality & Mechanism Dizztinct is a clinical support tool designed to guide the application of evidence-based maneuvers for Benign Paroxysmal Positional Vertigo (BPPV). The interface delivers step-by-step visual instructions and concise instructional videos for performing the Dix-Hallpike Test for diagnosis and the Epley Maneuver for treatment. The system facilitates the correct and sequential execution of these procedures, serving as a point-of-care reference to ensure adherence to established clinical protocols for managing peripheral vestibular disorders.

Evidence & Research Context

  • The app's design and implementation strategy are detailed in a published protocol for the DIZZTINCT stepped-wedge randomized clinical trial.
  • This trial was designed to evaluate a multi-faceted intervention, incorporating this tool, aimed at increasing guideline-concordant BPPV care in emergency departments.
  • The primary endpoint for the associated research is the rate of clinical documentation for the Dix-Hallpike Test or a Canalith Repositioning Maneuver.
  • The underlying diagnostic and therapeutic processes are supported by extensive evidence, including numerous randomized controlled trials and systematic reviews establishing their efficacy.

Intended Use & Scope This tool is intended for clinicians as a point-of-care reference to facilitate the implementation of evidence-based BPPV assessment and treatment protocols. Its primary utility is procedural guidance. The system does not provide a differential diagnosis for dizziness and is not a substitute for comprehensive clinical evaluation and diagnosis by a qualified healthcare provider.

Studies & Publications

1 publication

Peer-reviewed research associated with this app.

Study Protocol

Implementation of evidence-based practice for benign paroxysmal positional vertigo: DIZZTINCT- A study protocol for an exploratory stepped-wedge randomized trial

Meurer et al. (2018) · Trials

Research study planned or in progress; results not yet available
Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder, and accounts for 8% of individuals with moderate or severe dizziness. BPPV patients experience substantial inconveniences and disabilities during symptomatic periods. BPPV therapeutic processes – the Dix-Hallpike Test (DHT) and the Canalith Repositioning Maneuver (CRM) – have an evidence base that is at the clinical practice guideline level. The most
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