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Article . 2025 . Peer-reviewed
License: CC BY
Data sources: Crossref
DBLP
Article . 2025
Data sources: DBLP
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Impact of an Educational Intervention on BPPV Management: An Interrupted Time Series Analysis

Authors: Erfan Arbab; Kalpdrum Passi; Robert Ohle;

Impact of an Educational Intervention on BPPV Management: An Interrupted Time Series Analysis

Abstract

This study evaluates the impact of an educational intervention aimed at improving the management of benign paroxysmal positional vertigo (BPPV) in a clinical setting. Interrupted Time Series (ITS) analysis was used to assess changes in the use of key diagnostic maneuvers—Dix–Hallpike and Supine Roll—as well as the treatment maneuver, Canalith Repositioning Maneuvers (CRM), and the use of CT scans. The intervention aimed to promote evidence-based practices and minimize unnecessary imaging. ITS models accounted for confounders such as history of BPPV and dizziness. The results showed significant improvements in the use of the Supine Roll and CRM maneuvers, with both immediate increases and sustained upward trends following the intervention. For the Dix–Hallpike maneuver, an initial increase was observed after the intervention; however, this effect was no longer statistically significant after adjusting for confounders, suggesting that the observed change may have been influenced by shifts in the patient population rather than the intervention itself. A positive long-term trend persisted. No significant reduction in CT scan usage was found. These findings demonstrate the intervention’s effectiveness in enhancing adherence to recommended diagnostic and treatment practices for BPPV. However, they also suggest that reducing unnecessary imaging may require additional strategies beyond provider education.

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    1
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
gold