The subscales of the Vestibular Activities and Participation measure (VAP) assess the impact of vestibular dysfunction on activity and participation; however, no diagnostic accuracy studies have evaluated their ability to identify severe handicap in individuals with vestibular disorders.ObjectiveTo evaluate the diagnostic accuracy of the VAP subscales in detecting severe handicap in individuals with vestibular...
Specific VAP subscales may be accurate enough to screen for severe vestibular handicap in clinical settings, potentially streamlining triage without the full questionnaire — but confirm diagnostic cut-off thresholds from this study before adopting them locally.
Validated subscale cut-offs for the VAP could enable faster, targeted identification of severely handicapped vestibular patients in busy audiology and vestibular clinics.
- 01Diagnostic accuracy of VAP measure subscales was evaluated against severe handicap criteria in vestibular dysfunction patients.
- 02Certain subscales may be sufficient to detect severe vestibular handicap without administering the full questionnaire.
- 03Study provides sensitivity, specificity, and threshold data relevant to clinical screening.
- 04Findings could reduce assessment burden for both clinicians and patients.
- 05Results need external validation across different vestibular disorder subtypes.
VAP measure subscales can accurately detect severe handicap in individuals with vestibular dysfunction.
studypartially supported- PMID
- 42337922
- DOI
- 10.1177/09574271261446597.
- Journal
- International Journal of Audiology
- Publication type
- research_article
- Evidence level
- 4
- Population
- Individuals with vestibular dysfunction
- Intervention
- Vestibular Activities and Participation (VAP) measure subscale scoring
- Comparator
- Full VAP measure or established severe handicap criteria
Primary outcomes
Diagnostic accuracy (sensitivity and specificity) of VAP subscales for detecting severe vestibular handicap; Optimal diagnostic thresholds for each subscale