The referral-to-attendance gap in vestibular rehabilitation: a retrospective cohort study in diverse South Florida patients - Takeaways - MDSpire

The referral-to-attendance gap in vestibular rehabilitation: a retrospective cohort study in diverse South Florida patients

  • By

  • Madison Hawthorne

  • Luis Rodriguez-Diaz

  • Katie Miller

  • Kayla Minesinger

  • Devin Kennedy

  • Michael E. Hoffer

  • Erin Williams

  • June 16, 2026

  • 0 min

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  • 1

    Only 41% of patients referred for vestibular rehabilitation therapy (VRT) attended, indicating a significant 59% referral-to-attendance gap.

  • 2

    No sociodemographic or insurance-related factors significantly influenced VRT attendance rates in the studied cohort.

  • 3

    Patients who attended VRT showed a statistically significant decrease in Dizziness Handicap Index (DHI) scores, though it did not meet the minimum clinically important difference.

  • 4

    Neighborhood deprivation and insurance category were associated with clinically meaningful improvements in DHI scores among VRT attendees.

  • 5

    The study highlights the need for further research to identify structural barriers affecting VRT attendance and to confirm findings in larger, diverse populations.

Original Source(s)

The referral-to-attendance gap in vestibular rehabilitation: a retrospective cohort study in diverse South Florida patients

  • by Madison Hawthorne, Luis Rodriguez-Diaz, Katie Miller, Kayla Minesinger, Devin Kennedy, Michael E. Hoffer, Erin Williams

  • June 16, 2026

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