Summary
dizziness, depressive, anxiety
ADVERSE EVENTS
At 36-month follow-up, vestibular symptoms did not significantly differ between participants who received internet-based VR and usual care. The same applies with regard to impairment experienced due to dizziness, anxiety, and depressive symptoms. Nevertheless, clinically relevant improvements in internet-based VR groups were maintained over time. Recovery of usual care participants who crossed over at 6 months further indicates the value of online VR when vestibular symptoms do not improve spontaneously. There were no clear differences in healthcare utilisation between groups at long-term follow-up, and serious adverse events due to VR were unlikely. Many patients reported continuing VR exercises long after the end of the 6-week intervention period.