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Development and validation of the SMART-BPPV: a multimedia learning module for BPPV education
Alex Zxi Jian Ho1, Saiful Adli Jamaluddin2, Ahmad Hafizuddin Johari3
1Department of Otorhinolaryngology, Kulliyyah of Medicine, International Islamic University Malaysia, Kuantan, Pahang, Malaysia. alexhozxijian@gmail.com.
BMC Medical Education
|July 2, 2026
Summary
The SMART-BPPV multimedia tool shows excellent validity for teaching benign paroxysmal positional vertigo (BPPV). This validated educational resource is suitable for introductory BPPV training, with potential for future knowledge and skill assessment.
Area of Science:
- Medical Education
- Vestibular Disorders
- Otorhinolaryngology
Background:
- Benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder, yet its diagnosis and management present challenges for medical trainees.
- Current teaching methods for BPPV are often inconsistent and lack standardization, hindering effective skill acquisition.
- There is a need for systematically developed and validated multimedia learning resources in vestibular education.
Purpose of the Study:
- To develop and validate the content and face validity of the SMART-BPPV multimedia learning tool.
- To create a standardized educational resource for introductory BPPV training.
Main Methods:
- A methodological study utilized the ADDIE instructional design framework.
- Content validity was assessed by seven otorhinolaryngology and audiology experts using a 4-point scale, calculating I-CVI and S-CVI/Ave.
- Face validity was evaluated by 30 medical officers on clarity, usability, and relevance.
Main Results:
- The SMART-BPPV module achieved excellent content validity (S-CVI/Ave = 0.987) and face validity (S-FVI/Ave = 0.999).
- High interrater agreement (Gwet's AC1 = 0.976) and strong item-level validity (I-CVI = 0.857-1.000, I-FVI = 0.967-1.000) were observed.
- Qualitative feedback indicated clarity, logical organization, and effective visual design, with minor improvements implemented.
Conclusions:
- The SMART-BPPV multimedia tool demonstrates excellent content and face validity, confirming its suitability for introductory BPPV education.
- The tool provides a structured and validated approach to learning BPPV diagnosis and management.
- Future research should focus on evaluating the tool's impact on trainee knowledge acquisition and procedural performance.

