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Headstrong intervention for pediatric migraine headache: a randomized clinical trial

BACKGROUND: The purpose of this study was to evaluate the efficacy of a self-guided CD-ROM program (“Headstrong”) containing cognitive-behavioral self-management strategies versus an educational CD-ROM program for treating headaches, headache-related disability, and quality of life. METHODS: Partici...

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Autores principales: Rapoff, Michael A, Connelly, Mark, Bickel, Jennifer L, Powers, Scott W, Hershey, Andrew D, Allen, Janelle R, Karlson, Cynthia W, Litzenburg, Catrina C, Belmont, John M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3996073/
https://www.ncbi.nlm.nih.gov/pubmed/24580721
http://dx.doi.org/10.1186/1129-2377-15-12
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author Rapoff, Michael A
Connelly, Mark
Bickel, Jennifer L
Powers, Scott W
Hershey, Andrew D
Allen, Janelle R
Karlson, Cynthia W
Litzenburg, Catrina C
Belmont, John M
author_facet Rapoff, Michael A
Connelly, Mark
Bickel, Jennifer L
Powers, Scott W
Hershey, Andrew D
Allen, Janelle R
Karlson, Cynthia W
Litzenburg, Catrina C
Belmont, John M
author_sort Rapoff, Michael A
collection PubMed
description BACKGROUND: The purpose of this study was to evaluate the efficacy of a self-guided CD-ROM program (“Headstrong”) containing cognitive-behavioral self-management strategies versus an educational CD-ROM program for treating headaches, headache-related disability, and quality of life. METHODS: Participants were 35 children ages 7–12 years with migraine recruited from one university medical center and two children’s hospital headache clinics. Participants were randomly assigned to complete the Headstrong or educational control CD-ROM program over a 4-week period. Data on headache frequency, duration, and severity, migraine-related disability, and quality of life (QOL) were obtained at baseline, post-intervention, and 3-months post-intervention. RESULTS: At post-intervention, Headstrong resulted in lower severity (on a 10-point scale) than the control group by child report (5.06 ± 1.50 SD vs. 6.25 ± 1.92 SD, p = 0.03, ES = 0.7). At 3-months post-intervention, parents reported less migraine-related disability (on the PedMIDAS) in the Headstrong group compared to the control group (1.36 ± 2.06 SD vs. 5.18 ± 6.40 SD; p = 0.04, ES = 0.8). There were no other group differences at post treatment or at 3-months post-intervention. CONCLUSIONS: When compared to an educational control, Headstrong resulted in lower pain severity at post-treatment and less migraine-related disability at 3-months post-intervention, by child and parent report respectively. Headache frequency and quality of life did not change more for Headstrong versus control. Additional research is needed on the Headstrong Program to increase its efficacy and to test it with a larger sample recruited from multiple centers simultaneously.
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spelling pubmed-39960732014-05-01 Headstrong intervention for pediatric migraine headache: a randomized clinical trial Rapoff, Michael A Connelly, Mark Bickel, Jennifer L Powers, Scott W Hershey, Andrew D Allen, Janelle R Karlson, Cynthia W Litzenburg, Catrina C Belmont, John M J Headache Pain Research Article BACKGROUND: The purpose of this study was to evaluate the efficacy of a self-guided CD-ROM program (“Headstrong”) containing cognitive-behavioral self-management strategies versus an educational CD-ROM program for treating headaches, headache-related disability, and quality of life. METHODS: Participants were 35 children ages 7–12 years with migraine recruited from one university medical center and two children’s hospital headache clinics. Participants were randomly assigned to complete the Headstrong or educational control CD-ROM program over a 4-week period. Data on headache frequency, duration, and severity, migraine-related disability, and quality of life (QOL) were obtained at baseline, post-intervention, and 3-months post-intervention. RESULTS: At post-intervention, Headstrong resulted in lower severity (on a 10-point scale) than the control group by child report (5.06 ± 1.50 SD vs. 6.25 ± 1.92 SD, p = 0.03, ES = 0.7). At 3-months post-intervention, parents reported less migraine-related disability (on the PedMIDAS) in the Headstrong group compared to the control group (1.36 ± 2.06 SD vs. 5.18 ± 6.40 SD; p = 0.04, ES = 0.8). There were no other group differences at post treatment or at 3-months post-intervention. CONCLUSIONS: When compared to an educational control, Headstrong resulted in lower pain severity at post-treatment and less migraine-related disability at 3-months post-intervention, by child and parent report respectively. Headache frequency and quality of life did not change more for Headstrong versus control. Additional research is needed on the Headstrong Program to increase its efficacy and to test it with a larger sample recruited from multiple centers simultaneously. Springer 2014 2014-02-28 /pmc/articles/PMC3996073/ /pubmed/24580721 http://dx.doi.org/10.1186/1129-2377-15-12 Text en Copyright © 2014 Rapoff et al.; licensee Springer. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Research Article
Rapoff, Michael A
Connelly, Mark
Bickel, Jennifer L
Powers, Scott W
Hershey, Andrew D
Allen, Janelle R
Karlson, Cynthia W
Litzenburg, Catrina C
Belmont, John M
Headstrong intervention for pediatric migraine headache: a randomized clinical trial
title Headstrong intervention for pediatric migraine headache: a randomized clinical trial
title_full Headstrong intervention for pediatric migraine headache: a randomized clinical trial
title_fullStr Headstrong intervention for pediatric migraine headache: a randomized clinical trial
title_full_unstemmed Headstrong intervention for pediatric migraine headache: a randomized clinical trial
title_short Headstrong intervention for pediatric migraine headache: a randomized clinical trial
title_sort headstrong intervention for pediatric migraine headache: a randomized clinical trial
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3996073/
https://www.ncbi.nlm.nih.gov/pubmed/24580721
http://dx.doi.org/10.1186/1129-2377-15-12
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