Abstract
AIM: This randomized, controlled trial examined the medium-term effectiveness of online behavioral training in migraine self-management (oBT; N = 195) versus waitlist control (WLC; N = 173) on attack frequency, indicators of self-management (primary outcomes), headache top intensity, use of rescue medications, quality of life and disability (secondary outcomes).
METHODS: An online headache diary following the ICHD-II and questionnaires were completed at baseline (T0), post-training (T1) and six months later (T2). Missing data (T1: 24%; T2: 37%) were handled by multiple imputation. We established effect sizes (ES) and tested between-group differences over time with linear mixed modelling techniques based on the intention-to-treat principle.
RESULTS: At T2, attack frequency had improved significantly in oBT (-23%, ES = 0.66) but also in WLC (-19%; ES = 0.52). Self-efficacy, internal and external control in migraine management - and triptan use - improved only in oBT, however. This indicates different processes in both groups and could signify (the start of) active self-management in oBT. Also, only oBT improved migraine-specific quality of life to a sizable extent.
CONCLUSIONS: oBT produced self-management gains but could not account for improved attack frequency, because WLC improved as well. The perspective that BT effects develop gradually, and that online delivery will boost BT outreach, justifies further research.
Original language | English |
---|---|
Pages (from-to) | 608-618 |
Number of pages | 11 |
Journal | Cephalalgia |
Volume | 35 |
Issue number | 7 |
DOIs | |
Publication status | Published - Jun 2015 |
Bibliographical note
© International Headache Society 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.Keywords
- Migraine self-management
- behavioral training
- Internet intervention
- online headache diary
- longer-term follow-up