Introduction of a smartphone based behavioral intervention for migraine in the emergency department.
Introduction of a smartphone based behavioral intervention for migraine in the emergency department.
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DOI：
10.1016/j.genhosppsych.2020.12.009
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发表时间：
2021-03
影响因子：
7
通讯作者：
Lipton RB
中科院分区：
文献类型：
--
作者：
Minen MT;Friedman BW;Adhikari S;Corner S;Powers SW;Seng EK;Grudzen C;Lipton RB
确定具有电子头痛日记和渐进式肌肉放松 (PMR) 干预功能的智能手机应用程序 (app) 是否可行且可供急诊室 (ED) 患有偏头痛的患者接受。这项单臂前瞻性研究通过实际使用应用程序来评估可行性，并通过对应用程序的满意度来评估可接受性。我们报告了偏头痛残疾和头痛天数变化的初步数据。在为期 90 天的研究期间，51 名参与者平均完成 PMR 课程 13±19 (0,82) 天，每次持续中位数 11 分钟 (IQR 6.5, 17)。使用日记的中位天数为 34 天 (IQR 10, 77)。在一半的学习周内，每周至少完成两次日记 (337/663)。参与者可能（按照 5 点李克特量表≥4/5）会推荐该应用程序 (85%) 和 PMR (91%)。 MIDAS 分数显着下降，平均每位参与者下降 38 分 (p<.0001)。更频繁地使用 PMR 与更高的无头痛天数相关 (p=0.0148)。将基于智能手机的 PMR 引入到急诊科就诊的偏头痛患者是可行且可接受的。更频繁的用户有更多无头痛的日子。未来的工作应侧重于干预参与。
To determine whether a smartphone application (app) with an electronic headache diary and a progressive muscle relaxation (PMR) intervention is feasible and acceptable to people presenting to the Emergency Department (ED) with migraine. This single arm prospective study assessed feasibility by actual use of the app and acceptability by satisfaction with the app. We report preliminary data on change in migraine disability and headache days. The 51 participants completed PMR sessions on a mean of 13±19 (0,82) days for the 90-day study period, lasting a median of 11 minutes (IQR 6.5, 17) each. Median number of days of diary use was 34 (IQR 10, 77). Diaries were completed at least twice a week in half of study weeks (337/663). Participants were likely (≥4/5 on a 5-point Likert scale) to recommend both the app (85%) and PMR (91%). MIDAS scores significantly decreased by a mean of 38 points/participant (p<.0001). More frequent PMR use was associated with a higher odds of headache free days (p=0.0148). Smartphone-based PMR introduced to patients who present to the ED for migraine is feasible and acceptable. More frequent users have more headache free days. Future work should focus on intervention engagement.
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影响因子：
9.9
作者：
Dall, Timothy M.;Storm, Michael V.;Vidic, Thomas R.
通讯作者：
Vidic, Thomas R.
影响因子：
2.3
作者：
GUSTAFSON, R
通讯作者：
GUSTAFSON, R
DOI：
10.1016/s1474-4422(20)30308-2
发表时间：
2020-11
期刊：
The Lancet. Neurology
影响因子：
--
作者：
Matschke J;Lütgehetmann M;Hagel C;Sperhake JP;Schröder AS;Edler C;Mushumba H;Fitzek A;Allweiss L;Dandri M;Dottermusch M;Heinemann A;Pfefferle S;Schwabenland M;Sumner Magruder D;Bonn S;Prinz M;Gerloff C;Püschel K;Krasemann S;Aepfelbacher M;Glatzel M
通讯作者：
Glatzel M
影响因子：
5.5
作者：
Greenwood, MC;Hakim, AJ;Doyle, DV
通讯作者：
Doyle, DV
影响因子：
9.9
作者：
Friedman, Benjamin W.;Garber, Leonid;Gallagher, E. John
通讯作者：
Gallagher, E. John