Headstrong intervention for pediatric migraine headache: a randomized clinical trial.
Headstrong intervention for pediatric migraine headache: a randomized clinical trial.
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DOI：
10.1186/1129-2377-15-12
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发表时间：
2014-02-28
期刊：
影响因子：
--
通讯作者：
Belmont JM
中科院分区：
文献类型：
--
作者：
Rapoff MA;Connelly M;Bickel JL;Powers SW;Hershey AD;Allen JR;Karlson CW;Litzenburg CC;Belmont JM
本研究的目的是评估自我指导的CD-ROM程序（“Headstrong”）包含认知行为自我管理策略与教育的CD-ROM程序治疗头痛，头痛相关的残疾和生活质量的有效性。参与者是35名7-12岁的偏头痛儿童，他们来自一所大学医学中心和两所儿童医院头痛诊所。参与者被随机分配在4周内完成任性或教育控制光盘程序。在基线、干预后和干预后3个月获得头痛频率、持续时间和严重程度、偏头痛相关残疾和生活质量（QOL）的数据。干预后，根据儿童报告，任性导致的严重程度（10分量表）低于对照组（5.06 ± 1.50 SD vs. 6.25 ± 1.92 SD，p = 0.03，ES = 0.7）。干预后3个月，与对照组相比，Headstrong组的父母报告偏头痛相关残疾（PedMIDAS）较少（1.36 ± 2.06 SD vs. 5.18 ± 6.40 SD; p = 0.04，ES = 0.8）。在治疗后或干预后3个月没有其他组间差异。与教育对照组相比，Headstrong治疗后疼痛严重程度较低，干预后3个月时偏头痛相关残疾较少，分别由儿童和父母报告。头痛频率和生活质量并没有改变更多的任性与控制。需要对任性计划进行更多的研究，以提高其有效性，并同时从多个中心招募更大的样本进行测试。
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. 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. 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. 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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影响因子：
3.6
作者：
Connelly, Mark;Rapoff, Michael A.
通讯作者：
Rapoff, Michael A.
影响因子：
4.1
作者：
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影响因子：
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作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
4.9
作者：
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通讯作者：
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