Web-based Support to Self-Manage Migraine Pain

基于网络的自我管理偏头痛支持

• 批准号: 6993437
• 负责人: JONAS I BROMBERG
• 金额: $ 12.13万
• 依托单位: INFLEXXION, INC.
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-01 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6993437
• 关键词: Internet; behavior therapy; behavioral /social science research tag; clinical research; computer human interaction; computer program /software; coping; educational resource design /development; health education; human subject; interview; migraine; motivation; self care

DESCRIPTION (provided by applicant): Migraine headache is a common, chronic medical condition characterized by recurrent acute attacks that create pain, disability and loss of function. Approximately 18% of women and 6.5% of men in the United States, an estimated 28 million Americans, suffer from migraine headache. Half of these individuals are under treated and under diagnosed. Traditional treatment approaches have met with limited success and tend to "medicalize" patients by placing them in a passive role. Clinically, little emphasis is placed on teaching patients active coping and behavioral self-management skills. Research demonstrates that a critical component of successful treatment is engaging the patient in learning active self-management strategies in order to identify, avoid, and manage headache situations and triggers. Accessible and tailored interventions are needed to facilitate patient education and engagement in the adoption of behavioral self- management skills. The Internet offers a vehicle for educating patients and assisting them in developing, maintaining, and tracking behavioral self-management activities. Most currently available migraine Websites lack tailored, evidence-based messaging and self-management training, and none have been scientifically validated for efficacy in helping patients attain improved outcomes. The proposed Website, MyMigraineHeadache.com, will provide an evidence-based resource offering education, motivational interventions, interactive tools, strategies for effective communication with healthcare providers, and behavioral self-management training, within a user-friendly, engaging, multimedia format. The program will be tested in Phase II to demonstrate the programs' efficacy and clinical utility.

描述（由申请人提供）：偏头痛是一种常见的慢性疾病，其特征是反复急性发作，导致疼痛、残疾和功能丧失。在美国，大约有 18% 的女性和 6.5% 的男性（估计有 2800 万美国人）患有偏头痛。这些人中有一半没有得到治疗和诊断。传统的治疗方法取得的成功有限，并且倾向于通过将患者置于被动角色来“医疗化”患者。临床上，很少强调教授患者主动应对和行为自我管理技能。研究表明，成功治疗的一个关键组成部分是让患者学习积极的自我管理策略，以识别、避免和管理头痛情况和触发因素。需要方便且量身定制的干预措施来促进患者教育和参与行为自我管理技能的采用。互联网提供了一种教育患者并帮助他们发展、维持和跟踪行为自我管理活动的工具。目前大多数偏头痛网站缺乏量身定制的、基于证据的信息传递和自我管理培训，而且没有一个网站经过科学验证可以帮助患者获得改善的结果。拟议的网站 MyMigraineHeadache.com 将提供基于证据的资源，以用户友好、引人入胜的多媒体格式提供教育、激励干预、互动工具、与医疗保健提供者有效沟通的策略以及行为自我管理培训。该计划将在第二阶段进行测试，以证明该计划的功效和临床实用性。