Long-term follow-up of home-based behavioral management training provided by migraine patients

Jessica Voerman, Cora Klerk, SYM (Saskia) Merelle, E (Cora) Aartsen, Reinier Timman, MJ Sorbi, Jan Passchier

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Abstract

Background Behavioral migraine approaches are effective in reducing headache attacks. Availability of treatment might be increased by using migraine patients as trainers. Therefore, Merelle and colleagues developed and evaluated a home-based behavioral management training (BMT) by lay trainers (1). The maintenance of effects at long-term follow-up is studied in the present study. Method Measurements were taken pre-BMT (T0), post-BMT (T1), at six-month follow-up (T2), and at long-term follow-up, i.e. two to four years after BMT (T3). Data of 127 participants were analyzed with longitudinal multi-level analyses. Results Short-term improvements in attack frequency and self-efficacy post-BMT were maintained at long-term follow-up (d(T0-T3)=-.34 and d(T0-T3)=.69, respectively). The level of internal control that increased during BMT decreased from post-BMT to long-term follow-up (d(T0-T3)=.18). Quality of life and migraine-related disability improved gradually over time (d(T0-T3)=.45 and d(T0-T3)=-.26, respectively). Conclusions Although the results should be interpreted with caution because of the lack of a follow-up control group and the inability to gather information about additional treatments patients may have received during the follow-up period, the findings suggest that lay BMT for migraine may be beneficial over the long term. If so, this could make migraine treatments more widely available.
Original languageUndefined/Unknown
Pages (from-to)357-364
Number of pages8
JournalCephalalgia
Volume34
Issue number5
DOIs
Publication statusPublished - 2014

Research programs

  • EMC NIHES-04-58-01

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