Headstrong intervention for pediatric migraine headache: a randomized clinical trial
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Issue Date
2014-02-28Author
Rapoff, Michael A.
Connely, Mark
Bickel, Jennifer L.
Powers, Scott W.
Hershey, Andrew D.
Allen, Janelle R.
Karlson, Cynthia Windham
Litzenburg, Catrina C.
Belmont, John M.
Publisher
Spinger
Type
Article
Article Version
Scholarly/refereed, publisher version
Rights
Copyright © 2014 Rapoff et al.; licensee Springer.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
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Show full item recordAbstract
BackgroundThe 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.
MethodsParticipants 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.
ResultsAt 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.
ConclusionsWhen 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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Citation
Michael A Rapoff, Mark Connelly, Jennifer L Bickel, Scott W Powers, Andrew D Hershey, Janelle R Allen, Cynthia W Karlson, Catrina C Litzenburg, John M Belmont. “Headstrong intervention for pediatric migraine headache: a randomized clinical trial.” J Headache Pain. 2014; 15(1): 12. Published online 2014 February 28.
http://dx.doi.org/10.1186/1129-2377-15-12
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Except where otherwise noted, this item's license is described as: Copyright © 2014 Rapoff et al.; licensee Springer.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.