Evidence map›Paper›PMID 25496514›Full record

Trial reportBMC neurology2014

Enhancing cognitive-behavioural therapy for recurrent headache: design of a randomised controlled trial.

Paul R Martin, Sharon Mackenzie, Siavash Bandarian-Balooch, Arissa Brunelli, Simon Broadley, John Reece, Peter J Goadsby

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Migraine: multiple processes, complex pathophysiology.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2015
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Paul R MartinSchool of Applied Psychology and Behavioural Basis of Health, Griffith University, Gold Coast Campus, Parklands Drive, Southport, Queensland, 4222, Australia. paul.martin@griffith.edu.au.
Sharon MackenzieSchool of Applied Psychology and Behavioural Basis of Health, Griffith University, Gold Coast Campus, Parklands Drive, Southport, Queensland, 4222, Australia. s.mackenzie@griffith.edu.au.
Siavash Bandarian-BaloochSchool of Applied Psychology and Behavioural Basis of Health, Griffith University, Gold Coast Campus, Parklands Drive, Southport, Queensland, 4222, Australia. s.bandarian-balooch@griffith.edu.au.
Arissa BrunelliSchool of Applied Psychology and Behavioural Basis of Health, Griffith University, Gold Coast Campus, Parklands Drive, Southport, Queensland, 4222, Australia. a.brunelli@griffith.edu.au.
Simon BroadleySchool of Medicine, Griffith University, Gold Coast Campus, Parklands Drive, Southport, Queensland, 4222, Australia. simon.broadley@griffith.edu.au.
John ReeceSchool of Health Sciences, RMIT University, PO Box 71, Bundoora, Victoria, 3083, Australia. john.reece@acap.edu.au.
Peter J GoadsbyHeadache Group, NIHR-Welcome Trust Clinical Research Facility, King's College London, London, UK. peter.goadsby@kcl.ac.uk.
Griffith University · AUNIHR Wellcome Trust Southampton Clinical Research Facility · GBRMIT University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe have argued against the traditional approach of counselling avoidance of all triggers of headaches and migraine. Problems with this approach include the impossibility of avoiding all triggers and the high costs associated with trying to do so, and that avoidance could lead to reduced tolerance for the triggers. We have developed an alternative approach called Learning to Cope with Triggers (LCT) that encourages avoidance of triggers that are detrimental to health and wellbeing, but uses exposure to other triggers to desensitise headache sufferers to the triggers. This approach has been shown to be more effective than advising avoidance of all triggers. Trigger management is only one component of a comprehensive treatment program and the current study is designed to evaluate a new approach to treating headaches in which LCT has been integrated into an established cognitive-behavioural therapy (CBT) package (LCT/CBT). METHODS/

designA target sample of 120 adult participants who suffer from migraine or tension-type headache, at least six days per month, and have done so for at least 12 months will be recruited. Participants will be randomly assigned to one of three groups: LCT/CBT; Avoid/CBT (CBT combined with instructions to avoid all triggers); and waiting-list control. Measures will include: daily diaries for recording headaches, triggers and medication consumption; headache disability and quality of life; trigger avoidance; locus of control and self-efficacy; and coping strategies. Treatment will involve 12 60-minute sessions scheduled weekly. Assessment will be completed before and after treatment, and at 4 and 12 month follow-up. The data will be analysed to determine which approach is most effective, and predictors of response to treatment. DISCUSSION: Migraine and tension-type headache are common and can be disabling. CBT has been demonstrated to be an efficacious treatment for both disorders. However, there is room for improvement. This study aims to increase the efficacy of behavioural approaches and identify factors predictive of a positive response.

trial registrationAustralian and New Zealand Clinical Trials Registry ACTRN12614000435684 .

Indexed as

Research DesignAdultAgedCognitive Behavioral TherapyHumansMiddle AgedMigraine DisordersQuality of LifeTension-Type Headache

Identifiers

PMID25496514
PMCPMC4285632
OpenAlexW2072721535

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.