Evidence map›Paper›PMID 26922332›Full record

ArticleThe journal of headache and pain2015

Patients' experiences of a behavioural intervention for migraine headache: a qualitative study.

Myfanwy Morgan, Sian Cousins, Laura Middleton, Genevieve Warriner-Gallyer, Leone Ridsdale

Open access · goldAbstract read
In one paragraph

Article in The journal of headache and pain, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  11. Achieving a balance between the physical and the psychological in headache.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
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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

5 authors at 1 institution in 1 country.

Myfanwy MorganKing's College London, Department of Primary Care and Public Health Sciences, Guy's campus, London, SE1 1UL, UK. myfanwy.morgan@kcl.ac.uk.ORCID http://orcid.org/0000-0001-5532-8941
Sian CousinsKing's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK.
Laura MiddletonKing's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK.
Genevieve Warriner-GallyerKing's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK.
Leone RidsdaleKing's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK.
King's College London · GB

Funding

Department of Health PB-PG-0610-22373
6 · The paper itself

Abstract

backgroundMigraine headache has a high prevalence and a severe impact on personal, social and work life, forming a significant burden on patients, service providers and society. There is some evidence of the effectiveness of behavioural interventions to supplement drug therapy but a recognised need to identify an effective minimal contact approach to enhance access and provide a model for use in publicly funded health systems. This study uses in-depth interviews to examine patients' experience and responses to a behavioural intervention with relaxation and CBT components delivered in three individual therapist sessions with follow-up.

methodsQualitative study of 20 adults aged 18-75 years in London, UK, with clinically diagnosed migraine and at least four headache days per month. Semi-structured and tape recorded interviews were held post intervention based on a topic guide. Transcripts were coded and charted for all participants and analysed thematically.

resultsThe majority of participants cited the impacts of migraine and a desire for additional non-drug treatment as their main reasons for taking part and almost all completed the course. They valued contact with the therapist and almost all reported benefiting from the therapy. Post intervention they used those techniques they found most beneficial and implemented them flexibly in their daily life to reduce stress and risks of migraine or to respond to migraine. Relaxation training (deep breathing) was easily adopted and often used post intervention. The CBT components were mainly viewed positively but regarded as more challenging to learn and implement.

conclusionsPatients' selectively identified and employed the techniques learned as 'tools' to assist in preventing and managing their migraines, with reported benefits supporting the development of minimal contact behavioural therapy to increase accessibility for adults with migraine headache and the conduct of a definitive trial.

Indexed as

AdolescentAdultAgedCognitive Behavioral TherapyFemaleHumansMaleMiddle AgedMigraine DisordersQualitative ResearchRelaxation TherapyTreatment OutcomeYoung AdultBehavioural interventionCognitive-behavioural therapy (CBT)HeadacheMigraineQualitativeRelaxationSelf-management

Identifiers

PMID26922332
PMCPMC4769711
OpenAlexW2274421780

What OpenQuestion holds

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LicenceCC BY
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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.