Evidence map›Paper›PMID 28118256›Full record

Trial reportThe Clinical journal of pain2017

Treatment Adherence in Child and Adolescent Chronic Migraine Patients: Results From the Cognitive-Behavioral Therapy and Amitriptyline Trial.

Ashley M Kroon Van Diest, Rachelle R Ramsey, Susmita Kashikar-Zuck, Shalonda Slater, Kevin Hommel, John W Kroner, Susan LeCates, Marielle A Kabbouche, Hope L O'Brien, Joanne Kacperski and 4 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Clinical journal of pain, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
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  3. Psychological interventions for migraine.Nature reviews. Neurology · 2026
    Review
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  5. Pharmacist-Led Discharge Transitions of Care Interventions for Pediatric Patients: A Narrative Review.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2023
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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

14 authors at 3 institutions in 1 country.

Ashley M Kroon Van DiestDivisions of *Behavioral Medicine and Clinical Psychology §Neurology ‡Headache Center, Cincinnati Children's Hospital Medical Center †Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
Rachelle R Ramsey
Susmita Kashikar-Zuck
Shalonda Slater
Kevin Hommel
John W Kroner
Susan LeCates
Marielle A Kabbouche
Hope L O'Brien
Joanne Kacperski
Janelle R Allen
James Peugh
Andrew D Hershey
Scott W Powers
University of Cincinnati Medical Center · USCincinnati Children's Hospital Medical Center · USNeurology, Inc · US

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI MEINZEN-DERR, JAREEN, STRAWN, JEFFREY ROBERT · 2015 to 2024
$37.5M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR026314 · NCRR · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2009 to 2011
$14.3M
Research Training in Child Behavior and NutritionT32DK063929 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI SCOTT W POWERS, MARGARET H ZELLER · 2003 to 2026
$6.0M
Enhancing treatment adherence and health outcomesT32HD068223 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI Kevin Hommel, Meghan Eileen McGrady · 2012 to 2026
$3.6M
Drug & Non-Drug Treatment of Pediatric Chronic HeadacheR01NS050536 · NINDS · CINCINNATI CHILDRENS HOSP MED CTR · PI POWERS, SCOTT W · 2006 to 2009
$1.9M
Behavioral Interventions and Long Term Outcomes in Juvenile Fibromyalgia SyndromeK24AR056687 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI KASHIKAR-ZUCK, SUSMITA · 2009 to 2018
$1.4M
Behavioral Treatment for Dietary Adherence in ChildrenK24DK059973 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI POWERS, SCOTT W · 2001 to 2010
$1.3M
NCATS NIH HHS UL1 TR001425NCRR NIH HHS UL1 RR026314NIAMS NIH HHS K24 AR056687NICHD NIH HHS T32 HD068223NIDDK NIH HHS K24 DK059973NIDDK NIH HHS T32 DK063929NINDS NIH HHS R01 NS050536
6 · The paper itself

Abstract

objectivesTo examine treatment adherence among children and adolescents with chronic migraine who volunteered to be in a clinical trial using 3 measures: treatment session attendance, therapy homework completion, and preventive medication use by daily diary. MATERIALS AND

methodsAnalyses are secondary from a trial of 135 youth aged 10 to 17 years diagnosed with chronic migraine and with a Pediatric Migraine Disability Score over 20. Participants were randomly assigned to cognitive-behavioral therapy plus amitriptyline (CBT+A, N=64) or headache education plus amitriptyline (HE+A, N=71). Therapists recorded session attendance. Completion of homework/practice between sessions was reported to therapists by patients. Patients reported preventive medication adherence using a daily headache diary.

resultsMean session attendance adherence out of 10 treatment sessions was 95% for CBT+A and 99% for HE+A. CBT+A participants reported completing a mean of 90% of home practice of CBT skills between the 10 sessions. Participants reported taking amitriptyline daily at a mean level of 90% when missing diaries were excluded and 79% when missing diaries were considered as missed doses of medication. DISCUSSION: Our findings demonstrate that youth with chronic migraine who agree to be a part of a clinical trial do quite well at attending therapy sessions, and report that they are adherent to completing home/practice between sessions and taking medication. These results lend further support to consideration of CBT+A as a first-line treatment for youth with chronic migraine and suggest that measurement of adherence when this treatment is provided in practice will be important.

Indexed as

Cognitive Behavioral TherapyTreatment Adherence and ComplianceAdolescentAmitriptylineAnalgesics, Non-NarcoticChildChronic DiseaseCombined Modality TherapyDisability EvaluationFemaleHeadacheHumansMaleMedical RecordsMigraine DisordersAmitriptylineAnalgesics, Non-Narcotic

Identifiers

PMID28118256
PMCPMC5522369
OpenAlexW2576891387

What OpenQuestion holds

Textmetadata
LicenceTDM
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.