Evidence map›Paper›PMID 32284387›Full record

ArticleBMJ open2020

Usual care and a self-management support programme versus usual care and a relaxation programme for people living with chronic headache disorders: a randomised controlled trial protocol (CHESS).

Shilpa Patel, Felix Achana, Dawn Carnes, Sandra Eldridge, David R Ellard, Frances Griffiths, Kirstie Haywood, Siew Wan Hee, Dipesh Mistry, Hema Mistry and 9 more

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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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

19 authors at 4 institutions in 1 country.

Shilpa PatelWarwick Medical School, Clinical Trials Unit, University of Warwick, Coventry, UK shilpa.patel@warwick.ac.uk.ORCID 0000-0003-0726-4888
Felix AchanaWarwick Medical School, University of Warwick, Coventry, UK.
Dawn CarnesCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.ORCID 0000-0002-3152-3133
Sandra EldridgeCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.
David R EllardWarwick Medical School, Clinical Trials Unit, University of Warwick, Coventry, UK.ORCID 0000-0002-2992-048X
Frances GriffithsWarwick Medical School, Division of Health Sciences, University of Warwick, Coventry, UK.ORCID 0000-0002-4173-1438
Kirstie HaywoodWarwick Medical School, Division of Health Sciences, University of Warwick, Coventry, UK.
Siew Wan HeeWarwick Medical School, University of Warwick, Coventry, UK.ORCID 0000-0002-0415-263X
Dipesh MistryWarwick Medical School, Clinical Trials Unit, University of Warwick, Coventry, UK.
Hema MistryWarwick Medical School, Warwick Evidence, University of Warwick, Coventry, UK.ORCID 0000-0002-5023-1160
Vivien P NicholsWarwick Medical School, Clinical Trials Unit, University of Warwick, Coventry, UK.ORCID 0000-0002-3372-1395
Stavros PetrouWarwick Medical School, University of Warwick, Coventry, UK.ORCID 0000-0003-3121-6050
Tamar PincusDepartment of Psychology, Royal Holloway University of London, Egham, UK.
Rachel PotterWarwick Medical School, Clinical Trials Unit, University of Warwick, Coventry, UK.ORCID 0000-0001-6655-8996
Harbinder Kaur SandhuWarwick Medical School, Clinical Trials Unit, University of Warwick, Coventry, UK.
Kimberley StewartWarwick Medical School, Clinical Trials Unit, University of Warwick, Coventry, UK.
Stephanie TaylorCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.ORCID 0000-0001-7454-6354
Martin UnderwoodWarwick Medical School, Clinical Trials Unit, University of Warwick, Coventry, UK.ORCID 0000-0002-0309-1708
Manjit MatharuUniversity College London Queen Square Institute of Neurology and The National Hospital for Neurology and Neurosurgery, London, UK.
University of Warwick · GBQueen Mary University of London · GBNational Hospital for Neurology and Neurosurgery · GBRoyal Holloway University of London · GB

Funding

Department of Health RP-PG-1212-20018
6 · The paper itself

Abstract

introductionChronic headaches are poorly diagnosed and managed and can be exacerbated by medication overuse. There is insufficient evidence on the non-pharmacological approaches to helping people living with chronic headaches. METHODS AND ANALYSIS: Chronic Headache Education and Self-management Study is a pragmatic randomised controlled trial to test the effectiveness and cost-effectiveness of a self-management education support programme on top of usual care for patients with chronic headaches against a control of usual care and relaxation. The intervention is a 2-day group course based on education, personal reflection and a cognitive behavioural approach, plus a nurse-led one-to-one consultation and follow-up over 8 weeks. We aim to recruit 689 participants (356 to the intervention arm and 333 to the control) from primary care and self-referral in London and the Midlands. The trial is powered to show a difference of 2.0 points on the Headache Impact Test, a patient-reported outcome measure at 12 months post randomisation. Secondary outcomes include health related quality of life, self-efficacy, social activation and engagement, anxiety and depression and healthcare utilisation. Outcomes are being measured at 4, 8 and 12 months. Cost-effectiveness will be expressed in terms of incremental cost per quality-adjusted life year gained. ETHICS AND DISSEMINATION: This trial will provide data on effectiveness and cost-effectiveness of a self-management support programme for chronic headaches. The results will inform commissioning of services and clinical practice. North West - Greater Manchester East Research Ethics Committee have approved the trial. The current protocol version is 3.6 date 7 March 2019. TRIAL REGISTRATION NUMBER: ISRCTN79708100.

Indexed as

Headache DisordersProgram DevelopmentRelaxation TherapySelf-ManagementAnxietyChronic DiseaseCognitive Behavioral TherapyDepressionFollow-Up StudiesHumansPatient Acceptance of Health CarePatient Education as TopicPatient Reported Outcome MeasuresPatient SelectionPractice Patterns, Nurses'Pragmatic Clinical Trials as Topicchronic headachemigraineprimary careself-managementstudy protocoltension type headache

Identifiers

PMID32284387
PMCPMC7200026
OpenAlexW3015709960

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.