Behavioral Therapy Preferences in People With Migraine

Abstract

Background.-There are safe and well-tolerated level A evidence-based behavioral therapies for the prevention of migraine. They are biofeedback, cognitive behavioral therapy, and relaxation. However, the behavioral therapies for the prevention of migraine are underutilized.Objectives.-We sought to examine whether people with migraine with 4 or more headache days a month had preferences regarding the type of delivery of the behavioral therapy (in-person, smartphone based, telephone) and whether they would be willing to pay for in-person behavioral therapy. We also sought to determine the predictors of likelihood to pursue the behavioral therapy.Methods.-Using a cross-sectional study design, we developed an online survey using TurkPrime, an online survey platform, to assess how likely TurkPrime participants who screened positive for migraine using the American Migraine Prevalence and Prevention screen were to pursue different delivery methods of the behavioral therapy. We report descriptive statistics and quantitative analyses.Results.-There were 401 participants. Median age was 34 [IQR: 29, 41] years. More than two thirds of participants (70.3%, 282/401) were women. Median number of headache days/ month was 5 [IQR: 2.83, 8.5]. Some (12.5%, 50/401) used evidence-based behavioral therapy for migraine. The participants reported that they were "somewhat likely" to pursue in-person or smartphone behavioral therapy and behavioral therapy covered by insurance but were neutral about pursuing the telephonebased behavioral therapy. Participants were "not very likely" to pay out of pocket for the behavioral therapy. Migraine-related disability as measured by the MIDAS grading score was associated with likelihood to pursue the behavioral therapy in-person (P = .004), via telephone (P = .015), and via smart phone (P < .001), and covered by insurance (P = .001). However, migrainerelated disability was not associated with likelihood to pursue out of pocket (P = .769) behavioral therapy. Pain intensity was predictive of likelihood of pursuing the behavioral therapy for migraine when covered by insurance. Other factors including education, employment, and headache days were not predictors.Conclusion.-People with migraine prefer in-person and smartphone-based behavioral therapy to telephone-based behavioral therapy. Migraine-related disability is associated with likelihood to pursue the behavioral therapy (independent of type of delivery of the behavioral therapy-in-person, telephone based or smartphone based). However, participants were not very likely to pay for the behavioral therapy.

Mapping Assessments Instruments for Headache Disorders against the ICF Biopsychosocial Model of Health and Disability

“…In total, 150 papers were included [ 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 ,…”

Food Insecurity and COVID-19: Disparities in Early Effects for US Adults

“…The survey was fielded using TurkPrime, an online crowdsourcing platform that is designed to be used for academic research [14]. TurkPrime allows researchers to use quotas to recruit a sample that matches their specific needs and has been used in numerous academic studies from a variety of disciplines published in the peer-reviewed literature [15][16][17][18][19]. In the present study, we used a census matched panel of US adults (matched on age, gender, and race/ethnicity to the overall population) and limited the sample to low-income adults with household incomes <250% of the federal poverty line (FPL).…”

“…Marital Status Single, never married 564 (38) 199 (35) 108 (19) 118 21 Figure 1 shows the ability of low-income US adults to comply with public health recommendations to stock up on two weeks of food to avoid excess grocery store trips and facilitate social distancing. Nearly 2/3 (60%) of food-secure, low-income adults reported being able to comply with that recommendation, compared to less than one in five (18.8%) of low-income adults with very low food security.…”

Digitalisierung in der Kopfschmerzbehandlung

“…Auch wenn uns gerade die so einfach verfügbaren Apps viele Möglichkeiten eröffnen, sollten auch mögliche Risiken und Nebenwirkungen bedacht werden. Andreas Meißner hat dies in einer deutschsprachigen Serie zur digitalisierten Medizin [15,16] [18]. Ein solches Ergebnis ist ein gutes Zeichen, dass auch solche digitalen Angebote, die über einfache Tagebuch-oder Entspannungs-Apps hinausgehen, Akzeptanz finden.…”

“…Vieles wird sich in den nächsten Jahren zeigen. Zumindest konnte eine aktuelle Studie zeigen, dass Patienten mit Migräne die Präsenz-Verhaltenstherapie und die Video-Verhaltenstherapie über das Smartphone gegenüber einer Verhaltenstherapie über das Telefon bevorzugen [ 18 ]. Ein solches Ergebnis ist ein gutes Zeichen, dass auch solche digitalen Angebote, die über einfache Tagebuch- oder Entspannungs-Apps hinausgehen, Akzeptanz finden.…”