Relaxation Therapy and Compliance in the Treatment of Adolescent Headache

Wisniewski, Jack J.; Genshaft, Judy; Mulick, James A.; Coury, Daniel L.; Hammer, David

doi:10.1111/j.1526-4610.1988.hed2809612.x

Cited by 31 publications

(19 citation statements)

References 7 publications

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“…Additional adherence‐related findings included a significant relationship between adherence and number of headache free days, nonadherence occurred on 74% of days when children were headache free, and nonadherence was more frequent during the weekend days (Friday‐Sunday). Wisniewski and colleagues, on the other hand, reported lower adherence (44%) using an objective measure to record time spent practicing relaxation exercises . Although these studies are the only pediatric headache studies to capture adherence through an objective measure, both authors noted the possibility that the "relaxation password of the day" and "hidden recorder" provide more accurate measurements of adherence …”

Section: Resultsmentioning

confidence: 99%

Treatment Adherence in Patients With Headache: A Systematic Review

et al. 2014

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Objective To review and critically evaluate the extant research literature pertaining to adherence in youth and adults with headache and to provide recommendations for future research. Background This article provides the first systematic review of pediatric headache adherence and updates a previous review of treatment adherence in adults with headache. Design Systematic review of empirical literature. Methods A literature search with no date restriction was conducted using PubMed and PsycINFO electronic databases and bibliographies of relevant articles. Results Adherence rates in adults with headache range considerably from 25% to 94% across treatment, assessment method, and definition of adherence utilized. Methods to assess adherence included retrospective prescription claims data, paper or electronic diaries, follow-up appointment attendance, written and verbal self-report of general adherence, verbal self-report of adherence over a specific amount of time via in person interview or telephone, validated adherence measures, adherence questionnaires without validation, and counselor ratings of homework. Each methodology and assessment tool demonstrated strengths and weaknesses. No studies have systematically examined medication adherence in children with headache, and the few available studies examining adherence to behavioral treatment have documented adherence rates ranging from 52% to 86%. Conclusions Adherence research in adults with headache is growing, but studies demonstrate a number of methodological shortcomings. Adherence research in children with headache, and adherence intervention research in both adults and children, is scant. Future research should use objective measures of adherence, consider over-the-counter medications and medication overuse, examine demographic, psychological, and behavioral correlates of adherence, assess adherence to botulinum toxin type A, and examine the efficacy of adherence interventions in individuals with headache.

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Section: Resultsmentioning

confidence: 99%

Treatment Adherence in Patients With Headache: A Systematic Review

et al. 2014

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“…Of these, 18 publications concerned children of which we excluded seven publications because these papers did not provide a separate analysis in children with TTH [14][15][16][17][18][19][20], leaving a total of 11 trials to be included in this review.…”

Section: ■ Search Resultsmentioning

confidence: 99%

Conservative treatments of children with episodic tension–type headache

et al. 2005

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“…Existing studies demonstrate 52–86% adherence to behavioral recommendations (e.g., biofeedback, progressive muscle relaxation) for children with migraine. 20–24 These studies have utilized homework completion to signify adherence and have determined adherence based on a variety of measurements including: 1) patient reported diary, 21 2) therapist rating of homework completion using 80% cut-point, 24 3) combination of patient/parent verbal report with “hidden watch” that calculated the amount of practice time, 20 4) combination of self-reported practice time and the reporting of a “relaxation password of the day” hidden within the child’s relaxation tape. 22 Several additional studies examining the efficacy of behavioral and/or medication treatments for migraine in children and adolescents have reported broad, general adherence findings such as “participants appeared adherent” 23,25 or “adherence was good” 26 without reporting how adherence was assessed.…”

Section: Discussionmentioning

confidence: 99%

“…5,20,21,23,28 Given the high rates of adherence, there was a ceiling effect for adherence variables, preventing patients from being grouped as “adherent” versus “non-adherent”. Previous studies on adherence to migraine treatment, although quite limited, have not clearly defined a way to designate patients as “adherent” versus “non-adherent”.…”

Section: Discussionmentioning

confidence: 99%

Treatment Adherence in Child and Adolescent Chronic Migraine Patients

Diest¹,

Ramsey²,

Kashikar‐Zuck³

et al. 2017

The Clinical Journal of Pain

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Objectives To examine treatment adherence among children and adolescents with chronic migraine who volunteered to be in a clinical trial using three measures: treatment session attendance, therapy homework completion, and preventive medication use via daily diary. Methods Analyses 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. Results Mean 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.

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Relaxation Therapy and Compliance in the Treatment of Adolescent Headache

Cited by 31 publications

References 7 publications

Treatment Adherence in Patients With Headache: A Systematic Review

Treatment Adherence in Patients With Headache: A Systematic Review

Conservative treatments of children with episodic tension–type headache

Treatment Adherence in Child and Adolescent Chronic Migraine Patients

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