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Cited by 203Migraine and Headache StudiesDigital Mental Health InterventionsTemporomandibular Joint Disorders

The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.

A randomized controlled trial of an internet-based treatment for chronic headache

Devineni, Trishul, Blanchard, Edward B.·2005·Behaviour Research and Therapy
DOI 10.1016/j.brat.2004.01.008
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Abstract

Chronic headache is a significant public health problem in Western nations. Although controlled trials demonstrate the efficacy and cost-effectiveness of face-to-face behavioral therapy, most headache sufferers have limited access to these treatments. Delivery of behavioral interventions using Internet technology has the potential to reach a larger number of headache sufferers and reduce the burden of disease. This randomized controlled study evaluated an Internet-delivered behavioral regimen composed of progressive relaxation, limited biofeedback with autogenic training, and stress management versus a symptom monitoring waitlist control. Treatment led to a significantly greater decrease in headache activity than symptom monitoring alone. Thirty-nine percent of treated individuals showed clinically significant improvement on self-report measures of headache symptoms at post-treatment. At two-month follow-up, 47% of participants maintained improvement. Treatment had a significant impact on general headache symptoms and headache-related disability. There was a 35% within-group reduction of medication usage among the treated subjects. The Internet program was more time-efficient than traditional clinical treatment. Treatment and follow-up dropout rates, 38.1% and 64.8%, respectively, were typical of behavioral self-help studies. This approach to self-management of headache is promising; however, several methodological and ethical challenges need to be addressed.

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Research works printed but not linked: 3

  1. Andersson, 2003, Internet-based treatment of headache, 43, 353
  2. Blanchard, 1982, Biofeedback and relaxation training with three kinds of headache, Journal of Consulting and Clinical Psychology, 50, 562, 10.1037/0022-006X.50.4.562 · DOI
  3. de Lissovoy, 1994, The economic cost of migraine, Neurology, 44, 56

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Metadata

Authors
Devineni, T., & Blanchard, E. B.
Affiliations
  • Conemaugh Health System (US)
  • University at Albany, State University of New York (US)
Corresponding author
Devineni, Trishul
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2005-03
Volume
43
Issue
3
Pages
277-292
ISSN
0005-7967 (ISSN-L)
DOI
10.1016/j.brat.2004.01.008
OpenAlex
W2009393470
Cited by
203
References
27
Citations by year
2026: 4 · 2025: 2 · 2024: 3 · 2023: 8 · 2022: 6 · 2021: 6 · 2020: 7 · 2019: 10 · 2018: 7 · 2017: 6 · 2016: 16 · 2015: 7 · 2014: 17 · 2013: 13 · 2012: 12
FWCI
4.17
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Neurological Disorders and Stroke (R01NS033072, NS-33072)
Topics
  • Health Sciences › Medicine › Clinical Neurology › Migraine and Headache Studies
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Health Sciences › Dentistry › Oral Surgery › Temporomandibular Joint Disorders
Keywords
chronic headache, internet-delivered treatment, behavior therapy, progressive muscle relaxation, biofeedback, autogenic training, stress management, headache-related disability, medication reduction, self-management, treatment discontinuation, waitlist control
MeSH terms
Adult, Autogenic Training, Behavior Therapy, Biofeedback, Psychology, Cost-Benefit Analysis, Female, Humans, Male, Migraine Disorders, Patient Dropouts, Relaxation Therapy, Stress, Psychological, Treatment Outcome, Telemedicine, Tension-Type Headache, Internet, Headache Disorders

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