A nursing intervention increases quality of life and self-efficacy in migraine: a 1-year prospective controlled trial
Abstract
OBJECTIVES: To compare the impact of a combined nursing and medical approach to a medical follow-up only on headache outcomes, quality of life, and self-efficacy in a cohort of migraineurs. BACKGROUND: Interdisciplinary approaches have been proposed for migraine management. A nursing intervention could improve patient outcomes. METHODS: We prospectively studied new patients referred to our tertiary headache center for migraine. The control group was followed by a physician; the active group was also followed by a nurse with a personalized intervention including adaptation of the lifestyle. RESULTS: Two hundred patients (176 women and 24 men, mean age 40 years old) were included and classified according to headache frequency. Each group was followed for 12 months with daily headache diaries. One hundred and sixty-two completed the study. There were no significant differences between groups for the decrease in headache days, the percent of chronic patients reverting to episodic status or the cessation of medication overuse. Patients in the control group were more likely to find a successful prophylaxis (55.6 vs 27.7%, P = .002). Despite this, the mean decrease in HIT-6 scores at month 8 was 5.23 ± 9.18 for the active group compared with a decrease of 2.10 ± 9.27 for the control group (P = .030, clinically significant difference of 3.13). Headache Management Self-Efficacy Scale (HMSE) scores, representing the feeling of self-efficacy, increased by 14.35 ± 18.41 for the active group vs 4.69 ± 21.22 in the control group (P = .002). CONCLUSION: A nursing intervention can lower the impact of migraines on the patient's life. The improvement in the HIT-6 score in this study was correlated with improvements in self-efficacy.
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Even a low-threshold non-medical intervention (lifestyle adaption) for migraine prophylaxis was able to bring about an improvement in self-efficacy.
“Since even a low-threshold non-medical intervention (lifestyle adaption) for migraine prophylaxis was able to bring about an improvement in self-efficacy, (57)”
From Efficacy of Cognitive-Behavioral Therapy for the Prophylaxis of Migraine in Adults: A Three-Armed Randomized Controlled Trial (2022) · cites this paper as [57]
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Klan, T., Gaul, C., Liesering-Latta, E., Both, B., Held, I., Hennemann, S., & Witthöft, M. (2022) · Frontiers in Neurology · doi:10.3389/fneur.2022.852616 · Cited by 22 · see citing works
- Authors
- Leroux, E., Beaudet, L., Boudreau, G., Eghtesadi, M., Marchand, L., Pim, H., & Chagnon, M.
- Affiliations
- Department of Clinical Neurosciences University of Calgary Alberta Canada
- Université de Montréal (CA)
- Centre Hospitalier Universitaire de Montréal QC Canada
- Venue
- Headache The Journal of Head and Face Pain
- Publisher
- Wiley
- Published
- 2017-09-15
- Volume
- 58
- Issue
- 2
- Pages
- 260-274
- ISSN
- 0017-8748 (ISSN-L)
- 1526-4610
- OpenAlex
- W2754316275
- Cited by
- 25
- References
- 51
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 1 · 2022: 3 · 2021: 4 · 2020: 1 · 2019: 5 · 2018: 5
- FWCI
- 2.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Headache The Journal of Head and Face Pain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Allergan (160000)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Keywords
- migraine, nursing interventions, quality of life, self-efficacy, headache treatment, lifestyle adaptation, migraine prophylaxis, medication overuse, chronic migraine, multidisciplinary care, HIT-6
- MeSH terms
- Adaptation, Psychological, Adult, Female, Follow-Up Studies, Headache, Humans, Male, Migraine Disorders, Nursing Care, Quality of Life, Treatment Outcome, Self Efficacy, Risk Reduction Behavior, Precision Medicine
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