CoChat
Sign Up
Cited by 26Migraine and Headache StudiesHealth Literacy and Information AccessibilityMobile Health and mHealth Applications

Effects of a website designed to improve the management of migraines.

Sciamanna, Christopher N., Nicholson, Robert A., Lofland, Jennifer H., Manocchia, Michael, Mui, Sarah, Hartman, Christine W.·2006·Headache The Journal of Head and Face Pain
DOI 10.1111/j.1526-4610.2006.00312.x
Open this paper in CoChat — free account

Abstract

OBJECTIVE: The aim was to examine the effect of using a Web-based computer program that provides personalized feedback to migraine patients, on the interactions of patients and providers. Background.-Despite the widespread availability of evidence-based migraine treatment guidelines, patients often do not receive optimal treatment to reduce migraine pain and disability. METHODS: To address these quality gaps in migraine care, we developed a Web-based computer program, to be used by migraine patients before doctor visits. The feedback is designed to prompt patients to ask questions that lead to higher quality of care. This study was conducted to examine the effect of using the program on migraine-specific doctor-patient communications. Patients were randomized to use the Website before (intervention) or after (control) a visit with their provider. The outcome measures were the migraine-specific topics discussed during the visit, measured by an exit survey after the visit. RESULTS: Fifty of 53 subjects randomized completed the postvisit measures (94%). Overall, the mean age was 42.0 years, most patients were female (86.5%), all were white, and 58.5% saw a headache specialist during their visit. Most (75.0%) reported having headaches at least once per week and 48.1% rated their headaches as "severe." Intervention patients were significantly more likely to "discuss whether you had migraine headaches or some other type of headache?" (89.3% vs 54.5%; P < .01) and to "discuss whether or not there may be a more serious cause of your headaches?" (50.0% vs 13.6%; P < .01). Intervention patients were more likely to report discussing 8 of 12 migraine-related topics more frequently and a greater overall number of topics (5.5 vs 4.3) than control patients. This difference was not statistically significant. CONCLUSIONS: These results suggest that the Website may have a positive impact on migraine-specific doctor-patient communications. A larger study, including important quality of life and utilization outcomes, is warranted.

Integrity signals

Registry

Crossref · 10.1111/j.1526-4610.2006.00312.x

Cites

35 of 35 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Web-based self-help interventions have been shown to have notable benefits with a variety of patient populations with pain.

    “Furthermore, web-based self-help interventions have been shown to have notable benefits with a variety of patient populations with pain.49–52”

    From An Online Self-help CBT Intervention for Chronic Lower Back Pain (2012) · cites this paper as [52]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Sciamanna, C. N., Nicholson, R. A., Lofland, J. H., Manocchia, M., Mui, S., & Hartman, C. W.
Affiliations
  • Saint Louis University (US)
  • Thomas Jefferson University (US)
ORCID
Venue
Headache The Journal of Head and Face Pain
Publisher
Wiley
Published
2006-01
Volume
46
Issue
1
Pages
92-100
ISSN
  • 0017-8748 (ISSN-L)
  • 1526-4610
DOI
10.1111/j.1526-4610.2006.00312.x
OpenAlex
W2154979817
Cited by
26
References
35
Citations by year
2025: 1 · 2023: 1 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 1 · 2013: 3
FWCI
1.70
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 9 d)
Locations
  • Headache The Journal of Head and Face Pain (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Heart, Lung, and Blood Institute (R43HL074458)
  • National Institute of Neurological Disorders and Stroke (F32NS042386)
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases (R43AR050538)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
  • Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords
migraine, online intervention, personalized feedback, physician-patient communication, patient-provider interaction, patient education
MeSH terms
Adult, Double-Blind Method, Female, Follow-Up Studies, Health Education, Humans, Male, Middle Aged, Migraine Disorders, Guidelines as Topic, Evidence-Based Medicine, Internet

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review