A Randomized Trial of a Web‐Based Intervention to Improve Migraine Self‐Management and Coping
Open accessAbstract
Objective.— To test the clinical efficacy of a web‐based intervention designed to increase patient self‐efficacy to perform headache self‐management activities and symptom management strategies, and reduce migraine‐related psychological distress. Background.— In spite of their demonstrated efficacy, behavioral interventions are used infrequently as an adjunct in medical treatment of migraine. Little clinical attention is paid to the behavioral factors that can help manage migraine more effectively and improve the quality of care and quality of life. Access to evidenced‐based, tailored, behavioral treatment is limited for many people with migraine. Design.— The study is a parallel group design with 2 conditions: (1) an experimental group exposed to the web intervention; and (2) a no‐treatment control group that was not exposed to the intervention. Assessments for both groups were conducted at baseline (T1), 1‐month (T2), 3‐months (T3), and 6‐months (T4). Results.— Compared with controls, participants in the experimental group reported significantly: increased headache self‐efficacy, increased use of relaxation, increased use of social support, decreased pain catastrophizing, decreased depression, and decreased stress. The hypothesis that the intervention would reduce pain could not be tested. Conclusions.— Demonstrated increases in self‐efficacy to perform headache self‐management, increased use of positive symptom management strategies, and reported decreased migraine‐related depression and stress suggest that the intervention may be a useful behavioral adjunct to a comprehensive medical approach to managing migraine.
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An RCT by Bromberg et al assessed a web-based intervention for migraine self-management and coping, revealing improvements in multiple outcomes, including depression, stress, headache self-efficacy, pain catastrophizing, and coping strategies, although without changes in anxiety and disability.
“An RCT by Bromberg et al [105] assessed a web-based intervention for migraine self-management and coping, revealing improvements in multiple outcomes, including depression, stress, headache self-efficacy, pain catastrophizing, and coping strategies, although without changes in anxiety and disability.”
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- Authors
- Bromberg, J., Wood, M. E., Black, R. A., Surette, D. A., Zacharoff, K. L., & Chiauzzi, E. J.
- Affiliations
- Inflexxion (United States) (US)
- Corresponding author
- Bromberg, Jonas
- Venue
- Headache: The Journal of Head and Face Pain
- Publisher
- Wiley
- Published
- 2011-11-15
- Volume
- 52
- Issue
- 2
- Pages
- 244-261
- ISSN
- 0017-8748 (ISSN-L)
- 1526-4610
- PMC
- PMC3305283
- OpenAlex
- W2034582056
- Cited by
- 136
- References
- 61
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 12 · 2023: 13 · 2022: 18 · 2021: 7 · 2020: 7 · 2019: 12 · 2018: 4 · 2017: 11 · 2016: 11 · 2015: 5 · 2014: 13 · 2013: 3 · 2012: 3
- FWCI
- 4.18
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Headache The Journal of Head and Face Pain (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r44da023539-03)
- National Institute on Drug Abuse (R44 DA023539, R44DA023539-02)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- migraine, online intervention, self-efficacy, coping, psychological distress, pain catastrophizing, relaxation, social support, depression, stress, behavioral interventions
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Aged, Behavior Therapy, Double-Blind Method, Female, Follow-Up Studies, Persons with Disabilities, Disabled Persons, Humans, Male, Middle Aged, Migraine Disorders, Pain Measurement, Surveys and Questionnaires, Retrospective Studies, Self Care, Stress, Psychological, Treatment Outcome, Internet, Young Adult, Catastrophization
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