Journal article
Integrated care for migraine and chronic tension-type headaches: A prospective observational study
Complementary Therapies in Clinical Practice, Vol.36, pp.1-6
2019
PMID: 31383425
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Source: InCites
Abstract
This prospective observational study aimed to investigate the effects of an interdisciplinary multimodal integrated care program in patients with chronic migraine and/or tension-type headache. Patients (n = 158) underwent inpatient, outpatient and/or semi-stationary treatment including conventional as well as complementary headache treatment. Headache frequency was defined as the primary outcome; secondary outcomes included pain (VAS, PPS), medication use, quality of life (SF-36), function (HDI, PSFS), depression and anxiety (HADS), and pain self-efficacy (PSEQ). Headache frequency decreased from 17.0 ± 8.8 days/month at treatment start to 11.4 ± 9.2 at treatment end and to 10.6 ± 9.3 at 6-month follow-up (p < 0.001). All other outcome measures also improved across the course of the study (all p < 0.001). An integrated care approach based on integrative medicine improved headache symptoms and functioning in patients with chronic migraine and/or tension-type headache. Interdisciplinary multimodal treatment approaches seem to adequately address the specific treatment needs of headache patients. •An integrated care program for patients with migraine or tension-type headache was established.•The program encompassed inpatient and outpatient treatment including conventional and complementary medicine approaches.•Headache frequency decreased from 17.0 ± 8.8 days/month before treatment to 10.6 ± 9.3 days/month at 6-month follow-up.•The program further improved pain intensity, medication use, quality of life, function, depression, anxiety, self-efficacy.
Details
- Title
- Integrated care for migraine and chronic tension-type headaches: A prospective observational study
- Creators
- Holger Cramer (Author) - University of Duisburg-EssenMarie Hehlke (Author) - University of Duisburg-EssenJonas Vasmer (Author) - University of Duisburg-EssenThomas Rampp (Author) - University of Duisburg-EssenDennis Anheyer (Author) - University of Duisburg-EssenFelix Joyonto Saha (Author) - University of Duisburg-EssenAnna Paul (Author) - University of Duisburg-EssenRomy Lauche (Author) - University of Technology SydneyGustav Dobos (Author) - University of Duisburg-Essen
- Publication Details
- Complementary Therapies in Clinical Practice, Vol.36, pp.1-6
- Publisher
- Elsevier Ltd
- Identifiers
- 991012854698502368
- Academic Unit
- Faculty of Health; National Centre for Naturopathic Medicine
- Language
- English
- Resource Type
- Journal article