Internet-Based Treatment of Headache: Does Telephone Contact Add Anything?
Article first published online: 27 MAR 2003
Headache: The Journal of Head and Face Pain
Volume 43, Issue 4, pages 353–361, April 2003
How to Cite
Andersson, G., Lundström, P. and Ström, L. (2003), Internet-Based Treatment of Headache: Does Telephone Contact Add Anything?. Headache: The Journal of Head and Face Pain, 43: 353–361. doi: 10.1046/j.1526-4610.2003.03070.x
- Issue published online: 27 MAR 2003
- Article first published online: 27 MAR 2003
- Accepted for publication October 6, 2002.
- cognitive-behavioral treatment;
Objective.—To study the contribution of therapist-initiated telephone contact in the treatment of recurrent headache via the Internet.
Background.—Internet-based cognitive behavioral self-help is a promising new venue for the treatment of recurrent headache. While cost-effective, there are indications that this modality may be associated with high dropout rates.
Design and Methods.—The role of therapist-initiated contact was investigated in a randomized controlled trial in which 44 self-recruited headache sufferers were randomized to either a Web-based self-help program with e-mail support or to a group receiving, in addition, weekly individual telephone calls. An additional 8 control subjects were recruited to receive similar treatment outside of the study.
Results.—Dropout rates were 29% in the telephone support group and 35% in the control group, suggesting that the telephone calls did not affect dropout. Results showed significant reductions in headache-related disability, depression, maladaptive coping strategies, and perceived stress but little to indicate any superior performance in the Internet-only group and little improvement in the headache index. In short, therapist-initiated telephone calls did not influence the results.
Conclusions.—Internet-based treatment for headache is not affected by minimal therapist-initiated telephone contact.