Conflicts of Interest: All of the authors are employees of Inflexxion, Inc., Newton, MA.
A Randomized Trial of a Web-Based Intervention to Improve Migraine Self-Management and Coping
Article first published online: 15 NOV 2011
© 2011 American Headache Society
Headache: The Journal of Head and Face Pain
Volume 52, Issue 2, pages 244–261, February 2012
How to Cite
Bromberg, J., Wood, M. E., Black, R. A., Surette, D. A., Zacharoff, K. L. and Chiauzzi, E. J. (2012), A Randomized Trial of a Web-Based Intervention to Improve Migraine Self-Management and Coping. Headache: The Journal of Head and Face Pain, 52: 244–261. doi: 10.1111/j.1526-4610.2011.02031.x
Financial Support: Grant support was received from the National Institutes of Health (NIH), the National Institute of Drug Abuse (NIDA No. R44DA023539-02). The funders had no part in designing the study, the collection of data and its analysis, or in the decision to complete or write this manuscript.
- Issue published online: 6 FEB 2012
- Article first published online: 15 NOV 2011
- Accepted for publication September 15, 2011.
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.