Headstrong: A Pilot Study of a CD-ROM Intervention for Recurrent Pediatric Headache

Connelly, Mark; Rapoff, Michael A.; Thompson, Nancy E.; Connelly, Wendy

doi:10.1093/jpepsy/jsj003

Cited by 84 publications

(154 citation statements)

References 26 publications

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“…Five trials investigated psychological therapies delivered remotely for children with headache (Connelly 2006; Cottrell 2007; McGrath 1992; Rapoff 2014; Trautmann 2010), one assessed juvenile idiopathic arthritis (Stinson 2010), and two included headache and non-headache conditions (i.e. recurrent abdominal pain and musculoskeletal pain) meaning that we entered them in both headache and mixed pain analyses where appropriate (Hicks 2006; Palermo 2009).…”

Section: Resultsmentioning

confidence: 99%

Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents

Fisher

Law

Palermo

et al. 2015

Cochrane Database of Systematic Reviews

125

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Background Chronic pain is common during childhood and adolescence and is associated with negative outcomes such as increased severity of pain, reduced function (e.g. missing school), and low mood (e.g. high levels of depression and anxiety). Psychological therapies, traditionally delivered face-to-face with a therapist, are efficacious at reducing pain intensity and disability. However, new and innovative technology is being used to deliver these psychological therapies remotely, meaning barriers to access to treatment such as distance and cost can be removed or reduced. Therapies delivered with technological devices, such as the Internet, computer-based programmes, smartphone applications, or via the telephone, can be used to deliver treatment to children and adolescents with chronic pain. Objectives To determine the efficacy of psychological therapies delivered remotely compared to waiting-list, treatment-as-usual, or active control treatments, for the management of chronic pain in children and adolescents. Search methods We searched four databases (CENTRAL, MEDLINE, EMBASE, and PsycINFO) from inception to June 2014 for randomised controlled trials of remotely delivered psychological interventions for children and adolescents (0 to 18 years of age) with chronic pain. We searched for chronic pain conditions including, but not exclusive to, headache, recurrent abdominal pain, musculoskeletal pain, and neuropathic pain. We also searched online trial registries for potential trials. A citation and reference search for all included studies was conducted. Selection criteria All included studies were randomised controlled trials that investigated the efficacy of a psychological therapy delivered remotely via the Internet, smartphone device, computer-based programme, audiotapes, or over the phone in comparison to an active, treatment-as-usual, or waiting-list control. We considered blended treatments, which used a combination of technology and face-to-face interaction. We excluded interventions solely delivered face-to-face between therapist and patient from this review. Children and adolescents (0 to 18 years of age) with a primary chronic pain condition were the target of the interventions. Each comparator arm, at each extraction point had to include 10 or more participants. Data collection and analysis For the analyses, we combined all psychological therapies. We split pain conditions into headache and mixed (non-headache) pain and analysed them separately. Pain, disability, depression, anxiety, and adverse events were extracted as primary outcomes. We also extracted satisfaction with treatment as a secondary outcome. We considered outcomes at two time points: first immediately following the end of treatment (known as ’post-treatment’), and second, any follow-up time point post-treatment between 3 and 12 months (known as ’follow-up’). We assessed all included studies for risk of bias. Main results Eight studies (N = 371) that delivered treatment remotely were identified from our search; five studies inv...

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Section: Resultsmentioning

confidence: 99%

Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents

Fisher

Law

Palermo

et al. 2015

Cochrane Database of Systematic Reviews

125

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“…Twenty-four studies focused on the severity of symptoms as an outcome measure [43,[49][50][51]54,56,[58][59][60][63][64][65][66][67]70,72,74,[76][77][78][79][80][81][82][83]. In general, SMI showed a trend in favor of the control condition.…”

Section: Outcome Measure Symptomsmentioning

confidence: 99%

Exploring effectiveness and effective components of self-management interventions for young people with chronic physical conditions: A systematic review

Bal

Sattoe

Roelofs

et al. 2016

Patient Education and Counseling

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Adherence could be improved through interventions focused on medical management, provided individually in a clinical or home setting by a mono-disciplinary team. Interventions focused on dealing with a chronic condition might be provided individually, through telemedicine programs facilitating peer-support. These intervention elements seemed effective irrespective of diagnosis, and may therefore act as good starting points for further research into and for improvement of self-management support for youth with chronic conditions in pediatric care. Results underlined the need to systematically develop and evaluate self-management interventions, since this may provide more evidence for effectiveness and effective intervention components.

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“…39 Millimeter scores were converted to a 6 centimeters scale by dividing by 10. Two scales were available to children each day in the event of more than one headache, with the mean of the separate severities being used in analyses.…”

Section: Methodsmentioning

confidence: 99%

Relationship Between Daily Mood and Migraine in Children

et al. 2013

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Background Retrospective and cross-sectional studies have suggested a bidirectional relationship between migraine and mood disturbance. Objective The present prospective daily diary study examined the prevalence and temporal associations between migraine and daily mood, mood and next-day headache, and headache and next-day mood. Methods Sixty-nine children (50 females, 19 males) between the ages of 7–12 years and their parents attending neurology clinic appointments and having a diagnosis of migraine as defined by ICHD-II criteria completed measures on quality of life, headache disability, child emotions and child behaviors. Children and parents then recorded children’s headache occurrence, headache duration, headache severity, mood, daily hassles, and medication use on paper diaries once a day for two consecutive weeks. “Mood” was defined using the facial affective scale, which is a visual representation of negative and positive affect. Data were analyzed using multilevel models. Results Controlling for age, sex, quality of life, headache disability, and medication use, worse mood was associated with same-day occurrence, longer duration and more severe headache in both child and parent report. Today’s mood was not consistently associated with next-day headache and today’s headache was not associated with next-day mood in either child or parent report. Conclusions Results of this study lend support for a complex relationship between mood and headache in children with migraine. More research is needed to further elucidate the temporal nature of this relationship within a given day and over an extended period of time.

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Headstrong: A Pilot Study of a CD-ROM Intervention for Recurrent Pediatric Headache

Cited by 84 publications

References 26 publications

Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents

Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents

Exploring effectiveness and effective components of self-management interventions for young people with chronic physical conditions: A systematic review

Relationship Between Daily Mood and Migraine in Children

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