Kopfschmerz vom Spannungstyp

Limbrecht-Ecklundt, Kerstin; Bischoff, Claus; Traue, Harald C.

doi:10.1007/978-3-662-50512-0_24

Cited by 2 publications

(2 citation statements)

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“…A person-centered approach that integrates various intervention components is more effective [ 28 , 29 ] and may enhance personal control and efficacy in headache management [ 14 ]. However, challenges such as cost, access, motivation [ 18 ], and stigma hinder engagement [ 30 ]. Despite this, consistent care using nonmedical options has proven beneficial [ 31 ].…”

Section: Introductionmentioning

confidence: 99%

“…The belief that pain-related factors are outside one's control and the perceived inability to control these factors (ie, low self-efficacy) are further dysfunctional coping mechanisms associated with poor adjustment to headache and psychological functioning [15,16]. Among people who have headache, stress, stress regulation, and mental tension are perceived as critical triggers of a headache [14,[17][18][19], and headache itself serves as a stressor that negatively affects well-being [20]. However, there are controversial findings regarding the association between lifestyle and headache, and individuals differ in the extent to which these factors interact with headache [21].…”

Section: Introductionmentioning

confidence: 99%

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Development and Evaluation of a Smartphone-Based Chatbot Coach to Facilitate a Balanced Lifestyle in Individuals With Headaches (BalanceUP App): Randomized Controlled Trial

Ulrich,

Gantenbein,

Zuber

et al. 2024

J Med Internet Res

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Background Primary headaches, including migraine and tension-type headaches, are widespread and have a social, physical, mental, and economic impact. Among the key components of treatment are behavior interventions such as lifestyle modification. Scalable conversational agents (CAs) have the potential to deliver behavior interventions at a low threshold. To our knowledge, there is no evidence of behavioral interventions delivered by CAs for the treatment of headaches. Objective This study has 2 aims. The first aim was to develop and test a smartphone-based coaching intervention (BalanceUP) for people experiencing frequent headaches, delivered by a CA and designed to improve mental well-being using various behavior change techniques. The second aim was to evaluate the effectiveness of BalanceUP by comparing the intervention and waitlist control groups and assess the engagement and acceptance of participants using BalanceUP. Methods In an unblinded randomized controlled trial, adults with frequent headaches were recruited on the web and in collaboration with experts and allocated to either a CA intervention (BalanceUP) or a control condition. The effects of the treatment on changes in the primary outcome of the study, that is, mental well-being (as measured by the Patient Health Questionnaire Anxiety and Depression Scale), and secondary outcomes (eg, psychosomatic symptoms, stress, headache-related self-efficacy, intention to change behavior, presenteeism and absenteeism, and pain coping) were analyzed using linear mixed models and Cohen d. Primary and secondary outcomes were self-assessed before and after the intervention, and acceptance was assessed after the intervention. Engagement was measured during the intervention using self-reports and usage data. Results A total of 198 participants (mean age 38.7, SD 12.14 y; n=172, 86.9% women) participated in the study (intervention group: n=110; waitlist control group: n=88). After the intervention, the intention-to-treat analysis revealed evidence for improved well-being (treatment: β estimate=–3.28, 95% CI –5.07 to –1.48) with moderate between-group effects (Cohen d=–0.66, 95% CI –0.99 to –0.33) in favor of the intervention group. We also found evidence of reduced somatic symptoms, perceived stress, and absenteeism and presenteeism, as well as improved headache management self-efficacy, application of behavior change techniques, and pain coping skills, with effects ranging from medium to large (Cohen d=0.43-1.05). Overall, 64.8% (118/182) of the participants used coaching as intended by engaging throughout the coaching and completing the outro. Conclusions BalanceUP was well accepted, and the results suggest that coaching delivered by a CA can be effective in reducing the burden of people who experience headaches by improving their well-being. Trial Registration German Clinical Trials Register DRKS00017422; https://trialsearch.who.int/Trial2.aspx?TrialID=DRKS00017422

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Development and Evaluation of a Smartphone-Based Chatbot Coach to Facilitate a Balanced Lifestyle in Individuals With Headaches (BalanceUP App): Randomized Controlled Trial

Ulrich,

Gantenbein,

Zuber

et al. 2024

J Med Internet Res

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Development and Evaluation of a Smartphone-Based Chatbot Coach to Facilitate a Balanced Lifestyle in Individuals With Headaches (BalanceUP App): Randomized Controlled Trial (Preprint)

Hauser-Ulrich¹,

Gantenbein²,

Zuber³

et al. 2023

Preprint

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BACKGROUND Primary headaches, including migraine and tension-type headaches (TTH), are widespread and have a social, physical, mental, and economic impact. They occur mainly during productive years (ie, between ages of 25 and 55). One of the key components of treatment are behavior interventions such as lifestyle modification. Scalable conversational agents (CAs) offer the potential to deliver behavior interventions at low threshold. To our knowledge, there is no evidence on behavioral interventions delivered by CAs for the treatment of headaches. OBJECTIVE This study aimed (1) to develop and test a smartphone-based coaching intervention (BalanceUP) for people suffering from frequent headaches, delivered by a conversational agent (CA), and designed to improve mental well-being by various behavior change techniques, and (2) to evaluate the effectiveness by comparing the intervention and control group, and to assess the engagement and acceptance of participants using BalanceUP. METHODS In a randomized controlled trial, adults with frequent headaches were recruited from a non-clinical setting and allocated to either a CA intervention (BalanceUP) or control condition. The effect of the treatment on changes on primary outcome mental well-being (PHQ ADS), and secondary outcomes (psychosomatic symptoms, stress, headache-related self-efficacy, intention to change behavior, presentism and absenteeism, pain coping) were assessed using Linear Mixed Models and Cohen d. Primary and secondary outcomes were assessed pre- and post-intervention, engagement during and acceptance post-intervention. RESULTS A total of 198 participants (mean age 38.7, SD 12.14; 86.9% women) were recruited online and in collaboration with experts and allocated to the intervention (n=110), and control group (n=88). Post-intervention, the intention to threat (ITT) analysis revealed very strong evidence for improved well-being (treatment: est/beta –3.28, 95% CI –5.07 to –1.48) with moderate between-group effects (Cohen d=–0.66, 95% CI –0.99 to –0.33) in favor of the intervention group. We also found strong evidence for reduced somatic symptoms, perceived stress, absenteeism/presentism, as well as improved headache management self-efficacy, application of behavior change techniques, and pain coping skills, with effects ranging from medium to large (d=0.43 to d=1.05). 65% of participants used the coaching as intended by engaging throughout the coaching and completing the outro. CONCLUSIONS BalanceUP was well accepted, results suggest that a coaching delivered by a CA can be effective in reducing headache sufferers’ burden by improving their well-being. CLINICALTRIAL German Clinical Trials Register DRKS00017422; https://trialsearch.who.int/Trial2.aspx?TrialID=DRKS00017422, Swiss Ethics BASEC-Nr. Req-2021-01365

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Kopfschmerz vom Spannungstyp

Cited by 2 publications

References 68 publications

Development and Evaluation of a Smartphone-Based Chatbot Coach to Facilitate a Balanced Lifestyle in Individuals With Headaches (BalanceUP App): Randomized Controlled Trial

Development and Evaluation of a Smartphone-Based Chatbot Coach to Facilitate a Balanced Lifestyle in Individuals With Headaches (BalanceUP App): Randomized Controlled Trial

Development and Evaluation of a Smartphone-Based Chatbot Coach to Facilitate a Balanced Lifestyle in Individuals With Headaches (BalanceUP App): Randomized Controlled Trial (Preprint)

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