000145708 001__ 145708
000145708 005__ 20241122130823.0
000145708 0247_ $$2doi$$a10.3390/jcm13226825
000145708 0248_ $$2sideral$$a140678
000145708 037__ $$aART-2024-140678
000145708 041__ $$aeng
000145708 100__ $$aCordova-Alegre, Paula
000145708 245__ $$aEffectiveness of a Complementary Telehealth Education Program as a Preventive Treatment for Chronic Migraine: A Randomized Pilot Study
000145708 260__ $$c2024
000145708 5060_ $$aAccess copy available to the general public$$fUnrestricted
000145708 5203_ $$aBackground/Objectives: Chronic migraine (CM) is a neurological disorder that causes significant disability, loss of productivity, and economic burden. Preventive treatments, including pharmacological and educational interventions, are crucial for managing CM effectively. The aim of this study was to analyze whether adding a therapeutic telehealth education program (TTEP) to pharmacological treatment achieved a greater reduction in the number of headache days experienced by patients with CM. Methods: A randomized, double-blind, controlled pilot study with two parallel groups was performed. Patients with a diagnosis of CM and who were being treated with Botulinum Toxin were randomly assigned to either the EG (therapeutic education program about the neuroscience of pain, migraine, pain strategies, sleep habits, exercise, nutrition, postural habits, and relaxation strategies) or CG (general health recommendations with no specific content about migraine). The intervention lasted a total of eight weeks and was delivered via a telehealth application (APP). Headache frequency, migraine frequency, pain intensity, headache impact, allodynia, fear of movement, pain catastrophizing, chronic pain self-efficacy, anxiety and depression, sleep quality, and sedentary lifestyle were measured at baseline (M0), one month after the intervention started (M1), at the end of the intervention (M2), and one month after the intervention was completed for follow-up (M3). Results: In total, 48 patients participated. There were differences between the groups in the following outcomes in favor of EG for headache frequency at the one-month follow-up (p = 0.03; d = 0.681); chronic pain self-efficacy at post-treatment (p = 0.007; d = 0.885) and at the one-month follow-up (p < 0.001; d = 0.998); and sleep quality at post-treatment (p = 0.013; d = 0.786) and at the one-month follow-up (p < 0.001; d = 1.086). No differences existed between the groups for the other outcomes examined (p < 0.05). Conclusions: The use of TTEP reduced the number of headache days, improved sleep quality, and increased self-efficacy in managing pain. This pilot study suggests that the addition of a specialized TTPE to pharmacological treatments may be more effective than a general health recommendation program for migraine.
000145708 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000145708 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000145708 700__ $$0(orcid)0000-0002-9201-0120$$aHerrero, Pablo$$uUniversidad de Zaragoza
000145708 700__ $$0(orcid)0000-0001-5139-6031$$aSantos-Lasaosa, Sonia$$uUniversidad de Zaragoza
000145708 700__ $$0(orcid)0000-0001-6370-218X$$aNavarro-Perez, Maria Pilar
000145708 700__ $$aCarpallo-Porcar, Beatriz
000145708 700__ $$0(orcid)0000-0002-1674-7788$$aCalvo, Sandra$$uUniversidad de Zaragoza
000145708 700__ $$aJimenez-Sanchez, Carolina
000145708 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000145708 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000145708 773__ $$g13, 22 (2024), 6825 [15 pp.]$$pJ. clin.med.$$tJournal of Clinical Medicine$$x2077-0383
000145708 8564_ $$s831391$$uhttps://zaguan.unizar.es/record/145708/files/texto_completo.pdf$$yVersión publicada
000145708 8564_ $$s2729443$$uhttps://zaguan.unizar.es/record/145708/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000145708 909CO $$ooai:zaguan.unizar.es:145708$$particulos$$pdriver
000145708 951__ $$a2024-11-22-11:53:02
000145708 980__ $$aARTICLE