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A self-administered behavioral intervention using tailored messages for migraine.

Robert Nicholson¹, Justin Nash, Frank Andrasik

¹St.Louis University School of Medicine, Community and Family Medicine, St. Louis, MO 63104, USA.

|September 24, 2005

Summary

The Self-Administered Behavioral Intervention using Tailored messages (SEABIT) significantly reduced migraine frequency and disability. This accessible intervention shows promise for widespread use in migraine management.

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Area of Science:

Neurology
Behavioral Science
Health Communication

Background:

Behavioral and cognitive-behavioral interventions are evidence-based for migraine.
Self-administered formats enhance accessibility of behavioral treatments.
Tailored messages personalize self-administered interventions using individual data.

Purpose of the Study:

To evaluate the effectiveness of the Self-Administered Behavioral Intervention using Tailored messages (SEABIT) for migraine.
Primary outcomes included headache frequency, disability, and psychosocial factors.

Main Methods:

An 8-week SEABIT program was implemented for migraine prevention.
Participants underwent a 1-month baseline and a 1-month postintervention phase.
Twenty-five individuals initiated the study, with 84% completing all phases.

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Main Results:

62% of completers achieved at least a 50% reduction in headache frequency.
Mean headache frequency significantly decreased from 16.9 to 10.7 (P < .001).
Significant improvements were observed in headache-related disability, behavioral/emotional factors, and self-efficacy.

Conclusions:

SEABIT is an effective behavioral intervention for migraine prevention.
The intervention demonstrates potential for broad accessibility, including in primary care settings.