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Electronic behavioral interventions for headache: a systematic review.

Mia Tova Minen1,2, John Torous3, Jenelle Raynowska4

  • 1Department of Neurology, NYU Langone Medical Center, 240 East 38th Street 20th floor, New York, NY, 10016, USA. minenmd@gmail.com.

The Journal of Headache and Pain
|May 11, 2016
PubMed
Summary
This summary is machine-generated.

Electronic behavioral interventions show promise for headache management, but most studies do not yet utilize mobile devices. While interventions using mobile technology are acceptable, more data is needed on long-term effectiveness and data privacy.

Keywords:
Behavioral medicineBiofeedbackCognitive behavioral therapyElectronicHeadacheMigraineProgressive muscle relaxation therapy

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Area of Science:

  • Neurology
  • Digital Health
  • Behavioral Science

Background:

  • Growing interest in electronic behavioral interventions and mobile technologies for chronic conditions like migraines.
  • Limited clinical evidence on the feasibility and effectiveness of these digital interventions for headache management.

Purpose of the Study:

  • To systematically review the literature on electronic behavioral interventions for primary headache disorders.
  • Focus on interventions suitable for out-of-office use, including computer and mobile-based delivery.

Main Methods:

  • Conducted a systematic electronic database search (PubMed, PsycINFO, Embase) up to December 2015.
  • Analyzed studies based on delivery modality (computer, smartphone, etc.), intervention type (CBT, biofeedback, relaxation), headache type, duration, adherence, and outcomes.

Main Results:

  • Identified 23 eligible studies; most used computers (14), PDAs (2), or CD-ROMs (2).
  • No studies utilized smartphones or wearable devices.
  • Cognitive Behavioral Therapy (CBT) was the most common intervention (48%), followed by relaxation (35%) and biofeedback (22%).
  • Intervention durations varied widely, from days to months.

Conclusions:

  • Most electronic behavioral interventions for headache treatment do not currently employ mobile devices.
  • Interventions using mobile devices were found to be acceptable to patients.
  • Significant data gaps exist regarding optimal dosage, long-term efficacy, and data security/privacy.