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Medication-overuse headache: The effect of a patient educational programme-A randomized controlled trial.
Louise S Mose1,2,3, Susanne S Pedersen4,5, Rigmor H Jensen6
1Department of Neurology, University Hospital of Southern Denmark, Esbjerg, Denmark.
European Journal of Pain (London, England)
|October 30, 2019
Summary
Adding educational programs to standard treatment did not significantly improve outcomes for medication-overuse headache (MOH) patients. While both groups saw reductions in headache days, the educational intervention showed no added benefit over standard care alone for MOH management.
Area of Science:
- Neurology
- Clinical Medicine
- Public Health
Background:
- Non-pharmacological interventions are recommended for medication-overuse headache (MOH) patients, often alongside pharmacological treatments.
- Limited data exists on the efficacy of these non-pharmacological approaches in MOH management.
- Educational programs represent a common non-pharmacological strategy in clinical practice.
Purpose of the Study:
- To assess the impact of an educational program as an adjunct to standard treatment for MOH.
- To determine if adding education to standard care offers additional benefits for MOH patients.
Main Methods:
- A randomized controlled trial comparing standard treatment plus a 12-week educational program (I-group) versus standard treatment alone (C-group).
- The primary outcome was the reduction in headache days per month at 9 months.
- Secondary outcomes included headache intensity, medication use, disability, and patient satisfaction.
Main Results:
- Both groups achieved statistically significant reductions in headache days, with no significant difference between the intervention and control groups.
- At follow-up, a high percentage of patients in both groups no longer met the criteria for MOH (85% vs. 86%).
- Patient compliance with the educational program was high, indicating good tolerability and motivation.
Conclusions:
- An educational program, while well-tolerated and showing high compliance, did not provide additional benefits when added to standard treatment for MOH.
- Further research is needed to explore the complexity, heterogeneity, and optimal design of educational interventions for MOH.
- The findings suggest that standard treatment alone may be as effective as standard treatment plus this specific educational program for MOH.
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