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Behavioral Therapy Preferences in People With Migraine
Mia T Minen1, Adama Jalloh2, Olivia Begasse de Dhaem3
1Departments of Neurology and Population Health, NYU Langone Health, New York, NY, USA.
Headache
|March 25, 2020
Summary
People with migraine prefer in-person or smartphone behavioral therapy over phone-based options. Migraine disability influences therapy pursuit, but patients are hesitant to pay out-of-pocket for these evidence-based migraine treatments.
Area of Science:
- Neurology
- Behavioral Science
Background:
- Evidence-based behavioral therapies like biofeedback, cognitive behavioral therapy, and relaxation are safe and effective for migraine prevention.
- Despite their efficacy, these behavioral therapies for migraine prevention remain underutilized in clinical practice.
Purpose of the Study:
- To investigate patient preferences for different delivery methods (in-person, smartphone, telephone) of behavioral therapy for migraine.
- To assess willingness to pay for in-person behavioral therapy among individuals with frequent migraines.
- To identify predictors of the likelihood of pursuing behavioral therapy for migraine management.
Main Methods:
- A cross-sectional online survey was administered to participants screening positive for migraine.
- The survey assessed preferences for various behavioral therapy delivery modalities and willingness to pay.
- Quantitative analyses were performed to determine associations between patient characteristics and therapy pursuit.
Main Results:
- Participants showed a preference for in-person and smartphone-based behavioral therapy over telephone-based delivery.
- Migraine-related disability (MIDAS score) was significantly associated with the likelihood of pursuing behavioral therapy across all delivery methods.
- Willingness to pay out-of-pocket for behavioral therapy was low, despite moderate likelihood to pursue insurance-covered options.
Conclusions:
- Individuals with migraine favor in-person and smartphone-delivered behavioral therapies, indicating a need for accessible and convenient treatment options.
- Migraine-related disability is a key factor influencing the uptake of behavioral therapies, irrespective of the delivery format.
- Financial barriers, specifically out-of-pocket costs, may hinder the adoption of these valuable migraine prevention strategies.
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