"我现在正在与我的偏头痛怪物"谈话" - - 通过互联网为偏头痛提供基于接受的认知行为治疗的患者经验:使用混合方法方法的随机控制试点研究
Marie Persson1,2, Bledar Daka1, Emma Varkey1,3
1Family Medicine, School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Cognitive behaviour therapy
|October 3, 2024
概括
这项试点研究表明,治疗师指导的互联网认知行为疗法 (iCBT) 对偏头痛患者是可行的. 数字疗法改善了偏头痛的管理,减少了头痛的日子.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 数字健康数字健康
背景情况:
- 偏头痛是一种流行的神经系统疾病,影响全球数百万人.
- 慢性偏头痛是由频繁,长时间的发作引起的,需要有效的管理策略.
- 偏头痛的标准医疗保健往往有局限性,促使研究辅助疗法.
研究的目的:
- 评估治疗师指导的基于接受的互联网认知行为疗法 (iCBT) 对偏头痛患者的可行性和可接受性.
- 评估iCBT作为瑞典初级医疗保健中标准医疗保健的辅助.
- 使用混合方法方法探索患者的体验和初始治疗效果.
主要方法:
- 一个试点随机对照试验 (RCT) 涉及29名参与者 (15治疗,14对照).
- 混合方法方法包括定性访谈和定量评估.
- 参与者接受了治疗师指导的ICBT以及标准护理,在基线和3个月后进行评估.
主要成果:
- 72%的参与者完成了基线和3个月后续措施;60%完成了所有10个ICBT模块.
- 定性数据显示,尽管在心理语言和节目速度方面存在一些挑战,但数字格式的灵活性和可访问性得到了积极的接受.
- 定量数据表明,减少偏头痛天的效果大小有希望,并报告了情绪/行为改善.
- 在初级保健机构中,iCBT干预的高可行性和可接受性得到了这两种数据类型的支持.
结论:
- 在治疗师指导下,基于接受的ICBT是初级保健中偏头痛患者可行的和可接受的辅助疗法.
- 数字格式为偏头痛管理提供了灵活和可访问的方法.
- 需要使用更大的样本大小进行进一步的研究,以证实iCBT在改善偏头痛结果方面的有效性.
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