头痛和放松训练的交互性CBT (iCHART):单臂试点试验用于治疗创伤后头痛的退伍军人的认知行为疗法
Amy S Grinberg1,2,3, Daniel G Rogers1,2,4,5, Olivia Datre1,6
1VA Headache Centers of Excellence Research, Evaluation, Education, and Engagement Activities Center for Headache (RE3ACH), Orange, CT, USA.
Cephalalgia : an international journal of headache
|July 14, 2025
概括
这项试点研究发现,交互式语音响应 (IVR) 交付的头痛认知行为疗法 (CBT-HA) 对创伤后头痛 (PTH) 的退伍军人来说是可行的,可以接受的和具有成本效益的. 虽然在统计学上并不显著,但自我疗效的改善表明头痛管理的潜在长期益处.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 医疗卫生技术 技术 技术
背景情况:
- 头痛的认知行为疗法 (CBT-HA) 是有效的,但面临着可访问性的障碍.
- 创伤后头痛 (PTH) 显著影响退伍军人的生活质量.
- 需要新的CBT-HA输送方法来提高可访问性.
研究的目的:
- 评估交互式语音响应 (IVR) 交付CBT-HA干预的可行性,可接受性和临床信号,用于患有PTH的退伍军人.
- 评估头痛频率,残疾和心理症状的变化.
- 为了确定IVR-CBT-HA干预的成本效益.
主要方法:
- 一个单臂试点试验涉及18名PTH退伍军人.
- 参与者完成了为期10周的IVR-CBT-HA计划.
- 在基线,治疗后和一个月后期评估的结果.
主要成果:
- 15名参与者完成了这项研究.
- 自疗效从基线显著改善到治疗后 (p=0.001) 并保持稳定.
- 报告了参与者的高满意度和治疗师对可行性和可接受性的评价,尽管系统的可用性很低.
- 与传统CBT-HA相比,IVR-CBT-HA干预措施显示大约节省了33%的成本.
结论:
- 异步,IVR-交付的CBT-HA是一种可行的,可接受的,和具有成本效益的治疗退伍军人与PTH.
- 虽然直接降低头痛并没有统计学意义,但自我有效性的改善表明潜在的长期益处.
- 未来的研究应该集中在技术改进和更大的随机对照试验上,以进一步验证这种方法.
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