We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
CBT for Pediatric Migraine: A Qualitative Study of Patient and Parent Experience.
- Authors
Kroon Van Diest, Ashley M.; Ernst, Michelle M.; Vaughn, Lisa; Slater, Shalonda; Powers, Scott W.
- Abstract
Objective: The goal of this study was to determine which cognitive behavioral therapy (CBT‐HA) treatment components pediatric headache patient stakeholders would report to be most helpful and essential to reducing headache frequency and related disability to develop a streamlined, less burdensome treatment package that would be more accessible to patients and families. Background: Pediatric migraine is a prevalent and disabling condition. CBT‐HA has been shown to reduce headache frequency and related disability, but may not be readily available or accepted by many migraine sufferers due to treatment burden entailed. Research is needed to determine systematic ways of reducing barriers to CBT‐HA. Methods: Qualitative interviews were conducted with 10 patients and 9 of their parents who had undergone CBT‐HA. Interviews were analyzed using an inductive thematic analysis approach based upon modified grounded theory. Patients were 13‐17.5 years of age (M = 15.4, SD = 1.63) and had undergone CBT‐HA ∼1‐2 years prior to participating in the study. Results: Overall, patients and their parents reported that CBT‐HA was helpful in reducing headache frequency and related disability. Although patients provided mixed reports on the effectiveness of different CBT‐HA skills, the majority of patients indicated that the mind and body relaxation skills of CBT‐HA (deep breathing, progressive muscle relaxation, and activity pacing in particular) were the most helpful and most frequently used skills. Patients and parents also generally reported that treatment was easy to learn, and noted at least some aspect of treatment was enjoyable. Conclusions: Results from these qualitative interviews indicate that mind and body CBT‐HA relaxation skills emerged as popular and effective based on patient and parent report. Future research examining the effectiveness of streamlined pediatric migraine nonpharmacological interventions should include these patient‐preferred skills.
- Subjects
MIGRAINE; COGNITIVE therapy; GROUNDED theory; HEALTH services accessibility; INTERVIEWING; MEDICAL care costs; MIND &; body therapies; MUSCLE contraction; RELAXATION for health; RESPIRATION; VOCATIONAL rehabilitation; QUALITATIVE research; THEMATIC analysis; SOCIAL services case management; TREATMENT effectiveness; PARENT attitudes; DISEASE prevalence; PATIENTS' attitudes; ADOLESCENCE; THERAPEUTICS
- Publication
Headache: The Journal of Head & Face Pain, 2018, Vol 58, Issue 5, p661
- ISSN
0017-8748
- Publication type
Article
- DOI
10.1111/head.13285