Use of coping strategies in the management of medication overuse headache
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Use of coping strategies in the management of medication overuse headache. / Mose, Louise Schlosser; Jensen, Rigmor Højland; Nygaard, Niels Peter Brøchner; Pedersen, Susanne Schmidt; Gram, Bibi.
I: Patient Education and Counseling, Bind 105, Nr. 2, 2022, s. 390-397.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Use of coping strategies in the management of medication overuse headache
AU - Mose, Louise Schlosser
AU - Jensen, Rigmor Højland
AU - Nygaard, Niels Peter Brøchner
AU - Pedersen, Susanne Schmidt
AU - Gram, Bibi
N1 - Funding Information: This work was upported with grants from the Danish foundation TrygFonden ( ID 112366 ), Karola Joergensens Foundation , Denmark and the Danish Patient Organization Migræne og Hovedpineforeningen . Funding Information: This work was upported with grants from the Danish foundation TrygFonden (ID 112366), Karola Joergensens Foundation, Denmark and the Danish Patient Organization Migr?ne og Hovedpineforeningen. Publisher Copyright: © 2021 Elsevier B.V.
PY - 2022
Y1 - 2022
N2 - Objectives: Use of Motivational Interviewing (MI) in education may improve medication-overuse headache (MOH) patients’ ability to cope with pain. In a randomised controlled trial, we evaluated the effect of education focusing on behavioural change among MOH patients. Methods: Ninety-eight MOH patients were randomized (1:1) to standard treatment and 12-weeks of MI-based education versus standard treatment alone after detoxification. Outcome of interest was changes in coping strategies measured by the Coping Strategy Questionnaire at four- and nine months. Results: The educational program improved patients’ perceived efficacy in the use of their coping strategies to control pain, both at four-and nine months follow-up (mean±SE): ∆:0.84 ± 0.35, 95% CI:0.16;1.52, p = 0.02 and: ∆: 0.90 ± 0.39, 95% CI:0.14;1.66, p = 0.02, respectively. No between-group differences were detected in the other coping subscales. Within the intervention group, the coping strategy subscales Catastrophizing, and Reinterpretation of pain sensation were significantly improved at nine months follow-up (p = 0.003 vs. p = 0.012, respectively). No changes were found in the control group. Conclusion: MI-based education focused on behavioural changes improved MOH patients’ perceived efficacy in the use of their coping strategies to control pain. Practice implications: Education based on MI could be valuable for MOH patients with respect to behavioural changes and perceived headache control.
AB - Objectives: Use of Motivational Interviewing (MI) in education may improve medication-overuse headache (MOH) patients’ ability to cope with pain. In a randomised controlled trial, we evaluated the effect of education focusing on behavioural change among MOH patients. Methods: Ninety-eight MOH patients were randomized (1:1) to standard treatment and 12-weeks of MI-based education versus standard treatment alone after detoxification. Outcome of interest was changes in coping strategies measured by the Coping Strategy Questionnaire at four- and nine months. Results: The educational program improved patients’ perceived efficacy in the use of their coping strategies to control pain, both at four-and nine months follow-up (mean±SE): ∆:0.84 ± 0.35, 95% CI:0.16;1.52, p = 0.02 and: ∆: 0.90 ± 0.39, 95% CI:0.14;1.66, p = 0.02, respectively. No between-group differences were detected in the other coping subscales. Within the intervention group, the coping strategy subscales Catastrophizing, and Reinterpretation of pain sensation were significantly improved at nine months follow-up (p = 0.003 vs. p = 0.012, respectively). No changes were found in the control group. Conclusion: MI-based education focused on behavioural changes improved MOH patients’ perceived efficacy in the use of their coping strategies to control pain. Practice implications: Education based on MI could be valuable for MOH patients with respect to behavioural changes and perceived headache control.
KW - Coping strategies
KW - Motivational Interviewing
KW - Non-pharmacological intervention
KW - Patient education
KW - Randomized controlled trial
U2 - 10.1016/j.pec.2021.05.035
DO - 10.1016/j.pec.2021.05.035
M3 - Journal article
C2 - 34059361
AN - SCOPUS:85107124553
VL - 105
SP - 390
EP - 397
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 2
ER -
ID: 344910712