Usual care and a self-management support programme versus usual care and a relaxation programme for people living with chronic headache disorders: a randomised controlled trial protocol (CHESS)
| Autor: | Vivien Nichols, Kirstie L. Haywood, Dipesh Mistry, Stavros Petrou, Siew Wan Hee, Sandra Eldridge, Harbinder Sandhu, David R. Ellard, Kimberley Stewart, Tamar Pincus, Dawn Carnes, Rachel Potter, Shilpa Patel, Felix A. Achana, Martin Underwood, Frances Griffiths, Hema Mistry, Manjit Matharu, Stephanie Taylor |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
self-management Headache Disorders tension type headache Anxiety Relaxation Therapy law.invention primary care Randomized controlled trial chronic headache Patient Education as Topic law Intervention (counseling) Health care medicine Humans migraine Patient Reported Outcome Measures Program Development Research ethics Self-management Practice Patterns Nurses' Cognitive Behavioral Therapy business.industry Depression Patient Selection General Medicine Patient Acceptance of Health Care medicine.disease Social Participation R1 Self Efficacy Test (assessment) Migraine Neurology Sample Size Chronic Disease Physical therapy Quality of Life medicine.symptom RB business RC study protocol Follow-Up Studies |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | IntroductionChronic headaches are poorly diagnosed and managed and can be exacerbated by medication overuse. There is insufficient evidence on the non-pharmacological approaches to helping people living with chronic headaches.Methods and analysisChronic Headache Education and Self-management Study is a pragmatic randomised controlled trial to test the effectiveness and cost-effectiveness of a self-management education support programme on top of usual care for patients with chronic headaches against a control of usual care and relaxation. The intervention is a 2-day group course based on education, personal reflection and a cognitive behavioural approach, plus a nurse-led one-to-one consultation and follow-up over 8 weeks. We aim to recruit 689 participants (356 to the intervention arm and 333 to the control) from primary care and self-referral in London and the Midlands. The trial is powered to show a difference of 2.0 points on the Headache Impact Test, a patient-reported outcome measure at 12 months post randomisation. Secondary outcomes include health related quality of life, self-efficacy, social activation and engagement, anxiety and depression and healthcare utilisation. Outcomes are being measured at 4, 8 and 12 months. Cost-effectiveness will be expressed in terms of incremental cost per quality-adjusted life year gained.Ethics and disseminationThis trial will provide data on effectiveness and cost-effectiveness of a self-management support programme for chronic headaches. The results will inform commissioning of services and clinical practice. North West – Greater Manchester East Research Ethics Committee have approved the trial. The current protocol version is 3.6 date 7 March 2019.Trial registration numberISRCTN79708100. |
| Databáze: | OpenAIRE |
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