Project CHEER (Comprehensive Headache Evaluation, Education, Relief)
Nyckelord
Abstrakt
Beskrivning
The purpose of this study is to determine whether headache management programs should be promoted as a preferred strategy for managing patients with chronic disabling headache.
Chronic headache affects between 6% and 17% of the population and is associated with significant numbers of days lost from work and reduced quality of life, as well as disproportionate use of medical resources. Current treatment is sub-optimal, with patients often not adequately diagnosed and/or not receiving appropriate preventive and acute pharmacologic therapy or behavioral modification. As a result, chronic headache is associated with sub-optimal quality of care, high patient dissatisfaction as well as high cost to individuals, insurers, and society.
The specific hypothesis of this study is that a properly designed headache management program (HMP) will reduce headache-related disability, improve process of care, and reduce management costs for patients with chronic headache. The format is a randomized controlled trial in which a patient population participating in a HMP will be compared with a corresponding patient population receiving usual care. A pilot study1 has determined the components of an optimal HMP and the effectiveness of a prototype of this service with a limited number of patients at a Kaiser Permanente facility in Santa Rosa, California.
Datum
| Senast verifierad: | 12/31/2006 |
| Först skickat: | 01/01/2007 |
| Beräknad anmälan inlämnad: | 01/01/2007 |
| Först publicerad: | 01/03/2007 |
| Senaste uppdatering skickad: | 08/19/2014 |
| Senaste uppdatering publicerad: | 08/21/2014 |
| Faktiskt startdatum för studien: | 05/31/2002 |
| Beräknat slutfört datum: | 11/30/2004 |
Tillstånd eller sjukdom
Intervention / behandling
Behavioral: Service delivery through a Headache Management Program
Fas
Urvalskriterier
| Åldrar berättigade till studier | 21 Years Till 21 Years |
| Kön som är berättigade till studier | All |
| Accepterar friska volontärer | Ja |
| Kriterier | Inclusion Criteria: - age 21 or over - have chronic headache thought to be of tension-type, migraine or mixed etiology - intend to continue headache care at their current location for the next six months - MIDAS score >5 Exclusion Criteria: - Under age 21 - Currently seeing a neurologist for headache care - Currently being seen in a Headache Clinic - MIDAS score <5 |
Resultat
Primära resultatåtgärder
1. MIDAS, simple and accurate five-question survey that measures days lost to headache disability during the last 3 months and also headache pain on a 10-point scale. [undefined]
2. The measure is taken by telephone at the screening interview and by mailed survey at basel [undefined]
Sekundära resultatåtgärder
1. CATI headache diagnostic survey is administered by telephone at the screening interview to obtain a diagnosis of headache type. [undefined]
2. SF-36 Quality of Life Survey is administered by mailed survey at baseline and at 6 and 12 months [undefined]
3. Health Care Utilization Measures will include self-report by patients on the mailed surveys at baseline and at 3, 6 and 12 months. [undefined]
4. Patients are asked about their use of outpatient, inpatient and emergency room services, as well as use of alternative therapies (e.g., accupuncture, massage therpay, herbalists) and prescription and nonprescription drugs. [undefined]
5. Patient reports will be validated by administrative utilization data and by a limited chart review at each site. [undefined]
