Mia T Minen1, Benjamin W Friedman2, Samrachana Adhikari3, Sarah Corner4, Scott W Powers5, Elizabeth K Seng6, Corita Grudzen7, Richard B Lipton8. 1. Department of Neurology, NYU Langone Health, 550 1st Avenue, New York, NY 10016, United States of America; Department of Population Health, NYU Langone Health, 180 Madison Ave, New York, NY 10016, United States of America. Electronic address: Minenmd@gmail.com. 2. Department of Emergency Medicine, Albert Einstein College of Medicine, 1300 Morris Park Ave, The Bronx, NY 10461, United States of America. 3. Department of Population Health, NYU Langone Health, 180 Madison Ave, New York, NY 10016, United States of America. 4. Department of Neurology, NYU Langone Health, 550 1st Avenue, New York, NY 10016, United States of America. 5. Division of Behavioral Medicine & Clinical Psychology, Cincinnati Children's Hospital; Headache Center, Cincinnati Children's Hospital, 3333 Burnet Ave, Cincinnati, OH 45229, United States of America. 6. Ferkauf Graduate School of Psychology, Yeshiva University; Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, 1165 Morris Park Ave, The Bronx, NY 10461, United States of America. 7. Department of Population Health, NYU Langone Health, 180 Madison Ave, New York, NY 10016, United States of America; Department of Emergency Medicine, NYU Langone Health, 550 1st Avenue, New York, NY 10016, United States of America. 8. Montefiore Headache Center; Departments of Neurology, Population Health, and Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, 250 Waters Pl #8, The Bronx, NY 10461, United States of America.
Abstract
OBJECTIVE: To determine whether a smartphone application (app) with an electronic headache diary and a progressive muscle relaxation (PMR) intervention is feasible and acceptable to people presenting to the Emergency Department (ED) with migraine. METHODS: This single arm prospective study assessed feasibility by actual use of the app and acceptability by satisfaction with the app. We report preliminary data on change in migraine disability and headache days. RESULTS: The 51 participants completed PMR sessions on a mean of 13 ± 19 (0,82) days for the 90-day study period, lasting a median of 11 min (IQR 6.5, 17) each. Median number of days of diary use was 34 (IQR 10, 77). Diaries were completed at least twice a week in half of study weeks (337/663). Participants were likely (≥4/5 on a 5-point Likert scale) to recommend both the app (85%) and PMR (91%). MIDAS scores significantly decreased by a mean of 38 points/participant (p < 0.0001). More frequent PMR use was associated with a higher odds of headache free days (p = 0.0148). CONCLUSION: Smartphone-based PMR introduced to patients who present to the ED for migraine is feasible and acceptable. More frequent users have more headache free days. Future work should focus on intervention engagement.
OBJECTIVE: To determine whether a smartphone application (app) with an electronic headache diary and a progressive muscle relaxation (PMR) intervention is feasible and acceptable to people presenting to the Emergency Department (ED) with migraine. METHODS: This single arm prospective study assessed feasibility by actual use of the app and acceptability by satisfaction with the app. We report preliminary data on change in migraine disability and headache days. RESULTS: The 51 participants completed PMR sessions on a mean of 13 ± 19 (0,82) days for the 90-day study period, lasting a median of 11 min (IQR 6.5, 17) each. Median number of days of diary use was 34 (IQR 10, 77). Diaries were completed at least twice a week in half of study weeks (337/663). Participants were likely (≥4/5 on a 5-point Likert scale) to recommend both the app (85%) and PMR (91%). MIDAS scores significantly decreased by a mean of 38 points/participant (p < 0.0001). More frequent PMR use was associated with a higher odds of headache free days (p = 0.0148). CONCLUSION: Smartphone-based PMR introduced to patients who present to the ED for migraine is feasible and acceptable. More frequent users have more headache free days. Future work should focus on intervention engagement.
Authors: Benjamin W Friedman; Clemencia Solorzano; David Esses; Shujun Xia; Michael Hochberg; Niels Dua; Alan Heins; Paul Sasso; Polly E Bijur; Richard B Lipton; E John Gallagher Journal: Ann Emerg Med Date: 2010-03-19 Impact factor: 5.721
Authors: Mia T Minen; Samrachana Adhikari; Elizabeth K Seng; Thomas Berk; Sarah Jinich; Scott W Powers; Richard B Lipton Journal: NPJ Digit Med Date: 2019-06-04
Authors: Richard B Lipton; Louise Lombard; Dustin D Ruff; John H Krege; Li Shen Loo; Andrew Buchanan; Thomas E Melby; Dawn C Buse Journal: J Headache Pain Date: 2020-02-24 Impact factor: 7.277
Authors: Ana Sofia Oliveira Gonçalves; Inga Laumeier; Maxi Dana Hofacker; Bianca Raffaelli; Philipp Burow; Markus A Dahlem; Simon Heintz; Tim Patrick Jürgens; Steffen Naegel; Florian Rimmele; Simon Scholler; Tobias Kurth; Uwe Reuter; Lars Neeb Journal: Front Neurol Date: 2022-06-16 Impact factor: 4.086