Home‐Based Multicomponent Treatment of Pediatric Migraine

Keith D Allen, L. R. McKeen

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

SYNOPSIS The present investigation examined a home‐based multicomponent treatment program incorporating biobehavioral technology in the treatment of pediatric migraine. Twenty‐one children ages 7–12 participated in home‐based practice of thermal biofeedback while parents implemented guidelines designed to encourage the use of biofeedback and eliminate support for maladaptive pain behavior. Treatment was introduced sequentially across three groups of children in a multiple baseline design. When subjects and their families were complaint with treatment recommendations, 87% of the children experienced clinically significant reductions in headache activity, with these reductions maintained at 3 and 8 month followups. Treatment outcome was found to be closely related to frequency of home practice, parental support for the use of adaptive coping (biofeedback) rather than maladaptive coping (pain) behaviors, and ability to warm hands. Discussion is provided concerning potential mechanisms of action and directions for future research.

Original languageEnglish (US)
Pages (from-to)467-472
Number of pages6
JournalHeadache: The Journal of Head and Face Pain
Volume31
Issue number7
DOIs
StatePublished - Jul 1991

Fingerprint

Migraine Disorders
Pediatrics
Pain
Aptitude
Psychological Adaptation
Therapeutics
Action Potentials
Headache
Hand
Hot Temperature
Parents
Guidelines
Technology
Biofeedback (Psychology)

Keywords

  • biofeedback
  • home‐base
  • non‐pharmacologic
  • pediatric

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

Cite this

Home‐Based Multicomponent Treatment of Pediatric Migraine. / Allen, Keith D; McKeen, L. R.

In: Headache: The Journal of Head and Face Pain, Vol. 31, No. 7, 07.1991, p. 467-472.

Research output: Contribution to journalArticle

@article{ea32941f467e4772945057769e3133e1,
title = "Home‐Based Multicomponent Treatment of Pediatric Migraine",
abstract = "SYNOPSIS The present investigation examined a home‐based multicomponent treatment program incorporating biobehavioral technology in the treatment of pediatric migraine. Twenty‐one children ages 7–12 participated in home‐based practice of thermal biofeedback while parents implemented guidelines designed to encourage the use of biofeedback and eliminate support for maladaptive pain behavior. Treatment was introduced sequentially across three groups of children in a multiple baseline design. When subjects and their families were complaint with treatment recommendations, 87{\%} of the children experienced clinically significant reductions in headache activity, with these reductions maintained at 3 and 8 month followups. Treatment outcome was found to be closely related to frequency of home practice, parental support for the use of adaptive coping (biofeedback) rather than maladaptive coping (pain) behaviors, and ability to warm hands. Discussion is provided concerning potential mechanisms of action and directions for future research.",
keywords = "biofeedback, home‐base, non‐pharmacologic, pediatric",
author = "Allen, {Keith D} and McKeen, {L. R.}",
year = "1991",
month = "7",
doi = "10.1111/j.1526-4610.1991.hed3107467.x",
language = "English (US)",
volume = "31",
pages = "467--472",
journal = "Headache",
issn = "0017-8748",
publisher = "Wiley-Blackwell",
number = "7",

}

TY - JOUR

T1 - Home‐Based Multicomponent Treatment of Pediatric Migraine

AU - Allen, Keith D

AU - McKeen, L. R.

PY - 1991/7

Y1 - 1991/7

N2 - SYNOPSIS The present investigation examined a home‐based multicomponent treatment program incorporating biobehavioral technology in the treatment of pediatric migraine. Twenty‐one children ages 7–12 participated in home‐based practice of thermal biofeedback while parents implemented guidelines designed to encourage the use of biofeedback and eliminate support for maladaptive pain behavior. Treatment was introduced sequentially across three groups of children in a multiple baseline design. When subjects and their families were complaint with treatment recommendations, 87% of the children experienced clinically significant reductions in headache activity, with these reductions maintained at 3 and 8 month followups. Treatment outcome was found to be closely related to frequency of home practice, parental support for the use of adaptive coping (biofeedback) rather than maladaptive coping (pain) behaviors, and ability to warm hands. Discussion is provided concerning potential mechanisms of action and directions for future research.

AB - SYNOPSIS The present investigation examined a home‐based multicomponent treatment program incorporating biobehavioral technology in the treatment of pediatric migraine. Twenty‐one children ages 7–12 participated in home‐based practice of thermal biofeedback while parents implemented guidelines designed to encourage the use of biofeedback and eliminate support for maladaptive pain behavior. Treatment was introduced sequentially across three groups of children in a multiple baseline design. When subjects and their families were complaint with treatment recommendations, 87% of the children experienced clinically significant reductions in headache activity, with these reductions maintained at 3 and 8 month followups. Treatment outcome was found to be closely related to frequency of home practice, parental support for the use of adaptive coping (biofeedback) rather than maladaptive coping (pain) behaviors, and ability to warm hands. Discussion is provided concerning potential mechanisms of action and directions for future research.

KW - biofeedback

KW - home‐base

KW - non‐pharmacologic

KW - pediatric

UR - http://www.scopus.com/inward/record.url?scp=0026094787&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026094787&partnerID=8YFLogxK

U2 - 10.1111/j.1526-4610.1991.hed3107467.x

DO - 10.1111/j.1526-4610.1991.hed3107467.x

M3 - Article

C2 - 1774164

AN - SCOPUS:0026094787

VL - 31

SP - 467

EP - 472

JO - Headache

JF - Headache

SN - 0017-8748

IS - 7

ER -