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From research to clinical practice: a systematic review of the implementation of psychological interventions for chronic headache in adults
- Source :
- BMC Health Services Research, BMC Health Services Research, Vol 20, Iss 1, Pp 1-17 (2020)
- Publication Year :
- 2020
- Publisher :
- BioMed Central, 2020.
-
Abstract
- Background Psychological interventions have been proved to be effective in chronic headache (CH) in adults. Nevertheless, no data exist about their actual implementation into standard clinical settings. We aimed at critically depicting the current application of psychological interventions for CH into standard care exploring barriers and facilitators to their implementation. Secondarily, main outcomes of the most recent psychological interventions for CH in adults have been summarized. Methods We conducted a systematic review through PubMed and PsycINFO in the time range 2008–2018. A quality analysis according to the QATSDD tool and a narrative synthesis were performed. We integrated results by: contacting the corresponding author of each paper; exploring the website of the clinical centers cited in the papers. Results Of the 938 identified studies, 28 papers were selected, whose quality largely varied with an average %QATSDD quality score of 64.88%. Interventions included CBT (42.85%), multi-disciplinary treatments (22.43%), relaxation training (17.86%), biofeedback (7.14%), or other interventions (10.72%). Treatments duration (1 day-9 months) and intensity varied, with a prevalence of individual-basis implementation. The majority of the studies focused on all primary headaches; 4 studies focused on medication-overuse headache. Most of the studies suggest interventions as effective, with the reduction in frequency of attacks as the most reported outcome (46.43%). Studies were distributed in different countries, with a prevalent and balanced distribution in USA and Europe. Ten researches (35.71%) were performed in academic contexts, 11 (39.28%) in clinical settings, 7 (25%) in pain/headache centres. Interventions providers were professionals with certified experience. Most of the studies were funded with private or public funding. Two contacted authors answered to our e-mail survey, with only one intervention implemented in the routine clinical practice. Only in three out of the 16 available websites a reference to the implementation into the clinical setting was reported. Conclusion Analysis of contextual barriers/facilitators and cost-effectiveness should be included in future studies, and contents regarding dissemination/implementation of interventions should be incorporated in the professional training of clinical scientists. This can help in filling the gap between the existing published research and treatments actually offered to people with CH.
- Subjects :
- Adult
medicine.medical_specialty
Mindfulness
Biofeedback (BFB)
Headache Disorders
Psychological interventions
Psychological intervention
Behavioral interventions
Relaxation training
PsycINFO
Psychosocial Intervention
Health informatics
Acceptance and commitment therapy
Health administration
03 medical and health sciences
0302 clinical medicine
Medicine
Humans
030212 general & internal medicine
Migraine
Implementation Science
Randomized Controlled Trials as Topic
Acceptance and commitment therapy (ACT)
Chronic headache
Cognitive-behavioral therapy (CBT)
Tension-type headache
business.industry
lcsh:Public aspects of medicine
Health Policy
Nursing research
Public health
lcsh:RA1-1270
Family medicine
business
030217 neurology & neurosurgery
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 14726963
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- BMC Health Services Research
- Accession number :
- edsair.doi.dedup.....ac9a2183f4b60f26abc4ef6057d6f592