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Effectiveness of Therapeutic Patient Education for Adults with Migraine. A Systematic Review and Meta-Analysis of Randomized Controlled Trials
- Source :
- Pain Medicine. 15:1619-1636
- Publication Year :
- 2014
- Publisher :
- Oxford University Press (OUP), 2014.
-
Abstract
- Objective Our aim was to systematically review and meta-analyze the effectiveness of therapeutic patient education for migraine. Methods A literature search of multiple electronic databases (MEDLINE, EMBASE, PEDro, CINAHL, and PsychINFO) was conducted to identify randomized control trials (RCTs) published in the English and Spanish languages up to and including May 2013. Two reviewers independently selected the studies, conducted the quality assessment (Delphi list), and extracted the results. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses method was used throughout the systematic review and meta-analysis. Standardized mean difference (SMD) and 95% confidence intervals (CIs) were calculated for relevant outcome measures (headache frequency, headache disability, self-efficacy, depressive symptoms, and quality of life) and pooled in a meta-analysis using the random effects model. Results Fourteen RCTs were included in the systematic review. Only nine studies were included in the meta-analysis. The median quality score was 6.14 ± 1.29 (range: 5–9). There was strong-moderate evidence for intermediate-term effectiveness of therapeutic patient education on headache frequency (five studies: N = 940, SMD = −0.24, 95% CI of −0.48 to −0.01, P = 0.03), headache disability (four studies: N = 799, SMD = −1.02, 95% CI of −1.95 to −0.08, P = 0.03), and quality of life (three studies: N = 674, SMD = 0.36, 95% CI of 0.05–0.67, P = 0.02). There was no evidence for either short-term or intermediate-term effectiveness of therapeutic patient education on self-efficacy or depressive symptoms. Conclusion This systematic review revealed strong-moderate evidence for intermediate-term effectiveness of therapeutic patient education for migraine. Further high-quality RCTs are required for conclusive determination of its effectiveness.
- Subjects :
- Counseling
medicine.medical_specialty
Teaching Materials
Migraine Disorders
MEDLINE
law.invention
Disability Evaluation
Patient Education as Topic
Randomized controlled trial
Quality of life
Behavior Therapy
law
Adaptation, Psychological
medicine
Humans
Randomized Controlled Trials as Topic
Analgesics
Depression
business.industry
Biofeedback, Psychology
General Medicine
medicine.disease
Combined Modality Therapy
Self Efficacy
Treatment Outcome
Anesthesiology and Pain Medicine
Systematic review
Migraine
Research Design
Strictly standardized mean difference
Meta-analysis
Quality of Life
Physical therapy
Neurology (clinical)
business
Patient education
Subjects
Details
- ISSN :
- 15264637 and 15262375
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Pain Medicine
- Accession number :
- edsair.doi.dedup.....e5a462bbdd1cd189200a3f2dcae11833