Usual care and a self-management support programme versus usual care and a relaxation programme for people living with chronic headache disorders: a randomised controlled trial protocol (CHESS)
<p><strong>Introduction:</strong> Chronic headaches are poorly diagnosed and managed and can be exacerbated by medication overuse. There is insufficient evidence on the non-pharmacological approaches to helping people living with chronic headaches.</p> <p><strong>...
| Main Authors: | , , , , , , , , , , , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
BMJ
2020
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| _version_ | 1797089993496199168 |
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| author | Patel, S Achana, F Carnes, D Eldridge, S Ellard, DR Griffiths, F Haywood, K Hee, SW Mistry, D Mistry, H Nichols, VP Petrou, S Pincus, T Potter, R Sandhu, HK Stewart, K Taylor, S Underwood, M Matharu, M |
| author_facet | Patel, S Achana, F Carnes, D Eldridge, S Ellard, DR Griffiths, F Haywood, K Hee, SW Mistry, D Mistry, H Nichols, VP Petrou, S Pincus, T Potter, R Sandhu, HK Stewart, K Taylor, S Underwood, M Matharu, M |
| author_sort | Patel, S |
| collection | OXFORD |
| description | <p><strong>Introduction:</strong> Chronic headaches are poorly diagnosed and managed and can be exacerbated by medication overuse. There is insufficient evidence on the non-pharmacological approaches to helping people living with chronic headaches.</p>
<p><strong>Methods and analysis:</strong> Chronic Headache Education and Self-management Study is a pragmatic randomised controlled trial to test the effectiveness and cost-effectiveness of a self-management education support programme on top of usual care for patients with chronic headaches against a control of usual care and relaxation. The intervention is a 2-day group course based on education, personal reflection and a cognitive behavioural approach, plus a nurse-led one-to-one consultation and follow-up over 8 weeks. We aim to recruit 689 participants (356 to the intervention arm and 333 to the control) from primary care and self-referral in London and the Midlands. The trial is powered to show a difference of 2.0 points on the Headache Impact Test, a patient-reported outcome measure at 12 months post randomisation. Secondary outcomes include health related quality of life, self-efficacy, social activation and engagement, anxiety and depression and healthcare utilisation. Outcomes are being measured at 4, 8 and 12 months. Cost-effectiveness will be expressed in terms of incremental cost per quality-adjusted life year gained.</p>
<p><strong>Ethics and dissemination:</strong> This trial will provide data on effectiveness and cost-effectiveness of a self-management support programme for chronic headaches. The results will inform commissioning of services and clinical practice. North West – Greater Manchester East Research Ethics Committee have approved the trial. The current protocol version is 3.6 date 7 March 2019.</p> |
| first_indexed | 2024-03-07T03:12:03Z |
| format | Journal article |
| id | oxford-uuid:b486746a-bd8d-4a24-bf8c-8d3f4a6736de |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T03:12:03Z |
| publishDate | 2020 |
| publisher | BMJ |
| record_format | dspace |
| spelling | oxford-uuid:b486746a-bd8d-4a24-bf8c-8d3f4a6736de2022-03-27T04:26:48ZUsual care and a self-management support programme versus usual care and a relaxation programme for people living with chronic headache disorders: a randomised controlled trial protocol (CHESS)Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b486746a-bd8d-4a24-bf8c-8d3f4a6736deEnglishSymplectic ElementsBMJ2020Patel, SAchana, FCarnes, DEldridge, SEllard, DRGriffiths, FHaywood, KHee, SWMistry, DMistry, HNichols, VPPetrou, SPincus, TPotter, RSandhu, HKStewart, KTaylor, SUnderwood, MMatharu, M<p><strong>Introduction:</strong> Chronic headaches are poorly diagnosed and managed and can be exacerbated by medication overuse. There is insufficient evidence on the non-pharmacological approaches to helping people living with chronic headaches.</p> <p><strong>Methods and analysis:</strong> Chronic Headache Education and Self-management Study is a pragmatic randomised controlled trial to test the effectiveness and cost-effectiveness of a self-management education support programme on top of usual care for patients with chronic headaches against a control of usual care and relaxation. The intervention is a 2-day group course based on education, personal reflection and a cognitive behavioural approach, plus a nurse-led one-to-one consultation and follow-up over 8 weeks. We aim to recruit 689 participants (356 to the intervention arm and 333 to the control) from primary care and self-referral in London and the Midlands. The trial is powered to show a difference of 2.0 points on the Headache Impact Test, a patient-reported outcome measure at 12 months post randomisation. Secondary outcomes include health related quality of life, self-efficacy, social activation and engagement, anxiety and depression and healthcare utilisation. Outcomes are being measured at 4, 8 and 12 months. Cost-effectiveness will be expressed in terms of incremental cost per quality-adjusted life year gained.</p> <p><strong>Ethics and dissemination:</strong> This trial will provide data on effectiveness and cost-effectiveness of a self-management support programme for chronic headaches. The results will inform commissioning of services and clinical practice. North West – Greater Manchester East Research Ethics Committee have approved the trial. The current protocol version is 3.6 date 7 March 2019.</p> |
| spellingShingle | Patel, S Achana, F Carnes, D Eldridge, S Ellard, DR Griffiths, F Haywood, K Hee, SW Mistry, D Mistry, H Nichols, VP Petrou, S Pincus, T Potter, R Sandhu, HK Stewart, K Taylor, S Underwood, M Matharu, M Usual care and a self-management support programme versus usual care and a relaxation programme for people living with chronic headache disorders: a randomised controlled trial protocol (CHESS) |
| title | Usual care and a self-management support programme versus usual care and a relaxation programme for people living with chronic headache disorders: a randomised controlled trial protocol (CHESS) |
| title_full | Usual care and a self-management support programme versus usual care and a relaxation programme for people living with chronic headache disorders: a randomised controlled trial protocol (CHESS) |
| title_fullStr | Usual care and a self-management support programme versus usual care and a relaxation programme for people living with chronic headache disorders: a randomised controlled trial protocol (CHESS) |
| title_full_unstemmed | Usual care and a self-management support programme versus usual care and a relaxation programme for people living with chronic headache disorders: a randomised controlled trial protocol (CHESS) |
| title_short | Usual care and a self-management support programme versus usual care and a relaxation programme for people living with chronic headache disorders: a randomised controlled trial protocol (CHESS) |
| title_sort | usual care and a self management support programme versus usual care and a relaxation programme for people living with chronic headache disorders a randomised controlled trial protocol chess |
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