A Randomized, Controlled Trial of a Neurological and Psychoeducational Group Appointment Model for Pediatric Headaches

This study evaluated the effectiveness of a multidisciplinary group appointment model for pediatric headaches. Eighty-one patients ages 10 to 18 were randomly assigned to a Traditional Clinic Model (TCM) or a Headache Clinic (HCM) Model for the initial neurological appointment. In addition to a neur...

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Bibliographic Details
Published inChildren's health care Vol. 36; no. 3; pp. 249 - 265
Main Authors Abram, Harry S., Buckloh, Lisa M., Schilling, Lisa M., Wiltrout, Stacey Armatti, Ramírez-Garnica, Gabriela, Turk, William R.
Format Journal Article
LanguageEnglish
Published Philadelphia Taylor & Francis Group 17.08.2007
Routledge, Taylor & Francis Group
Subjects
Adolescents
Children
Children & youth
Evaluation
Groups
Headaches
Health education
Neurology
Paediatrics
Pediatrics
Social psychology
Treatment methods
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Summary:This study evaluated the effectiveness of a multidisciplinary group appointment model for pediatric headaches. Eighty-one patients ages 10 to 18 were randomly assigned to a Traditional Clinic Model (TCM) or a Headache Clinic (HCM) Model for the initial neurological appointment. In addition to a neurological evaluation, the HCM included a group educational session describing stressors contributing to pain, pharmaceutical and behavioral treatments, and guided relaxation skills practice. HCM patients demonstrated greater gains in headache knowledge and required slightly less physician face-to-face time than TCM patients. Both groups experienced a sustained decline of about 40% in headache-related disability and high treatment satisfaction.
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ISSN:0273-9615
1532-6888
DOI:10.1080/02739610701377939