Department of Neurology, NYU Langone Health, 550 1st Avenue, New York, NY 10016, United States of America; Department of Population Health, NYU Langone Health, 180 Madison Ave, New York, NY 10016, United States of America.
Department of Emergency Medicine, Albert Einstein College of Medicine, 1300 Morris Park Ave, The Bronx, NY 10461, United States of America.
Gen Hosp Psychiatry. 2021 Mar-Apr;69:12-19. doi: 10.1016/j.genhosppsych.2020.12.009. Epub 2021 Jan 8.
To determine whether a smartphone application (app) with an electronic headache diary and a progressive muscle relaxation (PMR) intervention is feasible and acceptable to people presenting to the Emergency Department (ED) with migraine.
This single arm prospective study assessed feasibility by actual use of the app and acceptability by satisfaction with the app. We report preliminary data on change in migraine disability and headache days.
The 51 participants completed PMR sessions on a mean of 13 ± 19 (0,82) days for the 90-day study period, lasting a median of 11 min (IQR 6.5, 17) each. Median number of days of diary use was 34 (IQR 10, 77). Diaries were completed at least twice a week in half of study weeks (337/663). Participants were likely (≥4/5 on a 5-point Likert scale) to recommend both the app (85%) and PMR (91%). MIDAS scores significantly decreased by a mean of 38 points/participant (p < 0.0001). More frequent PMR use was associated with a higher odds of headache free days (p = 0.0148).
Smartphone-based PMR introduced to patients who present to the ED for migraine is feasible and acceptable. More frequent users have more headache free days. Future work should focus on intervention engagement.
确定一款带有电子头痛日记和渐进性肌肉放松（PMR）干预功能的智能手机应用程序（app）对因偏头痛到急诊科就诊的患者是否具有实用性和可接受性。
本单臂前瞻性研究通过实际使用该 app 评估实用性，通过对 app 的满意度评估可接受性。我们报告了偏头痛残疾和头痛天数变化的初步数据。
51 名参与者在 90 天的研究期间内平均完成了 13±19（0,82）次 PMR 疗程，每次持续中位数为 11 分钟（IQR 6.5, 17）。日记使用的中位数天数为 34（IQR 10, 77）。在半数研究周内（337/663），日记至少每周记录两次。参与者极有可能（≥4/5 的 5 分制 Likert 量表）推荐 app（85%）和 PMR（91%）。MIDAS 评分平均降低 38 分/参与者（p<0.0001）。PMR 使用更频繁与头痛天数无增加的几率更高相关（p=0.0148）。
向因偏头痛到急诊科就诊的患者介绍基于智能手机的 PMR 是可行且可接受的。更频繁的使用者有更多无头痛日。未来的工作应重点关注干预的参与度。
