- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT01314768
Brief Intervention for Medication Overuse Headache (BIMOH)
RCT of Structured Brief Intervention for Medication Overuse Headache Versus Business as Usual
The investigators will perform a cluster randomised controlled study of Brief intervention (BI) for medication-overuse headache (MOH) versus business as usual. GPs will be trained to perform a structured brief intervention after identifying patients with probable MOH using the severity of dependence scale. The control arm will include patients of GPs who have not been trained in BI. Patients will be recruited by prior short postal screening of patients listed on the GPs patient lists.
The hypothesis is that BI will lead to improvement of medication-overuse and chronic headache as compared to no BI.
Main outcomes are:
- number of medication days per month
- number of headache days per month
- headache index
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
123 cases in all included (75 in intervention/placebo control arms and 48 in non-intervention Control arms) 19 did not meet predefined inclusion criteria for the different arms (5 and 8 in intervention arm and placebo arm respectively, 4 and 2 in chronic headache Control and population Control respectively)
1 case was lost to follow up in each of the 4 Groups prior to first assessment. Thus 60 cases remained in intervention/placebo Control arms (24 in intervention and 36 in placebo Control) and 40 in non intervention Control arms (15 chronic headache Controls, 25 population Controls).
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
-
Lørenskog, Norge
- Akershus University Hospital
-
Oslo, Norge
- Dept of general medicine, University of Oslo
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- 18-50 years of age
- Screening positive for possible chronic headache (> 10 headache days per month) (not for population control arm)
- Screening positive for possible medication-overuse (> 15 medication days per month) (not for chronic headache control arm)
Exclusion Criteria:
- Other complicating pain with medication treatment
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Aktiv komparator: Brief intervention
Behavioural brief intervention delivered by GP
|
Structured behavioural Brief intervention given by trained GPs
|
|
Placebo komparator: Business as usual
Business as usual according to individual GP
|
GPs to treat patient as they have until now based on best established practice
|
|
Andet: Chronic headache control
Screening and outcome control only.
Non-intervention Control, screened and followed-up at final time point
|
No additional intervention
|
|
Andet: Population control
Screening and outcome control only.
Non-intervention Control, screened and followed-up at final time point
|
No additional intervention
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Number of medication days per month
Tidsramme: 3 months
|
3 months
|
|
Number of headache days per month
Tidsramme: 3 months
|
3 months
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Livskvalitet
Tidsramme: 3 måneder
|
3 måneder
|
|
|
Proportion significantly improved
Tidsramme: 3 month
|
proportion improved >50% and >25% in terms of no headache days/month
|
3 month
|
|
Headache medication days per month (diary reported)
Tidsramme: 3 months
|
3 months
|
|
|
Headache days/month (diary reported)
Tidsramme: 3 months
|
3 months
|
|
|
Average headache intensity (VAS)
Tidsramme: 3 months
|
3 months
|
|
|
Self-reported health related costs
Tidsramme: 3 months
|
3 months
|
|
|
Long term follow up of same outcomes as above plus relapse rate
Tidsramme: 12 months
|
12 months
|
|
|
Headache index
Tidsramme: 3 months
|
Headache intensity x frequency x duration
|
3 months
|
|
Follow up of same outcomes as for 3 months
Tidsramme: 6 months
|
Added extra time point due to cross over of non-treated patients into intervention Group if intervention was positive at 3 months.
|
6 months
|
Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Christofer Lundqvist, MD, PhD, Akershus University Hospital and University of Oslo
Publikationer og nyttige links
Generelle publikationer
- Lundqvist C, Gossop M, Russell MB, Straand J, Kristoffersen ES. Severity of Analgesic Dependence and Medication-overuse Headache. J Addict Med. 2019 Sep/Oct;13(5):346-353. doi: 10.1097/ADM.0000000000000504.
- Kristoffersen ES, Straand J, Benth JS, Russell MB, Lundqvist C. Predictors of successful primary care detoxification treatment for medication-overuse headache. Acta Neurol Scand. 2017 Nov;136(5):486-494. doi: 10.1111/ane.12759. Epub 2017 Mar 28.
- Kristoffersen ES, Straand J, Vetvik KG, Benth JS, Russell MB, Lundqvist C. Brief intervention by general practitioners for medication-overuse headache, follow-up after 6 months: a pragmatic cluster-randomised controlled trial. J Neurol. 2016 Feb;263(2):344-353. doi: 10.1007/s00415-015-7975-1. Epub 2015 Dec 8.
- Kristoffersen ES, Straand J, Russell MB, Lundqvist C. Disability, anxiety and depression in patients with medication-overuse headache in primary care - the BIMOH study. Eur J Neurol. 2016 Jan;23 Suppl 1:28-35. doi: 10.1111/ene.12850.
- Kristoffersen ES, Straand J, Vetvik KG, Benth JS, Russell MB, Lundqvist C. Brief intervention for medication-overuse headache in primary care. The BIMOH study: a double-blind pragmatic cluster randomised parallel controlled trial. J Neurol Neurosurg Psychiatry. 2015 May;86(5):505-12. doi: 10.1136/jnnp-2014-308548. Epub 2014 Aug 11.
- Kristoffersen ES, Straand J, Benth JS, Russell MB, Lundqvist C. Study protocol: brief intervention for medication overuse headache--a double-blinded cluster randomised parallel controlled trial in primary care. BMC Neurol. 2012 Aug 10;12:70. doi: 10.1186/1471-2377-12-70.
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- BIMOH
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