title: A pilot study of feasibility and efficacy of telemedicine-delivered psychophysiological treatment for vascular headache.
abstract: Headache is a common complaint. Psychological treatment has been effective in managing the symptoms of vascular (migraine and combined migraine-tension) headache. Traditional office-based treatment may be inconvenient for many patients in terms of time and travel constraints, thereby limiting access. Telemedicine has emerged as a promising delivery medium to address these barriers to access. However, the efficacy of remotely delivered treatment for vascular headache remains untested. This case series is a preliminary evaluation of effectiveness and feasibility of an analogue telemedicine system for delivery of psychophysiological treatment for vascular headache. Three of four subjects showed improvement. These findings are encouraging for follow-up study of the clinical utility and broader viability of headache treatment via distance technology.
authors.affiliation: Department of Veterans Affairs Medical Center, Augusta, Georgia 30904-6285, USA. john.arena@med.va.gov
authors.forename: John
authors.initials: J
authors.lastname: Arena
authors.forename: Norwood
authors.initials: N
authors.lastname: Dennis
authors.forename: Trishul
authors.initials: T
authors.lastname: Devineni
authors.forename: Ross
authors.initials: R
authors.lastname: Maclean
authors.forename: Kimford
authors.initials: K
authors.lastname: Meador
mesh_terms: D005240:Feasibility Studies; D005260:Female; D005845:Georgia; D006297:Health Services Accessibility; D006787:Hospitals, Veterans; D006801:Humans; D008297:Male; D008875:Middle Aged; D009936:Organizational Innovation; D010865:Pilot Projects; D011603:Psychophysiology / Q000379:methods*; D017216:Telemedicine; D016896:Treatment Outcome; D014653:Vascular Headaches / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D049269:Videoconferencing