title: The preliminary effectiveness of migraine lay trainers in a home-based behavioural management training.
abstract: OBJECTIVE
  This pilot study examined the effectiveness and trainer skills of the first migraine lay trainers (MLTs).
  
  
  METHODS
  In a stepwise training program eight MLTs participated in a behavioural management training (BMT) aimed at the prevention of migraine attacks by proactive relaxation and trigger management. After successful reduction of their migraine attacks, three MLTs provided BMT under supervision at home to one fellow patient and subsequently to a small group.
  
  
  RESULTS
  Migraine frequency was significantly reduced in five out of eight patients trained by MLTs (mean 48%) and medication use decreased substantially in four patients (mean 47%). Qualities of MLTs concerned their motivational assistance, knowledge of premonitory symptoms and exchange of disease specific problems. Pitfalls were that migraine symptoms hampered an active guidance of the sessions and providing tailored feedback was difficult.
  
  
  CONCLUSIONS
  The first MLTs were successful in training fellow patients in behavioural prevention of migraine attacks.
  
  
  CONCLUSIONS
  Continuous supervision of MLTs health and trainer skills is recommended but is likely to have implications for cost-effectiveness.
authors.affiliation: Erasmus University Medical Centre, Department of Medical Psychology and Psychotherapy, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands. s.merelle@erasmusmc.nl
authors.forename: Saskia Y M
authors.initials: SY
authors.lastname: Mérelle
authors.forename: Marjolijn J
authors.initials: MJ
authors.lastname: Sorbi
authors.forename: Jan
authors.initials: J
authors.lastname: Passchier
mesh_terms: D000223:Adaptation, Psychological; D001521:Behavior Therapy / Q000193:education; D004363:Drug Utilization; D005260:Female; D006379:Helping Behavior; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration*; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control*; D009042:Motivation; D009426:Netherlands / Q000453:epidemiology; D010353:Patient Education as Topic / Q000458:organization & administration*; D010379:Peer Group; D010865:Pilot Projects; D015397:Program Evaluation; D012064:Relaxation Therapy / Q000193:education; D018570:Risk Assessment; D012307:Risk Factors; D012657:Self-Help Groups / Q000458:organization & administration*