Acceptability of a Combined Aerobic Exercise and Sleep Intervention for Sedentary Individuals with Migraine.

IF 1.7 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Kayla T Johnson, Matthew J Zawadzki, Rachel Widome, Melinda S Kavanaugh
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Abstract

Background: Migraine is the second most disabling illness in the world. Research has largely focused on pharmacological treatments, with limited studies evaluating behavioral interventions. The aim of this study was to evaluate the acceptability of a novel behavioral intervention targeting exercise and sleep among sedentary people with migraine.

Method: Nineteen participants engaged in a randomized controlled trial assigned to either a phone-delivered educational intervention for best sleep practices and exercise tailored to people with migraine or a no-treatment control group. Participants tracked their migraine frequency, duration, intensity, sleep, and physical activity using ecological momentary assessment over a 4-week study period. Depression, anxiety, and quality of life were measured pre- and post-intervention.

Results: Results showed 93% and 94% adherence to the ecological momentary assessment procedure and exercise intervention, respectively, with 57.1 more minutes of physical activity in week 2 [CI 51.4, 62.7], 57.7 in week 3 [CI 52.0, 63.3], and 56.6 in week 4 [CI 50.9, 62.2], compared to week 1 for the intervention group. Preliminary efficacy results showed sleep duration improved over time for the intervention group, with 0.77 more hours in week 3 [0.22, 1.31] and 0.95 more hours in week 4 [0.40, 1.49], compared to baseline. Anxiety symptoms significantly decreased over time for the intervention group compared to the control group (p < .021, d = 0.25). Other results were null.

Conclusion: This study demonstrates the acceptability of a multicomponent lifestyle intervention, suggesting its potential for large-scale implementation to address behavioral and psychological comorbidities in migraine management.

久坐不动的偏头痛患者联合有氧运动和睡眠干预的可接受性。
背景:偏头痛是世界上第二大致残疾病。研究主要集中在药物治疗上,评估行为干预的研究有限。本研究的目的是评估一种针对久坐不动的偏头痛患者的运动和睡眠的新行为干预的可接受性。方法:19名参与者参与了一项随机对照试验,他们被分配到为偏头痛患者量身定制的最佳睡眠习惯和锻炼的电话教育干预组,或未接受治疗的对照组。在为期四周的研究期间,参与者使用生态瞬时评估追踪他们的偏头痛频率、持续时间、强度、睡眠和身体活动。干预前后分别测量抑郁、焦虑和生活质量。结果:结果显示,93%和94%的患者分别遵守了生态瞬时评估程序和运动干预,与干预组第1周相比,干预组第2周的身体活动时间增加了57.1分钟[CI 51.4, 62.7],第3周增加了57.7分钟[CI 52.0, 63.3],第4周增加了56.6分钟[CI 50.9, 62.2]。初步疗效结果显示,干预组的睡眠时间随着时间的推移而改善,与基线相比,第3周睡眠时间增加0.77小时[0.22,1.31],第4周睡眠时间增加0.95小时[0.40,1.49]。与对照组相比,干预组的焦虑症状随着时间的推移显著减少(p < 0.021, d = 0.25)。其他结果为零。结论:本研究证明了多组分生活方式干预的可接受性,表明其有可能大规模实施,以解决偏头痛管理中的行为和心理合并症。
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来源期刊
CiteScore
5.20
自引率
3.70%
发文量
97
期刊介绍: The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.
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