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Future Directions in Behavioral Headache Research: Applications for an Evolving Health Care Environment
Author(s) -
Penzien Donald B.,
Rains Jeanetta C.,
Lipchik Gay L.,
Nicholson Robert A.,
Lake Alvin E.,
Hursey Karl G.
Publication year - 2005
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.2005.05105.x
Subject(s) - psychological intervention , intervention (counseling) , referral , migraine , contingency management , medicine , cognitive behavioral therapy , health care , psychology , psychiatry , nursing , cognition , economic growth , economics
Three decades of research has produced effective behavioral treatments for migraine and tension‐type headache, yet the full fruition of this research has not been realized. Further development and dissemination of behavioral treatments is needed to impact the large numbers of those with headache who potentially could benefit from these interventions. At the same time, an evolving health care environment challenges researchers and providers to employ greater efficiency and innovation in managing all chronic disorders. Hopefully, the recently published clinical trials guidelines for behavioral headache research will serve as a catalyst for production of quality empiricism that, in turn, will generate enhanced behavioral strategies and will optimize health care resource utilization. This article describes 10 areas of critical needs and research priorities for behavioral headache research, including: replication and extension of seminal studies using improved methodology; analysis of barriers to implementation of behavioral treatments; development of referral and treatment algorithms; behavioral compliance facilitation with medical interventions; development of a headache self‐management model; integration of behavioral intervention within traditional medical practice; identification and management of comorbid psychopathology among headache patients; prevention of disease progression; analysis of behavioral therapeutic mechanisms, and development of innovative treatment formats and applications of information technologies.