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dc.contributor.authorPatel, S
dc.contributor.authorAchana, F
dc.contributor.authorCarnes, D
dc.contributor.authorEldridge, S
dc.contributor.authorEllard, DR
dc.contributor.authorGriffiths, F
dc.contributor.authorHaywood, K
dc.contributor.authorHee, SW
dc.contributor.authorMistry, D
dc.contributor.authorMistry, H
dc.contributor.authorNichols, VP
dc.contributor.authorPetrou, S
dc.contributor.authorPincus, T
dc.contributor.authorPotter, R
dc.contributor.authorSandhu, HK
dc.contributor.authorStewart, K
dc.contributor.authorTaylor, S
dc.contributor.authorUnderwood, M
dc.contributor.authorMatharu, M
dc.date.accessioned2020-04-27T14:57:09Z
dc.date.available2019-12-18
dc.date.available2020-04-27T14:57:09Z
dc.date.issued2020-04-12
dc.identifier.citationPatel S, Achana F, Carnes D, et al. Usual care and a self-management support programme versus usual care and a relaxation programme for people living with chronic headache disorders: a randomised controlled trial protocol (CHESS). BMJ Open 2020;10:e033520. doi:10.1136/ bmjopen-2019-033520en_US
dc.identifier.urihttps://qmro.qmul.ac.uk/xmlui/handle/123456789/63771
dc.description.abstractINTRODUCTION: Chronic headaches are poorly diagnosed and managed and can be exacerbated by medication overuse. There is insufficient evidence on the non-pharmacological approaches to helping people living with chronic headaches. METHODS AND ANALYSIS: Chronic Headache Education and Self-management Study is a pragmatic randomised controlled trial to test the effectiveness and cost-effectiveness of a self-management education support programme on top of usual care for patients with chronic headaches against a control of usual care and relaxation. The intervention is a 2-day group course based on education, personal reflection and a cognitive behavioural approach, plus a nurse-led one-to-one consultation and follow-up over 8 weeks. We aim to recruit 689 participants (356 to the intervention arm and 333 to the control) from primary care and self-referral in London and the Midlands. The trial is powered to show a difference of 2.0 points on the Headache Impact Test, a patient-reported outcome measure at 12 months post randomisation. Secondary outcomes include health related quality of life, self-efficacy, social activation and engagement, anxiety and depression and healthcare utilisation. Outcomes are being measured at 4, 8 and 12 months. Cost-effectiveness will be expressed in terms of incremental cost per quality-adjusted life year gained. ETHICS AND DISSEMINATION: This trial will provide data on effectiveness and cost-effectiveness of a self-management support programme for chronic headaches. The results will inform commissioning of services and clinical practice. North West - Greater Manchester East Research Ethics Committee have approved the trial. The current protocol version is 3.6 date 7 March 2019. TRIAL REGISTRATION NUMBER: ISRCTN79708100.en_US
dc.format.extente033520 - ?
dc.languageeng
dc.language.isoenen_US
dc.publisherBMJen_US
dc.relation.ispartofBMJ Open
dc.rightsCreative Commons Attribution 4.0 Unported (CC BY 4.0) license
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectchronic headacheen_US
dc.subjectmigraineen_US
dc.subjectprimary careen_US
dc.subjectself-managementen_US
dc.subjectstudy protocolen_US
dc.subjecttension type headacheen_US
dc.titleUsual care and a self-management support programme versus usual care and a relaxation programme for people living with chronic headache disorders: a randomised controlled trial protocol (CHESS).en_US
dc.typeArticleen_US
dc.rights.holder© Author(s) (or their employer(s)) 2020.
dc.identifier.doi10.1136/bmjopen-2019-033520
pubs.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/32284387en_US
pubs.issue4en_US
pubs.notesNot knownen_US
pubs.publication-statusPublished onlineen_US
pubs.volume10en_US
dcterms.dateAccepted2019-12-18
rioxxterms.funderDefault funderen_US
rioxxterms.identifier.projectDefault projecten_US
rioxxterms.funder.project483cf8e1-88a1-4b8b-aecb-8402672d45f8en_US


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Creative Commons Attribution 4.0 Unported (CC BY 4.0) license
Except where otherwise noted, this item's license is described as Creative Commons Attribution 4.0 Unported (CC BY 4.0) license