دورية أكاديمية
The Headache Psychologists' Role in Pediatric and Adult Headache Care: A Qualitative Study of Expert Practitioners.
| العنوان: | The Headache Psychologists' Role in Pediatric and Adult Headache Care: A Qualitative Study of Expert Practitioners. |
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| المؤلفون: | Grinberg AS; VA Connecticut Healthcare System, West Haven, USA. amy.grinberg@va.gov.; Headache Centers of Excellence Research and Evaluation Center, Veterans Health Administration, West Haven, USA. amy.grinberg@va.gov.; Pain, Research, Informatics, Medical Comorbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven, USA. amy.grinberg@va.gov.; VA Connecticut Healthcare System Headache Center of Excellence, National Programs Center-Mailing Code 689GF VA Annex, 200 Edison Road, Orange, CT, 06477, USA. amy.grinberg@va.gov., Damush TM; Headache Centers of Excellence Research and Evaluation Center, Veterans Health Administration, West Haven, USA.; Richard L. Roudebush VA Medical Center, Indianapolis, USA.; Indiana University School of Medicine, Indianapolis, USA.; Regenstrief Institute, Inc, Indianapolis, USA., Lindsey H; VA Connecticut Healthcare System, West Haven, USA.; Headache Centers of Excellence Research and Evaluation Center, Veterans Health Administration, West Haven, USA.; Pain, Research, Informatics, Medical Comorbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven, USA., Burrone L; VA Connecticut Healthcare System, West Haven, USA.; Headache Centers of Excellence Research and Evaluation Center, Veterans Health Administration, West Haven, USA.; Pain, Research, Informatics, Medical Comorbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven, USA., Baird S; Richard L. Roudebush VA Medical Center, Indianapolis, USA., Takagishi SC; James A Haley VA Hospital, Tampa, USA., Snyder I; Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, USA., Goldman RE; Headache Centers of Excellence Research and Evaluation Center, Veterans Health Administration, West Haven, USA.; Warren Alpert Medical School of Brown University, Providence, USA.; Harvard T.H. Chan School of Public Health, Boston, USA., Sico JJ; VA Connecticut Healthcare System, West Haven, USA.; Headache Centers of Excellence Research and Evaluation Center, Veterans Health Administration, West Haven, USA.; Pain, Research, Informatics, Medical Comorbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven, USA.; Yale School of Medicine, New Haven, USA., Seng EK; Headache Centers of Excellence Research and Evaluation Center, Veterans Health Administration, West Haven, USA.; Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, USA.; The Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, USA. |
| المصدر: | Journal of clinical psychology in medical settings [J Clin Psychol Med Settings] 2024 Jun; Vol. 31 (2), pp. 359-367. Date of Electronic Publication: 2023 Oct 15. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: United States NLM ID: 9435680 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3572 (Electronic) Linking ISSN: 10689583 NLM ISO Abbreviation: J Clin Psychol Med Settings Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York, NY : Springer Original Publication: New York, NY : Plenum Press, c1994- |
| مواضيع طبية MeSH: | Qualitative Research* , Headache Disorders*/therapy , Headache Disorders*/psychology, Humans ; Adult ; Female ; Male ; Child ; Professional Role ; Middle Aged ; Cognitive Behavioral Therapy/methods ; Interviews as Topic ; United States ; Headache/therapy ; Headache/psychology |
| مستخلص: | Objective: We examined the perspectives of expert headache psychologists to inform best practices for integrating headache psychologists into the care of children and adults with headache disorders within medical settings. Background: Headache disorders are prevalent, chronic, and disabling neurological conditions. As clinical providers trained in evidence-based behavior change interventions with expertise in headache disorders, headache psychologists are uniquely positioned to provide behavioral headache treatment. Methods: In 2020, we conducted semi-structured interviews with a purposive sample of expert headache psychologists working across the United States. Open-ended questions focused on their roles, clinical flow, and treatment content. Interviews were audio-recorded, transcribed, de-identified, and analyzed using a rapid qualitative analysis method. Results: We interviewed seven expert headache psychologists who have worked for an average of 18 years in outpatient settings with pediatric (n = 4) and adult (n = 3) patients with headache. The themes that emerged across the clinical workflow related to key components of behavioral headache treatment, effective behavioral treatment referral practices, and barriers to patient engagement. The expert headache psychologists offered evidence-based behavioral headache interventions such as biofeedback, relaxation training, and cognitive behavioral therapy emphasizing lifestyle modification as standalone options or concurrently with pharmacological treatment and were of brief duration. Participants reported many of their patients appeared reluctant to seek behavioral treatment for headache. Participants believed referrals were most effective when the referring provider explained to the patient the rationale for behavioral treatment, treatment content, and positive impact on headache activity, functioning, and quality of life. Barriers cited by participants to integrating headache psychology into headache care included the paucity of psychologists with specialized headache training, lack of insurance reimbursement, limited patient time to seek behavioral treatment, and inadequate patient knowledge of what behavioral treatment entails. Conclusion: Headache psychologists are often core members of multidisciplinary headache teams offering short-term, evidence-based behavioral interventions, both as a standalone treatment or in conjunction with pharmacotherapy. However, barriers to care persist. Enhancing referring providers' familiarity with psychologists' role in headache care may aid successful referrals for behavioral interventions for headache. (© 2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.) |
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| معلومات مُعتمدة: | IK6 HX002715 United States HX HSRD VA; HSRD 51K6HX002715-02 U.S. Department of Veterans Affairs |
| فهرسة مساهمة: | Keywords: Behavioral interventions; Headache; Psychology; Qualitative methods |
| تواريخ الأحداث: | Date Created: 20231015 Date Completed: 20240518 Latest Revision: 20240521 |
| رمز التحديث: | 20240521 |
| مُعرف محوري في PubMed: | PMC11102355 |
| DOI: | 10.1007/s10880-023-09972-2 |
| PMID: | 37839060 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1573-3572 |
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| DOI: | 10.1007/s10880-023-09972-2 |