Brief Intervention for Medication Overuse Headache

NCT ID: NCT01314768

Last Updated: 2015-12-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

123 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2013-12-31

Brief Summary

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The investigators will perform a cluster randomised controlled study of Brief intervention (BI) for medication-overuse headache (MOH) versus business as usual. GPs will be trained to perform a structured brief intervention after identifying patients with probable MOH using the severity of dependence scale. The control arm will include patients of GPs who have not been trained in BI. Patients will be recruited by prior short postal screening of patients listed on the GPs patient lists.

The hypothesis is that BI will lead to improvement of medication-overuse and chronic headache as compared to no BI.

Main outcomes are:

* number of medication days per month
* number of headache days per month
* headache index

Detailed Description

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123 cases in all included (75 in intervention/placebo control arms and 48 in non-intervention Control arms) 19 did not meet predefined inclusion criteria for the different arms (5 and 8 in intervention arm and placebo arm respectively, 4 and 2 in chronic headache Control and population Control respectively)

1 case was lost to follow up in each of the 4 Groups prior to first assessment. Thus 60 cases remained in intervention/placebo Control arms (24 in intervention and 36 in placebo Control) and 40 in non intervention Control arms (15 chronic headache Controls, 25 population Controls).

Conditions

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Medication-overuse Headache Chronic Headache

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Brief intervention

Behavioural brief intervention delivered by GP

Group Type ACTIVE_COMPARATOR

Brief intervention

Intervention Type BEHAVIORAL

Structured behavioural Brief intervention given by trained GPs

Business as usual

Business as usual according to individual GP

Group Type PLACEBO_COMPARATOR

Business as usual

Intervention Type OTHER

GPs to treat patient as they have until now based on best established practice

Chronic headache control

Screening and outcome control only. Non-intervention Control, screened and followed-up at final time point

Group Type OTHER

Screening and outcome evaluation only

Intervention Type OTHER

No additional intervention

Population control

Screening and outcome control only. Non-intervention Control, screened and followed-up at final time point

Group Type OTHER

Screening and outcome evaluation only

Intervention Type OTHER

No additional intervention

Interventions

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Brief intervention

Structured behavioural Brief intervention given by trained GPs

Intervention Type BEHAVIORAL

Business as usual

GPs to treat patient as they have until now based on best established practice

Intervention Type OTHER

Screening and outcome evaluation only

No additional intervention

Intervention Type OTHER

Screening and outcome evaluation only

No additional intervention

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 18-50 years of age
* Screening positive for possible chronic headache (\> 10 headache days per month) (not for population control arm)
* Screening positive for possible medication-overuse (\> 15 medication days per month) (not for chronic headache control arm)

Exclusion Criteria

* Other complicating pain with medication treatment
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Oslo

OTHER

Sponsor Role collaborator

University Hospital, Akershus

OTHER

Sponsor Role lead

Responsible Party

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Christofer Lundqvist

Principal investigator/Project leader

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Christofer Lundqvist, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Akershus University Hospital and University of Oslo

Locations

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Akershus University Hospital

Lørenskog, , Norway

Site Status

Dept of general medicine, University of Oslo

Oslo, , Norway

Site Status

Countries

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Norway

References

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Lundqvist C, Gossop M, Russell MB, Straand J, Kristoffersen ES. Severity of Analgesic Dependence and Medication-overuse Headache. J Addict Med. 2019 Sep/Oct;13(5):346-353. doi: 10.1097/ADM.0000000000000504.

Reference Type DERIVED
PMID: 30724760 (View on PubMed)

Kristoffersen ES, Straand J, Benth JS, Russell MB, Lundqvist C. Predictors of successful primary care detoxification treatment for medication-overuse headache. Acta Neurol Scand. 2017 Nov;136(5):486-494. doi: 10.1111/ane.12759. Epub 2017 Mar 28.

Reference Type DERIVED
PMID: 28369734 (View on PubMed)

Kristoffersen ES, Straand J, Vetvik KG, Benth JS, Russell MB, Lundqvist C. Brief intervention by general practitioners for medication-overuse headache, follow-up after 6 months: a pragmatic cluster-randomised controlled trial. J Neurol. 2016 Feb;263(2):344-353. doi: 10.1007/s00415-015-7975-1. Epub 2015 Dec 8.

Reference Type DERIVED
PMID: 26645391 (View on PubMed)

Kristoffersen ES, Straand J, Russell MB, Lundqvist C. Disability, anxiety and depression in patients with medication-overuse headache in primary care - the BIMOH study. Eur J Neurol. 2016 Jan;23 Suppl 1:28-35. doi: 10.1111/ene.12850.

Reference Type DERIVED
PMID: 26563095 (View on PubMed)

Kristoffersen ES, Straand J, Vetvik KG, Benth JS, Russell MB, Lundqvist C. Brief intervention for medication-overuse headache in primary care. The BIMOH study: a double-blind pragmatic cluster randomised parallel controlled trial. J Neurol Neurosurg Psychiatry. 2015 May;86(5):505-12. doi: 10.1136/jnnp-2014-308548. Epub 2014 Aug 11.

Reference Type DERIVED
PMID: 25112307 (View on PubMed)

Kristoffersen ES, Straand J, Benth JS, Russell MB, Lundqvist C. Study protocol: brief intervention for medication overuse headache--a double-blinded cluster randomised parallel controlled trial in primary care. BMC Neurol. 2012 Aug 10;12:70. doi: 10.1186/1471-2377-12-70.

Reference Type DERIVED
PMID: 22883540 (View on PubMed)

Other Identifiers

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BIMOH

Identifier Type: -

Identifier Source: org_study_id