@article {Merelle:October 2008:0017-8748:1311,
	author = "Merelle, Saskia Y.M.",
	author = "Sorbi, Marjolijn J.",
	author = "van Doornen, Lorenz J.P.",
	author = "Passchier, Jan",
	title = "Lay Trainers With Migraine for a Home-Based Behavioral Training: A 6-Month Follow-Up Study",
	journal = "Headache: The Journal of Head and Face Pain",
	volume = "48",
	year = "October 2008",
	abstract = "Objective.&#8212; <P></P>To evaluate the changes at 6-month follow-up after a home-based behavioral training (BT) provided by lay trainers with migraine to small groups of fellow patients. Background.&#8212; <P></P>The need for self-management programs and cost-effective treatments gave rise to this study. Methods.&#8212; <P></P>In a previous randomized controlled trial, we compared the BT group with a waitlist-control group, receiving usual care. The control group was trained directly after their waitlist period. The present study examined the follow-up results in both groups and measurements were held pre BT, post BT, and at 6-month follow-up. Results.&#8212; <P></P>Six months after BT, 42% was categorized as responders (&#8805;&#8722;50% decrease in attack frequency), 42% did not change (&#8722;49 to 49%), and 16% responded adversely (&#8805;50% increase). In the group as a whole (n&#8201;&#61;&#8201;95), attack frequency significantly decreased from 3.0 attacks at baseline to 2.5 post BT and to 2.3 at 6-month follow-up (&#8722;23%, medium effect size 0.6). The strong improvements of perceived control over and self-confidence in attack prevention were maintained at follow-up. Disability and health status were unchanged but quality of life significantly improved over time (<I>P</I>&#8201;&#61;&#8201;.007). BT was more beneficial for patients who entered the training with a high attack frequency. Linear regression analysis demonstrated that a stronger belief at baseline that the occurrence of migraine is due to chance (external control) significantly predicted a lower attack frequency at follow-up. Conclusion.&#8212; <P></P>Lay trainers with migraine can train small groups of fellow patients at home in behavioral attack prevention. At 6-month follow-up, attack frequency and quality of life were significantly but modestly improved and feelings of control and self-confidence remained strongly improved.",
	pages = "1311-1325(15)",
	url = "http://www.ingentaconnect.com/content/bsc/hed/2008/00000048/00000009/art00004"
	doi = "doi:10.1111/j.1526-4610.2007.01043.x"
}