@Article{info:doi/10.2196/jmir.9.5.e38,
author="Sorbi, Marjolijn J
and Mak, Sander B
and Houtveen, Jan H
and Kleiboer, Annet M
and van Doornen, Lorenz JP",
title="Mobile Web-Based Monitoring and Coaching: Feasibility in Chronic Migraine",
journal="J Med Internet Res",
year="2007",
month="Dec",
day="31",
volume="9",
number="5",
pages="e38",
keywords="Personal digital assistant; ecological monitoring; electronics; migraine; health behavior; self-care; patient compliance; patient satisfaction",
abstract="Background: The Internet can facilitate diary monitoring (experience sampling, ecological momentary assessment) and behavioral coaching. Online digital assistance (ODA) is a generic tool for mobile Web-based use, intended as an adjuvant to face-to-face or Internet-based cognitive behavioral treatment. A current ODA application was designed to support home-based training of behavioral attack prevention in chronic migraine, focusing on the identification of attack precursors and the support of preventive health behaviour. Objective: The aim was to establish feasibility of the ODA approach in terms of technical problems and participant compliance, and ODA acceptability on the basis of ratings of user-friendliness, potential burden, and perceived support of the training for behavioral attack prevention in migraine. Methods: ODA combines mobile electronic diary monitoring with direct human online coaching of health behavior according to the information from the diary. The diary contains three parts covering the following: (1) migraine headache and medication use, (2) attack precursors, and (3) self-relaxation and other preventive behavior; in addition, menstruation (assessed in the evening diary) and disturbed sleep (assessed in the morning diary) is monitored. The pilot study consisted of two runs conducted with a total of five women with chronic migraine without aura. ODA was tested for 8.5 days (range 4-12 days) per participant. The first test run with three participants tested 4-5 diary prompts per day. The second run with another three participants (including one subject who participated in both runs) tested a reduced prompting scheme (2-3 prompts per day) and minor adaptations to the diary. Online coaching was executed twice daily on workdays. Results: ODA feasibility was established on the basis of acceptable data loss (1.2{\%} due to the personal digital assistant; 5.6{\%} due to failing Internet transmission) and good participant compliance (86.8{\%} in the second run). Run 1 revealed some annoyance with the number of prompts per day. Overall ODA acceptability was evident by the positive participant responses concerning user-friendliness, absence of burden, and perceived support of migraine attack prevention. The software was adapted to further increase the flexibility of the application. Conclusions: ODA is feasible and well accepted. Tolerability is a sensitive issue, and the balance between benefit and burden must be considered with care. ODA offers a generic tool to combine mobile coaching with diary monitoring,independently of time and space. ODA effects on improvement of migraine remain to be established. ",
issn="1438-8871",
doi="10.2196/jmir.9.5.e38",
url="http://www.jmir.org/2007/5/e38/",
url="https://doi.org/10.2196/jmir.9.5.e38",
url="http://www.ncbi.nlm.nih.gov/pubmed/18166526"
}