%0 Journal Article
%@ 1438-8871
%I Gunther Eysenbach
%V 9
%N 5
%P e38
%T Mobile Web-Based Monitoring and Coaching: Feasibility in Chronic Migraine
%A Sorbi,Marjolijn J
%A Mak,Sander B
%A Houtveen,Jan H
%A Kleiboer,Annet M
%A van Doornen,Lorenz JP
%+ Department of Clinical and Health Psychology, Utrecht University, PO Box 80.140, 3508 TC Utrecht, The Netherlands, +31 30 253 2384, m.j.sorbi@uu.nl
%K Personal digital assistant
%K ecological monitoring
%K electronics
%K migraine
%K health behavior
%K self-care
%K patient compliance
%K patient satisfaction
%D 2007
%7 31.12.2007
%9 Original Paper
%J J Med Internet Res
%G English
%X 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. 
%M 18166526
%R 10.2196/jmir.9.5.e38
%U http://www.jmir.org/2007/5/e38/
%U https://doi.org/10.2196/jmir.9.5.e38
%U http://www.ncbi.nlm.nih.gov/pubmed/18166526