TY  - JOUR
AU  - Sorbi, Marjolijn J
AU  - Mak, Sander B
AU  - Houtveen, Jan H
AU  - Kleiboer, Annet M
AU  - van Doornen, Lorenz JP
PY  - 2007
DA  - 2007/12/31
TI  - Mobile Web-Based Monitoring and Coaching: Feasibility in Chronic Migraine
JO  - J Med Internet Res
SP  - e38
VL  - 9
IS  - 5
KW  - Personal digital assistant
KW  - ecological monitoring
KW  - electronics
KW  - migraine
KW  - health behavior
KW  - self-care
KW  - patient compliance
KW  - patient satisfaction
AB  - 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. 
SN  - 1438-8871
UR  - http://www.jmir.org/2007/5/e38/
UR  - https://doi.org/10.2196/jmir.9.5.e38
UR  - http://www.ncbi.nlm.nih.gov/pubmed/18166526
DO  - 10.2196/jmir.9.5.e38
ID  - info:doi/10.2196/jmir.9.5.e38
ER  -