Behavioral Health, Telemedicine, and Opportunities for Improving Access

Overview

Journal Curr Pain Headache Rep

Date 2022 Nov 23

PMID 36418847

Authors

Daniel G Rogers

Katie Santamaria

Elizabeth K Seng

Amy S Grinberg

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: The purpose of this review is to summarize advances in behavioral treatments for pain and headache disorders, as well as recent innovations in telemedicine for behavioral treatments.

Recent Findings: Research for behavioral treatments continues to support their use as part of a multidisciplinary approach to comprehensive management for pain and headache conditions. Behavioral treatments incorporate both behavioral change and cognitive interventions and have been shown to improve outcomes beyond that of medical management alone. The onset of the COVID-19 public health emergency necessitated the rapid uptake of nontraditional modalities for behavioral treatments, particularly telemedicine. Telemedicine has long been considered the answer to several barriers to accessing behavioral treatments, and as a result of COVID-19 significant progress has been made evaluating a variety of telemedicine modalities including synchronous, asynchronous, and mobile health applications. Researchers are encouraged to continue investigating how best to leverage these modalities to improve access to behavioral treatments and to continue evaluating the efficacy of telemedicine compared to traditional in-person care. Comprehensive pain and headache management should include behavioral treatments to address a variety of behavior change and cognitive targets. Policy changes and advances in telemedicine for behavioral treatments provide the opportunity to address historical barriers limiting access.

Citing Articles

Influence of next-generation artificial intelligence on headache research, diagnosis and treatment: the junior editorial board members' vision - part 1.

Petrusic I, Ha W, Labastida-Ramirez A, Messina R, Onan D, Tana C J Headache Pain. 2024; 25(1):151.

PMID: 39272003 PMC: 11401391. DOI: 10.1186/s10194-024-01847-7.

Health equity, care access and quality in headache - part 2.

Raffaelli B, Rubio-Beltran E, Cho S, De Icco R, Labastida-Ramirez A, Onan D J Headache Pain. 2023; 24(1):167.

PMID: 38087219 PMC: 10717448. DOI: 10.1186/s10194-023-01699-7.

Telemedicine in Headache Medicine: A Narrative Review.

Robblee J Curr Pain Headache Rep. 2023; 27(9):371-377.

PMID: 37515743 DOI: 10.1007/s11916-023-01141-2.

Syndromic Surveillance Using Structured Telehealth Data: Case Study of the First Wave of COVID-19 in Brazil.

Boaventura V, Grave M, Cerqueira-Silva T, Carreiro R, Pinheiro A, Coutinho A JMIR Public Health Surveill. 2023; 9:e40036.

PMID: 36692925 PMC: 9875555. DOI: 10.2196/40036.

References

Smitherman T, Kuka A, Calhoun A, Walters A, Davis-Martin R, Ambrose C . Cognitive-Behavioral Therapy for Insomnia to Reduce Chronic Migraine: A Sequential Bayesian Analysis. Headache. 2018; 58(7):1052-1059. DOI: 10.1111/head.13313. View

Kroenke K, Krebs E, Wu J, Yu Z, Chumbler N, Bair M . Telecare collaborative management of chronic pain in primary care: a randomized clinical trial. JAMA. 2014; 312(3):240-8. DOI: 10.1001/jama.2014.7689. View

Heapy A, Higgins D, Goulet J, LaChappelle K, Driscoll M, Czlapinski R . Interactive Voice Response-Based Self-management for Chronic Back Pain: The COPES Noninferiority Randomized Trial. JAMA Intern Med. 2017; 177(6):765-773. PMC: 5818820. DOI: 10.1001/jamainternmed.2017.0223. View

Lawford B, Delany C, Bennell K, Hinman R . "I was really sceptical...But it worked really well": a qualitative study of patient perceptions of telephone-delivered exercise therapy by physiotherapists for people with knee osteoarthritis. Osteoarthritis Cartilage. 2018; 26(6):741-750. DOI: 10.1016/j.joca.2018.02.909. View

Lori U, Bouskill K, Jessica S, Mimi S, Shira H F . Experiences of Medicaid Programs and Health Centers in Implementing Telehealth. Rand Health Q. 2020; 8(4). PMC: 7302318. View

Bhuva S, Lankford C, Patel N, Haddas R . Implementation and Patient Satisfaction of Telemedicine in Spine Physical Medicine and Rehabilitation Patients During the COVID-19 Shutdown. Am J Phys Med Rehabil. 2020; 99(12):1079-1085. DOI: 10.1097/PHM.0000000000001600. View

Higgins D, Buta E, Williams D, Halat A, Bair M, Heapy A . Internet-Based Pain Self-Management for Veterans: Feasibility and Preliminary Efficacy of the Pain EASE Program. Pain Pract. 2019; 20(4):357-370. DOI: 10.1111/papr.12861. View

Collard V, Moore C, Nichols V, Ellard D, Patel S, Sandhu H . Challenges and visions for managing pain-related insomnia in primary care using the hybrid CBT approach: a small-scale qualitative interview study with GPs, nurses, and practice managers. BMC Fam Pract. 2021; 22(1):210. PMC: 8527665. DOI: 10.1186/s12875-021-01552-3. View

Vambheim S, Kyllo T, Hegland S, Bystad M . Relaxation techniques as an intervention for chronic pain: A systematic review of randomized controlled trials. Heliyon. 2021; 7(8):e07837. PMC: 8405991. DOI: 10.1016/j.heliyon.2021.e07837. View

10.

Dudeney J, Sharpe L, McDonald S, Menzies R, McGuire B . Are psychological interventions efficacious for adults with migraine? A systematic review and meta-analysis. Headache. 2022; 62(4):405-419. DOI: 10.1111/head.14260. View

11.

Yang J, Lo W, Zheng F, Cheng X, Yu Q, Wang C . Evaluation of Cognitive Behavioral Therapy on Improving Pain, Fear Avoidance, and Self-Efficacy in Patients with Chronic Low Back Pain: A Systematic Review and Meta-Analysis. Pain Res Manag. 2022; 2022:4276175. PMC: 8957446. DOI: 10.1155/2022/4276175. View

12.

Minen M, Adhikari S, Padikkala J, Tasneem S, Bagheri A, Goldberg E . Smartphone-Delivered Progressive Muscle Relaxation for the Treatment of Migraine in Primary Care: A Randomized Controlled Trial. Headache. 2020; 60(10):2232-2246. PMC: 8721526. DOI: 10.1111/head.14010. View

13.

Friesen L, Hadjistavropoulos H, Schneider L, Alberts N, Titov N, Dear B . Examination of an Internet-Delivered Cognitive Behavioural Pain Management Course for Adults with Fibromyalgia: A Randomized Controlled Trial. Pain. 2016; 158(4):593-604. DOI: 10.1097/j.pain.0000000000000802. View

14.

Chen J, DeFaccio R, Gelman H, Thomas E, Indresano J, Dawson T . Telehealth and Rural-Urban Differences in Receipt of Pain Care in the Veterans Health Administration. Pain Med. 2021; 23(3):466-474. DOI: 10.1093/pm/pnab194. View

15.

Herbert M, Afari N, Liu L, Heppner P, Rutledge T, Williams K . Telehealth Versus In-Person Acceptance and Commitment Therapy for Chronic Pain: A Randomized Noninferiority Trial. J Pain. 2016; 18(2):200-211. DOI: 10.1016/j.jpain.2016.10.014. View

16.

Muller K, Alstadhaug K, Bekkelund S . Telemedicine in the management of non-acute headaches: A prospective, open-labelled non-inferiority, randomised clinical trial. Cephalalgia. 2016; 37(9):855-863. DOI: 10.1177/0333102416654885. View

17.

Taguchi K, Numata N, Takanashi R, Takemura R, Yoshida T, Kutsuzawa K . Clinical Effectiveness and Cost-effectiveness of Videoconference-Based Integrated Cognitive Behavioral Therapy for Chronic Pain: Randomized Controlled Trial. J Med Internet Res. 2021; 23(11):e30690. PMC: 8663446. DOI: 10.2196/30690. View

18.

Edmond S, Moore B, Dorflinger L, Goulet J, Becker W, Heapy A . Project STEP: Implementing the Veterans Health Administration's Stepped Care Model of Pain Management. Pain Med. 2018; 19(suppl_1):S30-S37. DOI: 10.1093/pm/pny094. View

19.

Martinez-Calderon J, Flores-Cortes M, Morales-Asencio J, Luque-Suarez A . Pain-Related Fear, Pain Intensity and Function in Individuals With Chronic Musculoskeletal Pain: A Systematic Review and Meta-Analysis. J Pain. 2019; 20(12):1394-1415. DOI: 10.1016/j.jpain.2019.04.009. View

20.

Markfelder T, Pauli P . Fear of pain and pain intensity: Meta-analysis and systematic review. Psychol Bull. 2020; 146(5):411-450. DOI: 10.1037/bul0000228. View