Biofeedback Treatment App for Pediatric Migraine: Development and Usability Study.
Headache
; 60(5): 889-901, 2020 05.
Article
en En
| MEDLINE
| ID: mdl-32052871
ABSTRACT
OBJECTIVE:
The objective of this study was to develop and investigate the usability of a biofeedback treatment smartphone app for adolescent migraine sufferers.BACKGROUND:
Biofeedback is effective in treating pediatric migraine. However, biofeedback is not widely used due to the necessity of a trained therapist and specialized equipment. Emerging digital technology, including smartphones and wearables, enables new ways of administering biofeedback.METHODS:
In a prospective open-label development and usability study, 10 adolescent migraine sufferers used a newly developed biofeedback app with wearable sensors that measured their muscle tension, finger temperature, and heart rate. Three iterative rounds of usability testing, including a 2-week home testing period, were completed. A biofeedback algorithm, combining and optimizing the 3 physiological modalities, and several algorithms for sham-treatment were created. Usability was evaluated statistically and summarized thematically.RESULTS:
Five of ten participants completed all 3 rounds of usability testing. A total of 72 biofeedback sessions were completed. Usability scoring was consistently high, with median scores ranging from 3.5 to 4.5 on a 5-point scale. The biofeedback optimization algorithm correlated excellently to the raw physiological measurements (r = 0.85, P < .001). The intervention was safe and tolerable.CONCLUSION:
We developed an app for young migraine sufferers to receive therapist-independent biofeedback. The app underwent a rigorous development process as well as usability and feasibility testing. It is now ready for clinical trials.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Biorretroalimentación Psicológica
/
Algoritmos
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Evaluación de Procesos, Atención de Salud
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Telemedicina
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Monitoreo Ambulatorio
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Aplicaciones Móviles
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Dispositivos Electrónicos Vestibles
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Trastornos Migrañosos
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Monitoreo Fisiológico
Tipo de estudio:
Clinical_trials
/
Observational_studies
Límite:
Adolescent
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Female
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Humans
Idioma:
En
Revista:
Headache
Año:
2020
Tipo del documento:
Article
País de afiliación:
Noruega