![]() About the teamĭr Megan Crawford is a researcher in the University of Strathclyde Sleep Research Unit. ![]() It will aid the design of a subsequent, larger trial which - if successful - could enable digital CBT-I to be offered as a treatment to patients with migraine, with the potential to significantly improve their quality of life. Some small studies are demonstrating that improving insomnia can offer patients something to prevent migraines, and this work by Dr Crawford and team will help establish whether improving insomnia by using a digital CBT-I intervention can reduce migraines. Many people with migraine have trouble sleeping, and this in turn exacerbates their migraines. They find it hard to work, spend time with family, or exercise. ![]() People with chronic migraine can struggle with day-to-day life. And they will collect information about how many and why individuals want to take part in the study, and how many and why individuals drop out of the study. They will also track certain behaviours - such as daytime napping throughout treatment - to understand how improvements in sleep are related to changes in migraines. The team will measure changes in insomnia and migraines at three time points: mid treatment, right after treatment, and six months after the start of treatment in both groups. This trial run will include 88 participants, who will be randomly allocated to either the digital CBT-I group or a control group. This will help inform decisions about the design of the future study and how many participants will be needed. In particular, they need to understand how much variability there is in people’s sleep and migraine patterns. In a small pilot study, the team found that people with migraine liked digital CBT-I, and that it improved both their insomnia and their migraines.Īs an essential precursor to a much larger study, which will establish the effectiveness of digital CBT-I in reducing migraines and provide greater insight into which aspects of behaviour have the greatest effect on reducing insomnia and migraine, the team is now carrying out a trial run. Digital CBT-I, provided through an app or website, addresses this problem and has the added benefit that the patient can access it in their own time, in their own home, and does not have to travel to see a therapist. CBT-I works well but there are not many trained therapists who can deliver it. One way to stop the cycle of migraines and insomnia is to treat the insomnia, and one of the best treatments for this is cognitive behaviour therapy.Ĭognitive behaviour therapy for insomnia (CBT-I) teaches people to change their sleep behaviour and unhelpful thoughts. Read more: About migraine Improving sleep in people with chronic migraine The result is a vicious cycle of migraines and insomnia. However, sleeping in the daytime can disrupt sleep at night and this, in turn, can trigger a migraine the next day. Often, when a migraine strikes, people try to find a dark, quiet room and try to sleep. It is thought that these sleeping problems are due to the way that people try to find relief from their migraines. People with migraine often have problems falling or staying asleep. Other symptoms can include disturbed vision, nausea, and increased sensitivity to light and sound. It is a complex and disabling disorder with a variety of symptoms, usually featuring a severe headache. Migraine is one of the most common neurological conditions, affecting more than 10 million people in the UK. Based on a solid body of preliminary research, the project was recommended for its strong potential to deliver real benefit to people with migraine in the near term. In this project, Dr Crawford is evaluating a digital form of CBT for insomnia to see whether it is effective in improving sleep in people with migraine.Ī strong proposal in an under-researched area, this project was recommended for funding following rigorous assessment as part of our competitive grant round. Treating the insomnia can break this cycle, and one of the best treatments is cognitive behaviour therapy (CBT), which teaches people to change their sleep behaviours and thoughts/worries about sleep loss. People with migraine often suffer from insomnia, and lack of sleep can, in turn, trigger a migraine. Migraine is a complex and debilitating disorder that affects more than 10 million people in the UK.
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