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This study evaluated the effectiveness of a cognitive–behavioural treatment programme, delivered in either clinic‐based group format, or home‐based minimal‐therapist‐contact format, in the treatment of chronic headache (migraine, tension or combined), for 10–12‐year‐old children. Subjects were assigned randomly to three conditions: clinic‐based treatment (eight sessions); home‐based treatment (three sessions supplemented by working at home from treatment manuals); and waiting‐list control. Both treatment conditions were associated with significant reductions in headaches, but no changes occurred for the control condition. The two treatment formats were equally efficacious; however, the home‐based format was over twice as cost effective as the clinic‐based format.
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Griffiths et al. (1996) studied this question.
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