TY  - JOUR
AU  - Raffaelli, Bianca
AU  - Mecklenburg, Jasper
AU  - Overeem, Lucas Hendrik
AU  - Scholler, Simon
AU  - Dahlem, Markus A
AU  - Kurth, Tobias
AU  - Oliveira Gonçalves, Ana Sofia
AU  - Reuter, Uwe
AU  - Neeb, Lars
PY  - 2021
DA  - 2021/7/7
TI  - Determining the Evolution of Headache Among Regular Users of a Daily Electronic Diary via a Smartphone App: Observational Study
JO  - JMIR Mhealth Uhealth
SP  - e26401
VL  - 9
IS  - 7
KW  - headache
KW  - migraine
KW  - mobile app
KW  - headache app
KW  - electronic diary
KW  - app
KW  - pain
KW  - frequency
KW  - intensity
AB  - Background: Smartphone-based apps represent a major development in health care management. Specifically in headache care, the use of electronic headache diaries via apps has become increasingly popular. In contrast to the soaring volume of available data, scientific use of these data resources is sparse. Objective: In this analysis, we aimed to assess changes in headache and migraine frequency, headache and migraine intensity, and use of acute medication among people who showed daily use of the headache diary as implemented in the freely available basic version of the German commercial app, M-sense. Methods: The basic version of M-sense comprises an electronic headache diary, documentation of lifestyle factors with a possible impact on headaches, and evaluation of headache patterns. This analysis included all M-sense users who had entered data into the app on a daily basis for at least 7 months. Results: We analyzed data from 1545 users. Mean MHD decreased from 9.42 (SD 5.81) at baseline to 6.39 (SD 5.09) after 6 months (P<.001; 95% CI 2.80-3.25). MMD, AMD, and migraine intensity were also significantly reduced. Similar results were found in 985 users with episodic migraine and in 126 users with chronic migraine. Conclusions: Among regular users of an electronic headache diary, headache and migraine frequency, in addition to other headache characteristics, improved over time. The use of an electronic headache diary may support standard headache care. 
SN  - 2291-5222
UR  - https://mhealth.jmir.org/2021/7/e26401
UR  - https://doi.org/10.2196/26401
UR  - http://www.ncbi.nlm.nih.gov/pubmed/34255716
DO  - 10.2196/26401
ID  - info:doi/10.2196/26401
ER  -