Saskia BW DEF.indd

Objective This pilot study examined the eff ectiveness and trainer skills of the fi rst lay trainers with migraine. Methods In a stepwise training program eight lay trainers with migraine participated in a behavioural management training (BT) aimed at the prevention of migraine attacks by proactive relaxation and trigger management. After successful reduction of their migraine attacks, three lay trainers with migraine provided BT under supervision at home to one fellow patient and subsequently to a small group. Results Migraine frequency was signifi cantly reduced in fi ve out of eight patients trained by lay trainers with migraine (mean 48%) and medication use decreased substantially in four patients (mean 41%). Qualities of lay trainers with migraine concerned their motivational assistance, knowledge of premonitory symptoms and exchange of disease specifi c problems. Pitfalls were that migraine symptoms hampered an active guidance of the sessions and providing tailored feedback was diffi cult. Conclusion The fi rst lay trainers with migraine were successful in training fellow patients in behavioural prevention of migraine attacks. Practice Implication Continuous supervision of lay trainers’ health and trainer skills is recommended but is likely to have implications for the cost-eff ectiveness.