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Headache management program improves outcome for chronic headache.

Linda H Harpole1, Gregory P Samsa, Annette E Jurgelski

  • 1Department of Medicine, Center for Clinical Health Policy Research, Duke University Medical Center, First Union Tower, Suite 220, 2200 West Main Street, Durham, NC 27705, USA.

Headache
|August 2, 2003
PubMed
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A new headache management program significantly reduced patient disability and improved health status for chronic headache sufferers. The program demonstrated feasibility and led to greater patient satisfaction with care.

Area of Science:

  • Neurology
  • Public Health
  • Health Services Research

Background:

  • Effective chronic headache management necessitates accurate diagnosis, appropriate pharmacotherapy (acute and preventive), and patient education in self-management skills.
  • Existing treatment paradigms may not fully address the multifaceted needs of patients with chronic headache, highlighting a gap in comprehensive care.

Purpose of the Study:

  • To evaluate the feasibility of implementing a structured headache management program.
  • To assess the clinical outcomes and patient satisfaction for individuals with chronic headache referred to this program.

Main Methods:

  • A headache management program was established within a health maintenance organization.
  • Fifty-four patients with chronic headache were enrolled and followed for six months.

Related Experiment Videos

  • Data collected included the Migraine Disability Assessment (MIDAS), SF-36 Health Survey, patient satisfaction, and headache-related worries and management problems.

    • Main Results:

    • Patients experienced a significant average reduction of 21.2 points in MIDAS scores (P <.005) and reported 14.5 fewer headache days (P <.0001).
    • Clinically significant improvements were observed in six subscales of the SF-36 Health Survey.
    • Patient satisfaction increased significantly (P <.0001), with reported reductions in headache-related worries and management problems, and fewer emergency department visits for headache.

    Conclusions:

    • The developed headache management program was successfully implemented and demonstrated significant improvements in patient-reported outcomes.
    • Patients referred to the program showed reduced disability, enhanced functional health, and greater satisfaction with their headache care.
    • Further research, including a randomized controlled trial, is warranted to validate these findings and assess broader clinical and financial impacts.