Migraine education improves quality of life in a primary care setting
Open accessAbstract
OBJECTIVE: The objective of this study was to evaluate the effectiveness of the Mercy Migraine Management Program (MMMP), an educational program for physicians and patients. The primary outcome was change in headache days from baseline at 3, 6, and 12 months. Secondary outcomes were changes in migraine-related disability and quality of life, worry about headaches, self-efficacy for managing migraines, emergency room (ER) visits for headache, and satisfaction with headache care. BACKGROUND: Despite progress in the understanding of the pathophysiology of migraine and development of effective therapeutic agents, many practitioners and patients continue to lack the knowledge and skills to effectively manage migraine. Educational efforts have been helpful in improving the quality of care and quality of life for migraine sufferers. However, little work has been performed to evaluate these changes over a longer period of time. Also, there is a paucity of published research evaluating the influence of education about migraine management on cognitive and emotional factors (for example, self-efficacy for managing headaches, worry about headaches). METHODS: In this open-label, prospective study, 284 individuals with migraine (92% female, mean age = 41.6) participated in the MMMP, an educational and skills-based program. Of the 284 who participated in the program, 228 (80%) provided data about their headache frequency, headache-related disability (as measured by the Headache Impact Test-6 (HIT-6), migraine-specific quality of life (MSQ), worry about headaches, self-efficacy for managing headaches, ER visits for headaches, and satisfaction with care at 4 time points over 12 months (baseline, 3 months, 6 months, 12 months). RESULTS: Overall, 46% (106) of subjects reported a 50% or greater reduction in headache frequency. Over 12 months, patients reported fewer headaches and improvement on the HIT-6 and MSQ (all P < .001). The improvement in headache impact and quality of life was greater among those who had more worry about their headaches at baseline. There were also significant improvements in "worry about headaches,""self-efficacy for managing headaches," and "satisfaction with headache care." CONCLUSION: The findings demonstrate that patients participating in the MMMP reported improvements in their headache frequency as well as the cognitive and emotional aspects of headache management. This program was especially helpful among those with high amounts of worry about their headaches at the beginning of the program. The findings from this study are impetus for further research that will more clearly evaluate the effects of education and skill development on headache characteristics and the emotional and cognitive factors that influence headache.
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Educational interventions improve health outcomes for patients with migraine.
“Further, educational interventions have been found to improve health outcomes for patients with migraine [32].”
From One-Day Acceptance and Commitment Therapy Compared to Support for Depressed Migraine Patients: a Randomized Clinical Trial. (2020) · cites this paper as [32]
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- Authors
- Smith, T. R., Nicholson, R. A., & Banks, J. W.
- Affiliations
- Washington University in St. Louis (US)
- Venue
- Headache: The Journal of Head and Face Pain
- Publisher
- Wiley
- Published
- 2010-04
- Volume
- 50
- Issue
- 4
- Pages
- 600-612
- ISSN
- 0017-8748 (ISSN-L)
- 1526-4610
- PMC
- PMC2872510
- OpenAlex
- W1999061897
- Cited by
- 73
- References
- 53
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 3 · 2023: 5 · 2022: 3 · 2021: 8 · 2020: 6 · 2019: 5 · 2018: 1 · 2017: 4 · 2016: 5 · 2015: 6 · 2014: 6 · 2013: 5 · 2012: 3
- FWCI
- 3.06
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Headache The Journal of Head and Face Pain (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5k23ns048288-05)
- National Institute of Neurological Disorders and Stroke (K23-NS-048288)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- migraine, headache frequency, migraine disability, migraine-specific quality of life, self-efficacy, emergency department visits, patient satisfaction, physician training, primary care, HIT-6, long-term outcomes, skills-based intervention, cost-effectiveness
- MeSH terms
- Adult, Analgesics, Anxiety, Education, Medical, Continuing, Female, Humans, Male, Middle Aged, Migraine Disorders, Patient Education as Topic, Physicians, Family, Drug Prescriptions, Prospective Studies, Quality Assurance, Health Care, Quality of Life, Self Care, Teaching, Treatment Outcome, Patient Satisfaction, Outcome Assessment, Health Care
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