Table 2 Self-reported knowledge, barriers, and challenges in headache disorders
All participants (n = 54) | Introduction program (n = 25) | Main program (n = 29) | |
|---|---|---|---|
Self-reported knowledge of headache disordersa | Mean (SD) | Mean (SD) | Mean (SD) |
● Migraine | 3.91 (0.65) | 3.76 (0.83) | 4.03 (0.42) |
● Tension-type headache | 3.94 (0.65) | 3.80 (0.82) | 4.07 (0.46) |
● Cluster headache | 3.68 (0.75) | 3.33 (0.92) | 3.89 (0.49) |
● Trigeminal neuralgia | 3.48 (0.84) | 3.12 (0.93) | 3.79 (0.62) |
● Medication overuse headache | 3.56 (0.86) | 3.28 (0.89) | 3.39 (0.77) |
● Post-traumatic headache | 3.15 (0.97) | 2.96 (0.98) | 3.31 (0.97) |
Patient and disease-oriented barriersb | n (%) | n (%) | n (%) |
● Challenging diagnosis | 31 (57%) | 15 (60%) | 16 (55%) |
● Comorbidities | 23 (43%) | 9 (36%) | 14 (48%) |
● Patient anxiety of adverse events | 13 (23%) | 4 (16%) | 9 (31%) |
● Treatment failure due to adverse events | 19 (35%) | 6 (24%) | 13 (45%) |
● Unclear medical history | 31 (57%) | 17 (68%) | 14 (48%) |
● Lack of effective treatment options | 31 (57%) | 12 (48%) | 19 (66%) |
● No challenges | 3 (6%) | 1 (4%) | 2 (7%) |
● Other | 8 (15%) | 3 (12%) | 5 (17%) |
Physician-oriented barriersb | n (%) | n (%) | n (%) |
● Own lack of knowledge | 17 (31%) | 12 (48%) | 5 (17%) |
● Find headache patients difficult to diagnose and treat | 26 (48%) | 12 (48%) | 14 (48%) |
● Challenges in physician/patient collaboration | 17 (31%) | 6 (24%) | 11 (38%) |
● Insufficient consultation time | 15 (28%) | 3 (12%) | 12 (41%) |
● Lack of prescribed treatment efficacy | 31 (57%) | 16 (64%) | 15 (52%) |
● Insufficient support from other specialists | 13 (24%) | 2 (8%) | 11 (38%) |
● No barriers | 5 (9%) | 3 (12%) | 2 (7%) |