Telemedicine in the management of non-acute headaches: A prospective, open-labelled non-inferiority, randomised clinical trial
Objectives We determined headache patients’ satisfaction with telemedicine and assessed how telemedicine influenced headache burden, compliance with diagnosis and treatment, and need for follow-up consultations. Methods During 2.5 years, patients from Northern Norway referred with non-acute headache...
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crsagepubl:10.1177/0333102416654885 2024-09-15T18:25:52+00:00 Telemedicine in the management of non-acute headaches: A prospective, open-labelled non-inferiority, randomised clinical trial Müller, Kai I Alstadhaug, Karl B Bekkelund, Svein I 2016 http://dx.doi.org/10.1177/0333102416654885 http://journals.sagepub.com/doi/pdf/10.1177/0333102416654885 http://journals.sagepub.com/doi/full-xml/10.1177/0333102416654885 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license Cephalalgia volume 37, issue 9, page 855-863 ISSN 0333-1024 1468-2982 journal-article 2016 crsagepubl https://doi.org/10.1177/0333102416654885 2024-08-27T04:23:42Z Objectives We determined headache patients’ satisfaction with telemedicine and assessed how telemedicine influenced headache burden, compliance with diagnosis and treatment, and need for follow-up consultations. Methods During 2.5 years, patients from Northern Norway referred with non-acute headaches for a specialist consultation at Tromsø University Hospital were consecutively randomised to either telemedicine or traditional visits. Baseline data were recorded and compared to data from a three-month follow-up questionnaire (see Supplementary material). The following were evaluated: (1) satisfaction with the consultation; (2) headache status; subjective improvement, average pain intensity, treatment, headache days per month, and Headache Impact Test (HIT-6); and (3) treatment compliance and follow-up visits. Results Out of 402 consultations, 348 (86.6%) answered the questionnaire. Satisfaction was similar in the telemedicine and the traditional group (88.8% vs. 92.3%; p = 0.35). Subgroup analyses were not prespecified, but there were no differences in satisfaction among females, migraineurs, rural patients and urban patients. Improvement from baseline after three months was reported equally in the telemedicine and the traditional groups. There were also no differences in treatment compliance, but rural telemedicine patients had less-frequent headache visits at three months’ follow-up (28.9% vs. 48.7%, p = 0.002). Conclusion Telemedicine is non-inferior to traditional consultations in patient satisfaction, specialist evaluation, and treatment of non-acute headaches. ClinicalTrials.gov ID: NCT02270177. Article in Journal/Newspaper Northern Norway Tromsø SAGE Publications Cephalalgia 37 9 855 863 |
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Objectives We determined headache patients’ satisfaction with telemedicine and assessed how telemedicine influenced headache burden, compliance with diagnosis and treatment, and need for follow-up consultations. Methods During 2.5 years, patients from Northern Norway referred with non-acute headaches for a specialist consultation at Tromsø University Hospital were consecutively randomised to either telemedicine or traditional visits. Baseline data were recorded and compared to data from a three-month follow-up questionnaire (see Supplementary material). The following were evaluated: (1) satisfaction with the consultation; (2) headache status; subjective improvement, average pain intensity, treatment, headache days per month, and Headache Impact Test (HIT-6); and (3) treatment compliance and follow-up visits. Results Out of 402 consultations, 348 (86.6%) answered the questionnaire. Satisfaction was similar in the telemedicine and the traditional group (88.8% vs. 92.3%; p = 0.35). Subgroup analyses were not prespecified, but there were no differences in satisfaction among females, migraineurs, rural patients and urban patients. Improvement from baseline after three months was reported equally in the telemedicine and the traditional groups. There were also no differences in treatment compliance, but rural telemedicine patients had less-frequent headache visits at three months’ follow-up (28.9% vs. 48.7%, p = 0.002). Conclusion Telemedicine is non-inferior to traditional consultations in patient satisfaction, specialist evaluation, and treatment of non-acute headaches. ClinicalTrials.gov ID: NCT02270177. |
format |
Article in Journal/Newspaper |
author |
Müller, Kai I Alstadhaug, Karl B Bekkelund, Svein I |
spellingShingle |
Müller, Kai I Alstadhaug, Karl B Bekkelund, Svein I Telemedicine in the management of non-acute headaches: A prospective, open-labelled non-inferiority, randomised clinical trial |
author_facet |
Müller, Kai I Alstadhaug, Karl B Bekkelund, Svein I |
author_sort |
Müller, Kai I |
title |
Telemedicine in the management of non-acute headaches: A prospective, open-labelled non-inferiority, randomised clinical trial |
title_short |
Telemedicine in the management of non-acute headaches: A prospective, open-labelled non-inferiority, randomised clinical trial |
title_full |
Telemedicine in the management of non-acute headaches: A prospective, open-labelled non-inferiority, randomised clinical trial |
title_fullStr |
Telemedicine in the management of non-acute headaches: A prospective, open-labelled non-inferiority, randomised clinical trial |
title_full_unstemmed |
Telemedicine in the management of non-acute headaches: A prospective, open-labelled non-inferiority, randomised clinical trial |
title_sort |
telemedicine in the management of non-acute headaches: a prospective, open-labelled non-inferiority, randomised clinical trial |
publisher |
SAGE Publications |
publishDate |
2016 |
url |
http://dx.doi.org/10.1177/0333102416654885 http://journals.sagepub.com/doi/pdf/10.1177/0333102416654885 http://journals.sagepub.com/doi/full-xml/10.1177/0333102416654885 |
genre |
Northern Norway Tromsø |
genre_facet |
Northern Norway Tromsø |
op_source |
Cephalalgia volume 37, issue 9, page 855-863 ISSN 0333-1024 1468-2982 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1177/0333102416654885 |
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