Feasibility and efficacy of telephone based follow-up in patients with headache - A longitudinal cohort study
Background: Chronic headache greatly affects the quality of life and also constitutes a significant burden on the health system. Objective: The objective of this study was to evaluate the feasibility of telephone-based follow-up in a cohort of headache patients in India. Materials and Methods: This...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Indian Journal of Public Health |
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| Online Access: | http://www.ijph.in/article.asp?issn=0019-557X;year=2023;volume=67;issue=4;spage=599;epage=605;aulast=Ray |
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| author | Sucharita Ray Sulabh Tiwari Kamalesh Chakravarty Sahil Mehta Jitupam Baishya Vivek Lal |
| author_facet | Sucharita Ray Sulabh Tiwari Kamalesh Chakravarty Sahil Mehta Jitupam Baishya Vivek Lal |
| author_sort | Sucharita Ray |
| collection | DOAJ |
| description | Background: Chronic headache greatly affects the quality of life and also constitutes a significant burden on the health system. Objective: The objective of this study was to evaluate the feasibility of telephone-based follow-up in a cohort of headache patients in India. Materials and Methods: This was a longitudinal cohort study of patients with episodic headache with one physical visit in the neurology outpatient services in the last year. Two neurologists conducted the telephone follow up (TFU) of included patients 12 weeks apart. We evaluated the following: (1) objective characterization of headache, (2) coexistent depression and anxiety, (3) patient satisfaction, (4) treatment adherence, and (5) changes in medications. Results: A total of 214 out of 274 eligible patients were included in the cohort. The mean age was 31.74 ± 7.77 years (18–45), and 164 (77%) were females. Migraine without aura was the most common diagnosis in 159 (74%). The mean disease duration was 78.01 ± 70.15 months (8–360). Concurrent depression and anxiety were noted in 87 (40.6%) and 45 (21%) of the patients, respectively. There was a significant improvement in the headache frequency (23.82 vs. 1.06, P < 0.001), severity (7.21 vs. 2.62, P = 0.032), and Headache Impact 6-item score (58.12 vs. 38.01, P = 0.014) at baseline and second follow-up. The satisfaction level to TFU in the first and second interviews was 94.4% and 97.2%, respectively. Conclusion: Telephone-based follow-up is a feasible alternative for repeat outpatient consultation of headache patients. |
| first_indexed | 2024-04-24T14:09:56Z |
| format | Article |
| id | doaj.art-9c45839904704f84b7a132c1a0bddfcd |
| institution | Directory Open Access Journal |
| issn | 0019-557X |
| language | English |
| last_indexed | 2024-04-24T14:09:56Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Public Health |
| spelling | doaj.art-9c45839904704f84b7a132c1a0bddfcd2024-04-03T09:29:08ZengWolters Kluwer Medknow PublicationsIndian Journal of Public Health0019-557X2023-01-0167459960510.4103/ijph.ijph_1479_22Feasibility and efficacy of telephone based follow-up in patients with headache - A longitudinal cohort studySucharita RaySulabh TiwariKamalesh ChakravartySahil MehtaJitupam BaishyaVivek LalBackground: Chronic headache greatly affects the quality of life and also constitutes a significant burden on the health system. Objective: The objective of this study was to evaluate the feasibility of telephone-based follow-up in a cohort of headache patients in India. Materials and Methods: This was a longitudinal cohort study of patients with episodic headache with one physical visit in the neurology outpatient services in the last year. Two neurologists conducted the telephone follow up (TFU) of included patients 12 weeks apart. We evaluated the following: (1) objective characterization of headache, (2) coexistent depression and anxiety, (3) patient satisfaction, (4) treatment adherence, and (5) changes in medications. Results: A total of 214 out of 274 eligible patients were included in the cohort. The mean age was 31.74 ± 7.77 years (18–45), and 164 (77%) were females. Migraine without aura was the most common diagnosis in 159 (74%). The mean disease duration was 78.01 ± 70.15 months (8–360). Concurrent depression and anxiety were noted in 87 (40.6%) and 45 (21%) of the patients, respectively. There was a significant improvement in the headache frequency (23.82 vs. 1.06, P < 0.001), severity (7.21 vs. 2.62, P = 0.032), and Headache Impact 6-item score (58.12 vs. 38.01, P = 0.014) at baseline and second follow-up. The satisfaction level to TFU in the first and second interviews was 94.4% and 97.2%, respectively. Conclusion: Telephone-based follow-up is a feasible alternative for repeat outpatient consultation of headache patients.http://www.ijph.in/article.asp?issn=0019-557X;year=2023;volume=67;issue=4;spage=599;epage=605;aulast=Rayfeasibilityheadacheheadache impact test-6medication adherence rating scaleteleconsultation |
| spellingShingle | Sucharita Ray Sulabh Tiwari Kamalesh Chakravarty Sahil Mehta Jitupam Baishya Vivek Lal Feasibility and efficacy of telephone based follow-up in patients with headache - A longitudinal cohort study Indian Journal of Public Health feasibility headache headache impact test-6 medication adherence rating scale teleconsultation |
| title | Feasibility and efficacy of telephone based follow-up in patients with headache - A longitudinal cohort study |
| title_full | Feasibility and efficacy of telephone based follow-up in patients with headache - A longitudinal cohort study |
| title_fullStr | Feasibility and efficacy of telephone based follow-up in patients with headache - A longitudinal cohort study |
| title_full_unstemmed | Feasibility and efficacy of telephone based follow-up in patients with headache - A longitudinal cohort study |
| title_short | Feasibility and efficacy of telephone based follow-up in patients with headache - A longitudinal cohort study |
| title_sort | feasibility and efficacy of telephone based follow up in patients with headache a longitudinal cohort study |
| topic | feasibility headache headache impact test-6 medication adherence rating scale teleconsultation |
| url | http://www.ijph.in/article.asp?issn=0019-557X;year=2023;volume=67;issue=4;spage=599;epage=605;aulast=Ray |
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