| Autor: |
van der Arend BWH; Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands., Holwerda LJ; Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands., Verhagen IE; Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands., van Casteren DS; Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands., Timmers T; Interactive Studios, 's-Hertogenbosch, The Netherlands., Terwindt GM; Department of Neurology, Leiden University Medical Center, Leiden, The Netherlands. |
| Jazyk: |
angličtina |
| Zdroj: |
Telemedicine journal and e-health : the official journal of the American Telemedicine Association [Telemed J E Health] 2024 Nov; Vol. 30 (11), pp. 2696-2703. Date of Electronic Publication: 2024 Jul 15. |
| DOI: |
10.1089/tmj.2024.0105 |
| Abstrakt: |
Background: Telemedicine offers a promising solution to enhance the delivery and personalization of headache care. Integrating electronic (e-)tools enables the objective monitoring of migraine. Objectives: This study aims to demonstrate the relevance of e-tools for personalized headache care, assess patient and caregiver compliance and satisfaction, and present their use in enhancing care. Methods: Firstly, a systematic review was performed to validate the diagnostic accuracy of e-diaries for diagnosing migraine. Secondly, we collected e-diary data prospectively from diagnosed adult migraine patients at the Leiden Headache Center. Finally, questionnaires were sent to evaluate satisfaction of patients and health care providers with the Leiden e-headache diary and video consultations. Results: In the systematic review, the Leiden Headache Center's e-diary was the only validated tool. Patients ( n = 1,009) were followed for a median of 181 days (interquartile range [IQR] 84-240). Compliance was 96.4% (IQR 85.2 - 99.1%), with 10.8% of days missing. Factors positively associated with compliance were older age ( p < 0.001), female sex ( p < 0.001), higher e-diary grade ( p < 0.001), and clinical use ( p = 0.04). The e-diary received a median score of 8/10 and was well-liked by patients ( n = 535) and providers ( n = 23). Video consultations were a good alternative for physical visits according to 76.9% of patients and 84.6% of providers. Conclusion: Validated e-headache diaries and video consultations in telemedicine enhance headache care accessibility, providing convenient care at preferred times and locations. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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