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P.024 Educational needs in migraine care: results from a mixed-methods study among Canadian primary care providers and specialists

Published online by Cambridge University Press:  27 June 2018

S Peloquin
Affiliation:
(Brossard)
E Leroux
Affiliation:
(Calgary)
G Shapero
Affiliation:
(Markham)
S Labbe
Affiliation:
(Brossard)
S Murray
Affiliation:
(Brossard)
DW Dodick
Affiliation:
(Phoenix)
W Becker
Affiliation:
(Calgary)
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Abstract

Background: Migraines are sub-optimally treated, affect millions of Canadians, and are underrepresented in medical training. A study was conducted to identify the needs of Canadian Healthcare Providers (HCPs) for migraine education, with the aim to inform the development of learning activities. Methods: This ethics-approved study was deployed in two consecutive phases using a mixed-methods approach. Phase 1 (qualitative) explored the causes of challenges to migraine care via a literature review, input from an expert working group, and semi-structured interviews with multiple stakeholders. Phase 2 (quantitative) validated these causes using an online survey. Results: The study included 103 participants (28 in phase 1; 75 in phase 2): general practitioners=37; neurologists=24; nurses=14; pharmacists=20; administrators, policy influencers and payers=8. Four areas of sub-optimal knowledge were identified: (1) Canadian guidelines, (2) diagnostic criteria, (3) preventive treatment, and (4) non-pharmacological therapies. Attitudinal issues related to the management of migraine patients were also identified. Detailed data including the frequencies of knowledge gaps among general practitioners and general neurologists will be presented along with qualitative findings. Conclusions: Educational activities for general practitioners and general neurologists who treat patients with migraines should be designed to address the four educational needs described in this study.

Type
POSTER PRESENTATIONS
Copyright
© The Canadian Journal of Neurological Sciences Inc. 2018 

This study was financially supported with education research funds from TEVA Canada.