Medication adherence in patients with cluster headache and migraine: an online survey.

Adult Humans Cluster Headache / drug therapy Migraine Disorders / therapy Medication Adherence Headache Surveys and Questionnaires

Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
20 03 2023
Historique:
received: 20 10 2022
accepted: 02 03 2023
entrez: 21 3 2023
pubmed: 22 3 2023
medline: 23 3 2023
Statut: epublish

Résumé

To examine factors for adherent and non-adherent behavior in patients with cluster headache and migraine. Adults with cluster headache or migraine were included in this anonymous online survey using a questionnaire accessed via homepages of headache support groups. Medication adherence in preventive treatment was measured with the Medication Adherence Report Scale (MARS-D). Factors for non-adherent behavior were examined (subjective socioeconomic status, psychological comorbidities, self-efficacy, coping, side effects, expectations of treatment, information on medical treatment, and trust in the physician/treatment concept). 200 participants (n = 58 with cluster headache, n = 142 with migraine) were included. The rate of medication adherence in preventive treatment was 32.8% for participants with cluster headache and 20.4% for migraine. The most common reasons for low adherence in participants with cluster headache were altering the prescribed medication dose (34%) or taking less than instructed (14%), which was mostly due to insufficient benefit from the medication or side effects. Positive expectations of medical treatment (p ≤ 0.05) correlated significantly with adherent behavior in cluster headache. Furthermore, the adherence-promoting factors coping and self-efficacy were more pronounced in patients with cluster headache than in those with migraine (p < 0.05). This study is the first to comprehensively investigate medication adherence and factors influencing adherent/non-adherent behavior in patients with cluster headache. Patients with cluster headache had similar adherence levels to patients with migraine, but had higher resources of adherence-promoting factors.

Identifiants

DOI: 10.1038/s41598-023-30854-y PMID: 36941306 PMC: PMC10027659
pubmed: 36941306
doi: 10.1038/s41598-023-30854-y
pii: 10.1038/s41598-023-30854-y
pmc: PMC10027659
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

4546

Informations de copyright

© 2023. The Author(s).

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Auteurs

Florian Rimmele (F)

Department of Neurology, University Medical Center Rostock, University of Rostock, Gehlsheimer Str. 20, 18147, Rostock, Germany. florian.rimmele@med.uni-rostock.de.
Headache Center North-East, University Medical Center Rostock, Gehlsheimer Str. 20, 18147, Rostock, Germany. florian.rimmele@med.uni-rostock.de.

Britta Müller (B)

Institute of Medical Psychology and Medical Sociology, University Medical Center Rostock, Gehlsheimer Str. 20, 18147, Rostock, Germany.

Nadine Becker-Hingst (N)

Institut für Pädagogische Psychologie "Rosa und David Katz", University Rostock, August-Bebel-Str. 28, 18051, Rostock, Germany.

Sophia Wegener (S)

Berufsförderungswerk Stralsund GmbH, Große Parower Straße 133, 18435, Stralsund, Germany.

Stefanie Rimmele (S)

Department of Anaesthesia, Krankenhaus Buchholz, Steinbecker Str. 44, 21244, Buchholz, Germany.

Peter Kropp (P)

Institute of Medical Psychology and Medical Sociology, University Medical Center Rostock, Gehlsheimer Str. 20, 18147, Rostock, Germany.
Headache Center North-East, University Medical Center Rostock, Gehlsheimer Str. 20, 18147, Rostock, Germany.

Tim P Jürgens (TP)

Department of Neurology, University Medical Center Rostock, University of Rostock, Gehlsheimer Str. 20, 18147, Rostock, Germany.
Headache Center North-East, University Medical Center Rostock, Gehlsheimer Str. 20, 18147, Rostock, Germany.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Medication adherence in patients with cluster...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Medication adherence in patients with cluster...
questionsmedicales.fr › Maladies du système nerveux › Maladies du système nerveux central › Encéphalopathies › Céphalées › Céphalées primitives › Céphalalgies autonomes du trijumeau › Algie vasculaire de la face › Medication adherence in patients with cluster...
questionsmedicales.fr › Maladies du système nerveux › Maladies du système nerveux central › Encéphalopathies › Céphalées › Céphalées primitives › Migraines › Medication adherence in patients with cluster...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Attitude envers la santé › Adhésion et observance thérapeutiques › Acceptation des soins par les patients › Observance par le patient › Adhésion au traitement médicamenteux › Medication adherence in patients with cluster...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Céphalée › Medication adherence in patients with cluster...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Medication adherence in patients with cluster...