Key result
In an online survey of migraine patients, only 37.6% complied with prescribed prophylactic treatment, and adherence was significantly associated with the number of migraine days per month (p=0.019).
Why the study?
Patient needs, drug intake patterns, and adherence to therapy are significant challenges in the management of migraine patients.
Cross-Sectional (n=1,598)
p-value: p=0.019
The study highlights a low medical referral rate for headaches, high rates of self-medication, and poor adherence to prophylactic migraine therapy among Russian internet users.
Poor adherence to migraine prophylaxis, especially with frequent attacks, merits clinical attention; this survey finding is hypothesis-generating and requires prospective validation.
Patient needs, drug intake patterns, and adherence to therapy are significant challenges in the management of migraine patients. Objective : to identify drug treatment needs, drug use patterns and adherence factors in migraine patients. Patients and methods . An online survey was conducted among Internet users through social networks (Instagram, Facebook, Vkontakte) from 01/22/2020 to 02/22/2020. The selection of respondents was based on an anamnesis of headaches and passing the ID Migraine screener. One thousand five hundred ninety-eight individuals (93.8% women and 6.2% men) aged 18—39years participated in the survey. Results and discussion . Among 1598 participants, 1490 experienced any headache, 937 respondents noted migraine symptoms, and 542 (58.4%) had a migraine diagnosis. 899 (96%) of responders used medications to relieve headaches, and in 59% of them drugs were self-prescribed. 125 (13%) patients received prophylactic therapy for migraine, of which only 47 (37.6%) complied with the prescribed treatment. We found a significant (p=0.019) association between the degree of adherence to therapy and the number of days with migraine. Conclusion . The study revealed a low referral rate in patients with headaches. In addition, more than half self-prescribed the drug for headache relief, and only a third of patients complied with the prescribed prophylactic treatment.
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Kovalchuk et al. (2021) conducted a cross-sectional in Migraine (n=1,598). Prophylactic therapy for migraine was evaluated on Compliance with prescribed prophylactic treatment (p=0.019). In an online survey of migraine patients, only 37.6% complied with prescribed prophylactic treatment, and adherence was significantly associated with the number of migraine days per month (p=0.019).
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