{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T16:46:53Z","timestamp":1783183613884,"version":"3.54.6"},"reference-count":7,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T00:00:00Z","timestamp":1621555200000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We sought to investigate the patient experience of telemedicine for headache care during the coronavirus disease 2019 (COVID\u201019) pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The use of telemedicine has rapidly expanded and evolved since the beginning of the COVID\u201019 pandemic. Telemedicine eliminates the physical and geographic barriers to health care, preserves personal protective equipment, and prevents the spread of COVID\u201019 by allowing encounters to happen in a socially distanced way. However, few studies have assessed the patient perspective of telemedicine for headache care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The American Migraine Foundation (AMF) designed a standardized electronic questionnaire to assess the patient experience of telemedicine for headache care between March and September 2020 to help inform future quality improvement as part of its patient advocacy initiative. The date parameters were identified as the emergence of severe acute respiratory syndrome coronavirus 2 disease and the declaration of a national emergency in the United States. The questionnaire was distributed electronically to more than 100,000 members of the AMF community through social media platforms and the AMF email database.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1172 patients responded to our electronic questionnaire, with 1098 complete responses. The majority, 1081\/1153 (93.8%) patients, had a previous headache diagnosis prior to the telemedicine encounter. A total of 648\/1127 (57.5%) patients reported that they had used telemedicine for headache care during the study period. Among those who participated in telehealth visits, 553\/647 (85.5%) patients used it for follow\u2010up visits; 94\/647 (14.5%) patients used it for new patient visits. During the telemedicine encounters, 282\/645 (43.7%) patients were evaluated by headache specialists, 222\/645 (34.4%) patients by general neurologists, 198\/645 (30.7%) patients by primary care providers, 73\/645 (11.3%) patients by headache nurse practitioners, and 21\/645 (3.2%) patients by headache nurses. Only 47\/633 (7.4%) patients received a new headache diagnosis from telemedicine evaluation, whereas the other 586\/633 (92.6%) patients did not have a change in their diagnoses. During these visits, a new treatment was prescribed for 358\/636 (52.3%) patients, whereas 278\/636 (43.7%) patients did not have changes made to their treatment plan. The number (%) of patients who rated the telemedicine headache care experience as \u201cvery good,\u201d \u201cgood,\u201d \u201cfair,\u201d \u201cpoor,\u201d and \u201cother\u201d were 396\/638 (62.1%), 132\/638 (20.7%), 67\/638 (10.5%), 23\/638 (3.6%), and 20\/638 (3.1%), respectively. Detailed reasons for \u201cother\u201d are listed in the manuscript. Most patients, 573\/638 (89.8%), indicated that they would prefer to continue to use telemedicine for their headache care, 45\/638 (7.1%) patients would not, and 20\/638 (3.1%) patients were unsure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our study evaluating the patient perspective demonstrated that telemedicine facilitated headache care for many patients during the COVID\u201019 pandemic, resulting in high patient satisfaction rates, and a desire to continue to use telemedicine for future headache care among those who completed the online survey.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/head.14110","type":"journal-article","created":{"date-parts":[[2021,5,22]],"date-time":"2021-05-22T02:53:41Z","timestamp":1621652021000},"page":"734-739","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Patient experience of telemedicine for headache care during the COVID\u201019 pandemic: An American Migraine Foundation survey study"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7802-7172","authenticated-orcid":false,"given":"Chia\u2010Chun","family":"Chiang","sequence":"first","affiliation":[{"name":"Department of Neurology Mayo Clinic Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashmi","family":"Halker Singh","sequence":"additional","affiliation":[{"name":"Department of Neurology Mayo Clinic Scottsdale AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nim","family":"Lalvani","sequence":"additional","affiliation":[{"name":"American Migraine Foundation Mount Royal NJ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Shubin Stein","sequence":"additional","affiliation":[{"name":"Department of Neurology Northwell Health, Zucker School of Medicine Hempstead NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Henscheid Lorenz","sequence":"additional","affiliation":[{"name":"Lorenz &amp; Kopf LLC Scottsdale AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Lay","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Toronto Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W.","family":"Dodick","sequence":"additional","affiliation":[{"name":"Department of Neurology Mayo Clinic Scottsdale AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence C.","family":"Newman","sequence":"additional","affiliation":[{"name":"Department of Neurology New York University Langone Medical Center New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1212\/WNL.0000000000008708","article-title":"Telemedicine in neurology: Telemedicine Work Group of the American Academy of Neurology update","volume":"94","author":"Hatcher\u2010Martin JM","year":"2019","journal-title":"Neurology"},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"1577","DOI":"10.1177\/0333102419868250","article-title":"A randomized trial of telemedicine for migraine management","volume":"39","author":"Friedman DI","year":"2019","journal-title":"Cephalalgia"},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1111\/ene.13294","article-title":"Headache patients\u2019 satisfaction with telemedicine: a 12\u2010month follow\u2010up randomized non\u2010inferiority trial","volume":"24","author":"M\u00fcller KI","year":"2017","journal-title":"Eur J Neurol"},{"key":"e_1_2_8_5_1","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1186\/s10194-020-01208-0","article-title":"Migraine remains second among the world\u2019s causes of disability, and first among young women: findings from GBD2019","volume":"21","author":"Steiner TJ","year":"2020","journal-title":"J Headache Pain"},{"key":"e_1_2_8_6_1","first-page":"1990","article-title":"Burden of neurological disorders across the US from 1990\u20132017","volume":"78","author":"Feigin VL","year":"2021","journal-title":"JAMA Neurol"},{"key":"e_1_2_8_7_1","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1212\/WNL.0000000000004085","article-title":"A randomized trial of telemedicine efficacy and safety for nonacute headaches","volume":"89","author":"M\u00fcller KI","year":"2017","journal-title":"Neurology"},{"key":"e_1_2_8_8_1","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1111\/head.13810","article-title":"Migraine care in the era of COVID\u201019: clinical pearls and plea to insurers","volume":"60","author":"Szperka CL","year":"2020","journal-title":"Headache"}],"container-title":["Headache: The Journal of Head and Face Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/head.14110","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/head.14110","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/head.14110","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T08:39:57Z","timestamp":1762072797000},"score":1,"resource":{"primary":{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/10.1111\/head.14110"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1111\/head.14110"],"URL":"https:\/\/doi.org\/10.1111\/head.14110","archive":["Portico"],"relation":{},"ISSN":["0017-8748","1526-4610"],"issn-type":[{"value":"0017-8748","type":"print"},{"value":"1526-4610","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5]]},"assertion":[{"value":"2021-01-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}