{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T08:27:38Z","timestamp":1762072058670,"version":"build-2065373602"},"reference-count":44,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T00:00:00Z","timestamp":1726185600000},"content-version":"vor","delay-in-days":0,"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":[[2025,4]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Studies show interdisciplinary treatment is highly effective for addressing chronic pain syndromes, including headache disorders. Increasingly, advanced practice pharmacists work collaboratively with physicians to apply their unique skills to enhance patient outcomes.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This qualitative study aimed to elucidate the potential in the Veterans Health Administration (VHA) for increased roles of clinical pharmacist practitioners (CPPs)\u2014advanced practice pharmacists with a scope of practice\u2014in collaborative, interdisciplinary headache care teams. Our research question was: How do CPPs integrate with interdisciplinary headache care teams in Headache Centers of Excellence (HCoE) and non\u2010HCoE VHA facilities, and how can their roles be configured to optimize headache specialty care services?<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This cross\u2010sectional qualitative study used purposive sampling to recruit CPPs providing headache care within HCoEs and in non\u2010HCoE VHA facilities for virtual, recorded, individual interviews. Multi\u2010stage qualitative data analysis entailed: team discussions; immersion\/crystallization for close reading of transcripts to identify emerging patterns of HCoE\/non\u2010HCoE comparison of CPPs\u2019 experiences; team data sorting using spreadsheets; and further immersion into sorted data for final identification of comparisons and interpretation of the data.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 15 CPPs involved in headache care were interviewed, with about half working in HCoEs and half in non\u2010HCoE VHA facilities across the United States. CPPs\u2019 roles within and outside HCoEs have considerable overlap as both groups co\u2010manage patients with headache with physicians. CPPs have independent and collaborative responsibilities as they extend headache specialists\u2019 services by providing direct patient care and referring to additional providers for headache treatment. When their roles differ within and outside HCoEs it is largely due to level of integration on interdisciplinary headache or pain teams. CPPs in HCoEs collaborate with headache neurologists and interdisciplinary teams; some outside HCoEs do as well, while others work with primary care. CPPs\u2019 weekly time dedicated specifically to headache tends to be greater in HCoEs. Nevertheless, most interviewees in both groups stated patient need exceeds CPP availability at their facilities for conducting detailed chart reviews, initial visits to understand the context of patients\u2019 headache, and scheduled follow\u2010ups over time to monitor and adjust treatment. CPPs also consult with and educate physicians on headache pharmacy, particularly regarding appropriate use of non\u2010formulary medications.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Findings from this study suggest that CPPs\u2019 roles in headache care are valuable to clinical colleagues and their patients and should be leveraged and expanded within HCoEs and non\u2010HCoE VHA facilities. When substantively integrated into interdisciplinary headache care teams, CPPs offer unique knowledge, headache management and patient behavior change skills, extend headache specialists\u2019 services, and provide both patient and physician education. These combined responsibilities contribute to enhancing patient outcomes and facilitating ongoing access to high quality, evidence\u2010based headache care.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/head.14834","type":"journal-article","created":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T10:42:06Z","timestamp":1726224126000},"page":"631-642","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of clinical pharmacist practitioners\u2019 headache care roles across clinical contexts within the Veterans Health Administration: Optimizing pharmacist integration"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7801-0530","authenticated-orcid":false,"given":"Roberta E.","family":"Goldman","sequence":"first","affiliation":[{"name":"Alpert Medical School of Brown University Providence Rhode Island USA"},{"name":"Department of Veterans Affairs Veterans Health Administration Headache Center of Excellence (HCoE) Indianapolis Indiana USA"},{"name":"Harvard T.H. Chan School of Public Health Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa M.","family":"Damush","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs Veterans Health Administration Headache Center of Excellence (HCoE) Indianapolis Indiana USA"},{"name":"Indiana University School of Medicine Indianapolis Indiana USA"},{"name":"Richard L. Roudebush VA Medical Center Indianapolis Indiana USA"},{"name":"Regenstrief Institute Inc. Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander B.","family":"Guirguis","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs Veterans Health Administration Headache Centers of Excellence (HCoE) Orange Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivia","family":"Datre","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs Veterans Health Administration Headache Centers of Excellence (HCoE) Orange Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean A.","family":"Baird","sequence":"additional","affiliation":[{"name":"Richard L. Roudebush VA Medical Center Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason J.","family":"Sico","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs Veterans Health Administration Headache Centers of Excellence (HCoE) Orange Connecticut USA"},{"name":"Department of Neurology Yale School of Medicine New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,9,13]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"1181","DOI":"10.1177\/0333102415617413","article-title":"Integrated multidisciplinary care of headache disorders: a narrative review","volume":"36","author":"Gaul C","year":"2016","journal-title":"Cephalalgia"},{"key":"e_1_2_12_3_1","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1007\/s10194-012-0469-y","article-title":"Multidisciplinary integrated headache care: a prospective 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