Abstract Details

Title Clinician Perspectives on Remote Monitoring for Patients with Headache Disorders

Topic Headache

Presentation(s) P8 - Poster Session 8 (11:45 AM-12:45 PM)

Poster/Presentation
Number 2-005

Objective

We assessed headache providers’ viewpoints on the potential for remote access to patients’ headache data and its practical utilization.

Background With the ubiquitous nature of electronic medical records (EMR) and the existence of remote monitoring (RM) for many medical conditions, there is now potential for RM data for patients with headache disorders. While patients are asked to utilize headache diaries, clinicians may or may not have access to the data and the time to review it prior to patient visits, and their perspectives regarding this emerging technology are currently unknown.

Design/Methods

We conducted semi-structured virtual interviews with 20 headache providers, transcribed them and conducted qualitative analysis using grounded theory.

Results

All providers felt that the RM data would need to be integrated into the EMR. In speaking with them, six themes emerged: (1) Clinician Perspectives on how RM could be beneficial but at other times could create obstacles/challenges (subthemes: Clinician Obstacles, Clinician use of RM for visits, Concern for Data Accuracy), (2) How operationally it could benefit Headache Care (subthemes: Efficiency, Visit Time, Improvement in Clinical Care, Patient Satisfaction), (3) Initial Logistics of Bringing RM into clinical practice (subthemes: The institutions themselves, the IT department, Privacy/Security, Integration into the EMR, data readability and visualization), (4) Considerations for education to be provided to both patients and clinicians, (5) How RM could be useful in research, and (6) Additional suggestions for considering the potential integration of RM into practice.

Conclusions While headache providers had mixed opinions on the benefits/challenges of RM in Neurological care, patient satisfaction, and visit time, new ideas emerged that may advance clinical RM. Specifically, RM may capture headache pattern nuances, allow assessment of medication adherence and efficacy, and/or improve coordination of care across headache providers.

Authors/Disclosures
Aarti R. Katara PRESENTER	Ms. Katara has nothing to disclose.
	No disclosure on file
Alexis George (NYU Langone Health)	Ms. George has nothing to disclose.
	No disclosure on file
	No disclosure on file
Ishah Yusaf, Other (NYU Langone Health)	Ms. Yusaf has nothing to disclose.
Khushalee Oza	Miss Oza has nothing to disclose.
	No disclosure on file
Mia T. Minen, MD, FAAN (NYULMC Neurology)	The institution of Dr. Minen has received research support from NIH. Dr. Minen has received intellectual property interests from a discovery or technology relating to health care. Dr. Minen has received personal compensation in the range of $500-$4,999 for serving as a First Contact-Primary Care Advisory Board Member with American Headache Society . Dr. Minen has received personal compensation in the range of $500-$4,999 for serving as a Consultant for PCORI grant on migraine evidence based map for stakeholders with ECRI .

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