The CME activity was a 45-minute video recorded and chapterized program on 5 topics, including: symptom burden, diagnosis, acute medication, preventive medication, and equitable care among in underrepresented populations. The impact of the education was measured with an intent to change survey, a validated surrogate measure for actual changes in clinical practice. 30-60 days after participation in the activity, learners were asked to complete a survey about the type of changes they made in practice based on the education and to identify any barriers to implementation. Data were collected from 2/29/2024 through 9/17/2024.

A total of 74 physicians in the target audience (12 neurologists, 51 PCPs, 1 obstetrician, and 10 other specialists) responded to the survey. Between 69%-87% reported that they have modified or are now integrating the following actions: routinely asking about migraine symptom burden and the number of migraine- and headache-free days per month; consider route of administration when recommending acute medication; counseling patients that 2 hour pain freedom is goal of acute medication treatment, discussing the goals of preventive therapies with patients, and identifying social determinants of health in all patients with migraine. Although 70%-80% of respondents reported having no barriers to implementing any of the changes, lack of time was the most frequently cited (14% selected this) barrier.  

This study provides evidence that online CME encourages multiple physician groups to make practice changes supporting timely diagnosis and appropriate management. Future education should prioritize time-sensitive strategies for diagnosing and managing migraine.