{"title":"Diagnosis and management of headache disorders in osteopathic practice: A qualitative study","authors":"Nicholas Tripodi , Jessica Cordina , Daphne Jaffre , Kali Mason , Georgia McMahon , Bridget Xeureb-Graham , Rachel Yanovsky , Rebecca Wospil","doi":"10.1016/j.ijosm.2022.10.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p><span>Recurring headache disorders are prevalent conditions that have a substantial impact on both individuals’ daily lives and national </span>health systems. Despite being a treatable condition, they remain underdiagnosed and undertreated. Currently, there is little qualitative research that has explored practitioner experiences of diagnosing and managing these disorders.</p></div><div><h3>Objective</h3><p>The aim of this study is to provide novel insight into osteopathic practitioners' qualitative experiences of diagnosing and managing primary headache disorders.</p></div><div><h3>Methods</h3><p>Ten osteopathic clinicians participated in individual semi-structured interviews. These were transcribed and then underwent qualitative thematic analysis.</p></div><div><h3>Results</h3><p>Thematic analysis of the data found five key themes: History Taking, Osteopathic Assessment, Diagnosis, Management and Interprofessional Care, with further sub-themes emerging.</p></div><div><h3>Discussion</h3><p>Participants primarily use history taking and osteopathic examination to develop a diagnosis and management plan. However, due to the multifactorial nature of headache disorders, an accurate diagnosis was reported to be difficult to achieve. Additionally, participants outlined numerous treatment interventions and other health professionals they work with to optimise patient outcomes. Lastly, patient compliance and lack of resources were challenges that practitioners commonly described, with more research and resources being specified as ways to overcome these challenges.</p></div><div><h3>Conclusion</h3><p>Many themes form the basis of the osteopathic diagnosis and management of primary headache disorders. The challenges faced by osteopaths in this clinical area can underpin further research to improve clinician experiences and patient outcomes alike.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"46 ","pages":"Pages 12-18"},"PeriodicalIF":1.1000,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Osteopathic Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S174606892200089X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Recurring headache disorders are prevalent conditions that have a substantial impact on both individuals’ daily lives and national health systems. Despite being a treatable condition, they remain underdiagnosed and undertreated. Currently, there is little qualitative research that has explored practitioner experiences of diagnosing and managing these disorders.
Objective
The aim of this study is to provide novel insight into osteopathic practitioners' qualitative experiences of diagnosing and managing primary headache disorders.
Methods
Ten osteopathic clinicians participated in individual semi-structured interviews. These were transcribed and then underwent qualitative thematic analysis.
Results
Thematic analysis of the data found five key themes: History Taking, Osteopathic Assessment, Diagnosis, Management and Interprofessional Care, with further sub-themes emerging.
Discussion
Participants primarily use history taking and osteopathic examination to develop a diagnosis and management plan. However, due to the multifactorial nature of headache disorders, an accurate diagnosis was reported to be difficult to achieve. Additionally, participants outlined numerous treatment interventions and other health professionals they work with to optimise patient outcomes. Lastly, patient compliance and lack of resources were challenges that practitioners commonly described, with more research and resources being specified as ways to overcome these challenges.
Conclusion
Many themes form the basis of the osteopathic diagnosis and management of primary headache disorders. The challenges faced by osteopaths in this clinical area can underpin further research to improve clinician experiences and patient outcomes alike.
期刊介绍：
The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine.
The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.
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