Applying the benefits of the AwM study in the clinic

Cephalalgia : an International Journal of Headache
David W Dodick

Abstract

The Act when Mild (AwM) Study has illustrated the benefits to migraineurs of taking triptan medication when their migraine pain is still mild and within 1 h of the onset of symptoms. Yet many patients wait until the attack has fully developed before taking their medication, with potentially inferior outcomes. In order to reproduce the benefits of early intervention using the AwM paradigm in daily practice, a number of key barriers need to be addressed at both the physician and patient level. Notable physician-related barriers to be overcome, particularly at the primary care level, include accuracy of an early diagnosis of migraine in newly presenting patients, communication skills that generate a therapeutic engagement with migraine patients and enhance patient confidence, the application of knowledge about up-to-date strategies to optimize treatment outcomes, and the setting of achievable goals to avoid unrealistic expectations. Patient-related obstacles that need to be identified and overcome encompass patient attitude, expectations, and behaviour. Migraine patients may be reluctant to consult their physician, and, of those who do, many stop consulting because they perceive that physicians can do little to improve their situa...Continue Reading

References

Mar 15, 2003·JAMA : the Journal of the American Medical Association·Robert Kaniecki
Aug 13, 2003·Neurology·R B LiptonUNKNOWN ID Migraine validation study
Aug 30, 2003·Clinical Therapeutics·Maria Angeles Ceballos HernansanzUNKNOWN START 10 Study Group
Apr 28, 2004·Headache·Roger K CadyFred D Sheftell
Nov 23, 2006·Headache·William Pryse-PhillipsKeith Wilson
Sep 6, 2008·Cephalalgia : an International Journal of Headache·J Pascual
Sep 6, 2008·Cephalalgia : an International Journal of Headache·A Gendolla
Sep 6, 2008·Cephalalgia : an International Journal of Headache·P J Goadsby

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Citations

Sep 6, 2008·Cephalalgia : an International Journal of Headache·P J Goadsby
Jan 20, 2010·Cephalalgia : an International Journal of Headache·D Valade
Nov 3, 2012·Drugs·Ryan J CadyRoger K Cady
Mar 2, 2010·Expert Review of Neurotherapeutics·Fabio AntonaciMarta Allena
Oct 15, 2010·Expert Review of Neurotherapeutics·Julio PascualCaroline C McGown
Nov 6, 2009·Current Pain and Headache Reports·Teshamae S Monteith, Michael L Oshinsky
Sep 22, 2010·Cephalalgia : an International Journal of Headache·Josh TorgovnickEdward Arsura
Sep 10, 2015·Cephalalgia : an International Journal of Headache·Raquel Gil-GouveiaIsabel Pavão Martins
Jul 22, 2010·Cephalalgia : an International Journal of Headache·Fred SheftellRichard B Lipton
Jul 31, 2016·Current Pain and Headache Reports·Melissa T StoneRonald J Kulich

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