Abstract Details

Title Online CME-certified Case Challenges in Migraine Increase Knowledge and Competence Among Neurologists and PCPs

Topic Education, Research, and Methodology

Presentation(s) P12 - Poster Session 12 (5:30 PM-6:30 PM)

Poster/Presentation
Number 7-004

Background Migraine is a severe, disabling neurologic disorder that significantly affects health-related quality of life. Primary care and neurology clinicians often manage patients with migraine and previous data indicate that providers in both settings could benefit from additional migraine education, particularly relating to preventive migraine therapies.

Objective

We investigated whether an online case-based medical educational activity could improve the knowledge and competence of PCPs and neurologists in the diagnosis and management of migraine.

Design/Methods

We created two patient case scenarios in an online, interactive, text-based CME activity. Using a “test and teach” methodology, clinicians completed multiple-choice questions to test their application of evidence-based recommendations. Detailed, referenced, feedback followed each response. Educational effect was evaluated through a repeated pairs pre- vs post-assessment of responses linked to individual learners, allowing each learner to act as his/her own control. A paired-samples t-test assessed statistical significance to the paired pre-vs post education responses. Cohen’s d was used to calculate the effect size of the intervention. Data was collected from May 5, 2021 - July 13, 2021.

Results Participation in the education resulted in a moderate educational effect for neurologists (n=402; d =.62; P <.001) and a large educational effect for PCPs (n=586; d=.87; P <.001). Significant increases in knowledge and competence for both clinician groups occurred in the following areas (P <.05 for all comparisons): identification of migraine characteristics; identifying candidates for preventive therapy based on American Headache Society recommendations; the personalized selection of an anti-CGRP monoclonal antibody for migraine prevention. 23% of neurologists and 35% of PCPs reported improved confidence regarding the ability to personalize the selection of a preventive migraine therapy

Conclusions

A targeted, online, interactive, case-based educational intervention improved the ability of PCPs and neurologists to identify and effectively manage patients with migraine. Future education should continue to address clinical decision-making in the management of migraine.

Authors/Disclosures
Thomas Finnegan, Jr., PhD (Medscape Education) PRESENTER	Dr. Finnegan has nothing to disclose.
John Maeglin (Medscape Education)	Mr. Maeglin has nothing to disclose.
	No disclosure on file
Deborah I. Friedman, MD, MPH, FAAN	Dr. Friedman has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Eli Lilly. Dr. Friedman has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Lundbeck. Dr. Friedman has received personal compensation in the range of $0-$499 for serving as a Consultant for Satsuma. Dr. Friedman has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Linpharma. Dr. Friedman has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Pfizer. Dr. Friedman has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Axsome. Dr. Friedman has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Lundbeck. Dr. Friedman has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for Impel. Dr. Friedman has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for Abbvie. Dr. Friedman has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Neurology Reviews. Dr. Friedman has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for MedLink Neurology . The institution of Dr. Friedman has received research support from Spinal CSF Leak Foundation. Dr. Friedman has a non-compensated relationship as a Program Co-Chair, Scottsdale Headache Symposium with American Headache Society that is relevant to AAN interests or activities. Dr. Friedman has a non-compensated relationship as a Medical Advisor with Spinal CSF Leak Foundation that is relevant to AAN interests or activities. Dr. Friedman has a non-compensated relationship as a Treasurer, Board of Directors with Southern Headache Society that is relevant to AAN interests or activities.