The First Case Series From Japan of Primary Headache Patients Treated by Completely Online Telemedicine

Katsuki, Masahito

doi:10.7759/cureus.31068

Cited by 12 publications

(12 citation statements)

References 29 publications

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“…Also, our materials used for awareness-raising can be installed into smartphone applications of headache diary 23,24 and further spread on SNS, leading to strong influence. Furthermore, with rapid digital transformations such as online telemedicine 25 and artificial intelligence diagnosis, 26 raising awareness will be more efficient and effective and should be important.…”

Section: Discussionmentioning

confidence: 99%

Headache Education by E-learning Through Social Networking Services

Katsuki¹,

Nanri²,

Miyakoshi³

et al. 2023

Preprint

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Introduction Headache is a common public health problem, but its burden could be avoided by raising headache awareness and the appropriate use of acute medication and prophylactic medication. Few reports on raising headache awareness in the general public have been reported, and there are no reports on headache awareness campaigns through social networking services (SNS), or social media, in Japan. We prospectively performed a headache awareness campaign from March 2022 through 2 SNS, targeting nurse and wind instrumental musicians, because they are with high headache prevalence. Methods Through the 2 SNS, the article and video were distributed, respectively. The article and video described the 6 important topics for the general public about headaches, which were described in the Clinical Practice Guideline for Headache Disorders 2021. Just after reading or watching them as e-learning, we performed online questionnaire sheets to investigate the awareness of the 6 topics through the 2 SNS. The awareness of the 6 topics before and after the campaign was evaluated. Results In the SNS nurse-senka, we obtained 1191 responses. Women comprised 94.4%, and the median (range) age was 45 (20 to 71) years old. Headache sufferers were 63.8%, but only 35.1% had consulted doctors. In the SNS Creatone, we got the response from 134 professional musicians, with 77.3% of women. The largest number of respondents were in their 20s (range 18-60 years old). Headache sufferers were 87.9%. Of them, 36.4% had consulted doctors, 24.2% were medication-overuse headache. The ratios of individuals who were aware of the 6 topics significantly increased from 15.2%-47.0% to 80.4-98.7% after the online questionnaire in both SNS (p < 0.001, all). Conclusions We conducted this headache awareness campaign through e-learning and an online survey via 2 SNS. The ratios of individuals who were aware of the 6 topics about headaches significantly increased 1 month after e-learning. Our results suggest that e-learning and online survey can improve headache awareness. The materials in this campaign can be installed into smartphone applications and further spread on SNS, leading to strong influence. With rapid digital transformations such as online telemedicine and artificial intelligence diagnosis, raising awareness will be more efficient and effective and should be important.

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Section: Discussionmentioning

confidence: 99%

Headache Education by E-learning Through Social Networking Services

Katsuki¹,

Nanri²,

Miyakoshi³

et al. 2023

Preprint

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“…Also, our method of raising awareness is online and does not directly utilize human materials. It could be used to further raise awareness in areas where telestroke is being done, such as telemedicine [ 20 ] and remote island medicine [ 21 ]. Correcting regional disparities in stroke care by healthcare providers and medical resources is of course important, but updating residents' knowledge will also need to be done in parallel.…”

Section: Discussionmentioning

confidence: 99%

School-Based Stroke Education Through On-Demand E-learning During Coronavirus Disease 2019 Pandemic: Itoigawa Stroke Awareness Campaign

Katsuki¹,

Kawahara²,

Senda³

et al. 2023

Cureus

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IntroductionRaising stroke awareness is important to shorten the interval from onset to consultation. We performed a school-based stroke education by on-demand e-learning during the coronavirus disease 2019 pandemic. MethodsWe performed on-demand e-learning and distributed the online-and paper-based manga about stroke for students and parental guardians in August 2021. We carried out this in a manner similar to the prior effective online stroke awareness initiatives in Japan. An online post-educational survey in October 2021 was conducted to evaluate the awareness effects by asking participants about their knowledge. We also investigated the modified Rankin Scale (mRS) at the discharge of stroke patients who were treated in our hospital during the before-and after-campaign periods, respectively. ResultsWe distributed the paper-based manga and asked to work on this campaign to all 2,429 students (1,545 elementary school and 884 junior high school students) who lived in Itoigawa. We acquired 261 (10.7%) online responses from the students and 211 (8.7%) responses from their parental guardians. The number of students who chose all correct answers in the survey significantly increased after the campaign (205/261, 78.5%) compared to that before the campaign (135/261, 51.7%) and those of parental guardians showed similar trends (before campaign 93/211, 44.1%; after campaign 198/211, 93.8%). We investigated 282 stroke patients (90 patients before and 192 patients after-campaign period), and their mRS at discharge aftercampaign seemed to be improved. ConclusionOnly 10.7% of students and 8.7% of the parental guardians worked on the online survey. However, the number of those who chose correct answers about stroke increased after the campaign. After this campaign, the mRS of stroke patients at discharge improved although it was unclear if this is a direct result of this activity.

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“…The high proportions of answers of "Because taking time off from work or school to see a doctor would cause inconvenience to others," "Because I cannot take time to visit a hospital during the daytime on weekdays," and "Because doctors and co-medical staff will not be kind to me even if I go to the hospital" suggest a need for a system in which patients can consult doctors outside of weekday hours and general physicians appropriately diagnose and treat patients. In January 2022, online medical care officially started in Japan, 39,40 and an artificial intelligence-supported diagnosis system has been studied. 41 Our results should further encourage improving the efficiency and availability of headache care through this digitalization.…”

Section: Future Perspectivementioning

confidence: 99%

Headache education by leaflet distribution during COVID‐19 vaccination and school‐based on‐demand e‐learning: Itoigawa Geopark Headache Awareness Campaign

Katsuki¹,

Matsumori²,

Kawahara³

et al. 2023

Headache

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Objective: We prospectively performed the Itoigawa Headache Awareness Campaign from August 2021 to June 2022, with two main interventions, and evaluated its effectiveness.Background: Headache is a common public health problem, but its burden could be reduced by raising awareness about headache and the appropriate use of acute and prophylactic medication. However, few studies on raising headache awareness in the general public have been reported. Methods:The target group was the general public aged 15-64. We performed two main interventions synergistically supported by other small interventions. Intervention 1 included leaflet distribution and a paper-based questionnaire about headache during COVID-19 vaccination, and intervention 2 included on-demand e-learning and online survey through schools. In these interventions, we emphasize the six important topics for the general public that were described in the Clinical Practice Guideline for Headache Disorders 2021. Each response among the two interventions' cohorts was collected on pre and post occasions. The awareness of the six topics before and after the campaign was evaluated. Results: We obtained 4016 valid responses from 6382 individuals who underwent vaccination in intervention 1 and 2577 from 594 students and 1983 parents in intervention 2; thus, 6593 of 20,458 (32.2%) of the overall working-age population in Itoigawa city experienced these interventions. The percentage of individuals' aware of the six topics significantly increased after the two main interventions ranging from 6.6% (39/594)-40.0% (1606/4016) to 64.1% (381/594)-92.6% (1836/1983) (p < 0.001, all). ME THODS Campaign procedureWe performed this headache awareness campaign prospectively

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The First Case Series From Japan of Primary Headache Patients Treated by Completely Online Telemedicine

Cited by 12 publications

References 29 publications

Headache Education by E-learning Through Social Networking Services

Headache Education by E-learning Through Social Networking Services

School-Based Stroke Education Through On-Demand E-learning During Coronavirus Disease 2019 Pandemic: Itoigawa Stroke Awareness Campaign

Headache education by leaflet distribution during COVID‐19 vaccination and school‐based on‐demand e‐learning: Itoigawa Geopark Headache Awareness Campaign

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