Multidisciplinary treatment for headache in the Canadian healthcare setting.
OBJECTIVE
Multidisciplinary treatment programs are seen as an effective way to treat patients with chronic illness. The purpose of this study was to describe a multidisciplinary headache program which was developed in the Canadian public healthcare setting, and to report on patient perceptions of the program and patient treatment outcomes.


METHODS
The Calgary Headache Assessment and Management Program (CHAMP) was developed with initial funding from Alberta Health, and continued with function from the Calgary Health Region. Patient perceptions of the program were obtained with questionnaires. Outcome measures for a cohort of patients who completed the Self-Management Workshop were obtained using standard headache related disability measures.


RESULTS
Patient perceptions of the education session, the Lifestyle Assessment, and the Self-Management Workshop were very positive. Headache Disability Inventory scores fell from 56.2 to 46.3 from baseline to three months post Self-Management Workshop (p < .001). Corresponding scores for the HIT-6 were 63.6 and 58.2 (p < .001).


CONCLUSIONS
Multidisciplinary headache treatment programs can be developed in the Canadian public healthcare system. The program described here was well accepted by many patients and perceived to be useful by them. Headache related disability as measured by standard measures was significantly reduced after participation in the program.
Sauro
Khara M
KM
Department of Clinical Neurosciences, University of Calgary & Calgary Health Region, Calgary, Alberta, Canada.
Becker
Werner J
WJ
D002170:Canada / Q000453:epidemiology; D003863:Depression / Q000150:complications; D004185:Disability Evaluation; D006261:Headache / Q000628:therapy*; D006801:Humans; D008019:Life Style; D009729:Nursing; D009819:Office Visits / Q000706:statistics & numerical data; D018710:Pain Clinics / Q000191:economics / Q000458:organization & administration / Q000639:trends*; D010820:Physicians; D015397:Program Evaluation; D012064:Relaxation Therapy; D012648:Self Care; D013315:Stress, Psychological / Q000209:etiology / Q000523:psychology