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Narrative Medicine to integrate patients', caregivers' and clinicians' migraine experiences: the DRONE multicentre project.


ABSTRACT:

Background

Although migraine is widespread and disabling, stigmatisation and poor awareness of the condition still represent barriers to effective care; furthermore, research on migraine individual and social impact must be enhanced to unveil neglected issues, such as caregiving burden. The project investigated the migraine illness experience through Narrative Medicine (NM) to understand daily life, needs and personal resources of migraneurs, their caregivers and clinicians, and to provide insights for clinical practice.

Methods

The project involved 13 Italian headache centres and targeted migraneurs, their caregivers and migraine specialists at these centres. Written narratives, composed by a sociodemographic survey and illness plot or parallel chart, were collected through the project's webpage. Illness plots and parallel charts employed open words to encourage participants' expression. Narratives were analysed through Nvivo software, interpretive coding and NM classifications.

Results

One hundred and seven narratives were collected from patients and 26 from caregivers, as well as 45 parallel charts from clinicians. The analysis revealed migraine perception in social, domestic and work life within the care pathway evolution and a bond between chaos narratives and day loss due to migraine; furthermore, narratives suggested the extent of the caregiving burden and a risk of underestimation of migraine burden in patients' and caregivers' life.

Conclusion

The project represents the first investigation on migraine illness experience through NM simultaneously considering migraneurs', caregivers' and clinicians' perspectives. Comparing narratives and parallel charts allowed to obtain suggestions for clinical practice, while NM emerged as able to foster the pursuing of migraine knowledge and awareness.

SUBMITTER: Tonini MC 

PROVIDER: S-EPMC8047556 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature

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Publications

Narrative Medicine to integrate patients', caregivers' and clinicians' migraine experiences: the DRONE multicentre project.

Tonini Maria Clara MC   Fiorencis Alessandra A   Iannacchero Rosario R   Zampolini Mauro M   Cappuccio Antonietta A   Raddino Raffaella R   Grillo Elisabetta E   Albanese Maria M   Allais Gianni G   Bassano Marco André MA   Brighina Filippo F   Carboni Terenzio T   Frediani Fabio F   Grazzi Licia L   Mastrandrea Carmela C   Moschiano Franca F   Poeta Maria Gabriella MG   Ranieri Angelo A   Turrini Renato R   Marini Maria Giulia MG  

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology 20210415 12


<h4>Background</h4>Although migraine is widespread and disabling, stigmatisation and poor awareness of the condition still represent barriers to effective care; furthermore, research on migraine individual and social impact must be enhanced to unveil neglected issues, such as caregiving burden. The project investigated the migraine illness experience through Narrative Medicine (NM) to understand daily life, needs and personal resources of migraneurs, their caregivers and clinicians, and to provi  ...[more]

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