43 Practical experience with the use of electronic headache diaries 2 Patient satisfaction After two weeks of using the E-headache diary, patients with migraine received a questionnaire in the Patient Journey App to evaluate their experiences and satisfaction with the app. Patients were asked to grade the headache diary on scale from 0 to 10 based on their overall experience (E-diary grade). The amount of information in the app was questioned by a labeled multiple-choice question with three options: not enough, exactly enough and too much. A sliding scale (VAS 0-100) was used to evaluate to what extent the app helped to follow instructions by their physician, their satisfaction with the application, and the applications’ user-friendliness. Health care provider satisfaction In March 2023, a questionnaire was sent out to health care providers that regularly use(d) the E-headache diary for patient care at the Leiden Headache Center between April 2022 to March 2023. Healthcare providers completed the questionnaire on paper to ensure they were fully anonymized. The health care providers included neurologists, residents and headache-nurses who had been working with telemedicine and the E-diary. Their experiences were evaluated in order to determine the benefit of an E-headache diary and video consultation in patient care. The same questions were used as for patients to grade the E-headache diary, the amount of information in the E-diary, and the use of video consultation. However, the question regarding satisfaction applies to patient satisfaction. We asked health care providers how satisfied they think patients are with the headache diary. We used a 5-point categorical scale to evaluate the effectiveness of the E-headache diary in providing instructions to patients, as well as their assessment of patients’ satisfaction with the E-diary and the perceived user-friendliness of the E-diary. Satisfaction questionnaire on video consultation For this aspect of the study, patients who used the E-diary during the COVID-19 pandemic, between February 2020 and August 2022, were identified and included if they had a conformed diagnosis of migraine, aged 18 years or older and filled out the E-diary for at least three months with at least 80% compliance per month.11 In July 2022, we administered a video consultation questionnaire to this cohort. This approach was used to ensure a good representation of patients at the Leiden Headache Center. The questionnaire aimed to assess experiences with video consultations as a substitute for physical visits. Specifically, patients were asked about their satisfaction with video consultation and whether they felt video consultation was a good alternative to physical visits. The same questions were included in the questionnaire that was sent out to health care providers.
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