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document
GPs ' experiences with brief intervention for medication-overuse headache : a qualitative study in general practice . BACKGROUND Medication-overuse headache ( MOH ) is common in the general population , and most patients are managed in primary health care . Brief Intervention ( BI ) has been used as a motivational technique for patients with drug and alcohol overuse , and may a have role in the treatment of MOH . AIM To explore GPs ' experiences using BI in the management of patients with MOH . DESIGN AND SETTING Qualitative study in Norwegian general practice . METHOD Data were collected through four focus group interviews with 22 GPs who participated in an intervention study on BI for MOH . Systematic text condensation was used to analyse transcripts from the focus group interviews . RESULTS The GPs experienced challenges when trying to convince patients that the medication they used to treat and prevent headache could cause headache , but labelling MOH as a diagnosis opened up a space for change . GPs were able to use BI within the scope of a regular consultation , and they thought that the structured approach had a potential to change patients ' views about their condition and medication use . Being diagnosed with medication overuse could bring about feelings of guilt in patients , and GPs emphasised that a good alliance with the patient was necessary for successful change using BI to manage MOH . CONCLUSION GPs experience BI as a feasible strategy to treat MOH , and the technique relies on a good alliance between the doctor and patient . When using BI , GPs must be prepared to counter patients ' misconceptions about medication used for headache .
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Intervention_Educational
brief intervention
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Intervention_Educational
Brief Intervention ( BI )
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Intervention_Educational
GPs ' experiences using BI in
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Intervention_Educational
BI
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Intervention_Educational
GPs experienced
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Intervention_Educational
BI
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Intervention_Educational
GPs experience BI
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Intervention_Educational
BI
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Outcome_Mental
guilt
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Participant_Condition
drug and alcohol overuse
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Participant_Condition
Norwegian general practice
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Participant_Sample-size
22 GPs