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Using the common-sense model of illness representations to explore individuals’ experiences and perceptions of migraine and its management in the United Kingdom

Catherine Heidi Seage Orcid Logo, Rebecca Evans Orcid Logo, Kyla Z Scott, Wardah Nazir, Delyth James Orcid Logo

International Journal of Pharmacy Practice, Volume: 32, Issue: 3, Pages: 223 - 228

Swansea University Author: Delyth James Orcid Logo

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DOI (Published version): 10.1093/ijpp/riae014

Abstract

ObjectivesMigraine is considered a chronic health condition that impacts both quality of life and psychological wellbeing. People with migraines use a range of management strategies, which include pharmacological and non-pharmacological treatments. The aim of this study was to explore individuals’ e...

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Published in: International Journal of Pharmacy Practice
ISSN: 0961-7671 2042-7174
Published: Oxford University Press (OUP) 2024
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa69685
Abstract: ObjectivesMigraine is considered a chronic health condition that impacts both quality of life and psychological wellbeing. People with migraines use a range of management strategies, which include pharmacological and non-pharmacological treatments. The aim of this study was to explore individuals’ experiences and perceptions of migraines and its treatment using the Common-Sense Model (CSM) of Illness Representations.MethodsSemi-structured, one-to-one interviews were conducted with eleven individuals with a history of migraine to explore their experiences and perceptions of migraine and its treatment. Participants were recruited from across the United Kingdom via convenience sampling using social media advertisement. Interviews were recorded, transcribed verbatim, and qualitative data were analysed using theoretical framework analysis using the CSM.ResultsThe three dimensions of the CSM were mapped on to the qualitative data. These were: (i) Cognitive representations of migraine, within five domains: (a) identity of migraine, (b) perceived causes, (c) perceived timeline, (d) perceived control/cure, and (e) perceived consequences; (ii) Emotional representations of migraine relating to (a) migraine specific emotions and (b) emotional representation of the impact of migraine; and (iii) Coping/self-management behaviours, namely (a) self-medicating behaviours and (b) care-seeking behaviours. No incongruous data were found; therefore, no further thematic analysis was required.ConclusionThis is the first study to apply the CSM to migraine for framework analysis of qualitative data in this way. The findings illustrate the emotional impact of migraine and the range of illness perceptions associated with appropriate self-management. The data will be used to design a questionnaire for quantitative studies to investigate the extent to which these perceptions are generalizable to the wider population of people who experience migraines.
Keywords: migraine, chronic illness, theoretical framework analysis, illness representations, common sense model, self-regulation theory, self-management
College: Faculty of Medicine, Health and Life Sciences
Funders: This research received no specific grant from any funding agency in the public, commercial, or not for profit sectors.
Issue: 3
Start Page: 223
End Page: 228