Disability in cluster headache is more than attack frequency - results from and validation of the English version of the Cluster Headache Impact Questionnaire (CHIQ).
CHIQ
Cluster headache
disability
patient-reported outcome measure
questionnaire
Journal
The journal of headache and pain
ISSN: 1129-2377
Titre abrégé: J Headache Pain
Pays: England
ID NLM: 100940562
Informations de publication
Date de publication:
05 Aug 2024
05 Aug 2024
Historique:
received:
10
07
2024
accepted:
01
08
2024
revised:
31
07
2024
medline:
6
8
2024
pubmed:
6
8
2024
entrez:
5
8
2024
Statut:
epublish
Résumé
Cluster headache (CH) is associated with high disability. The Cluster Headache Impact Questionnaire (CHIQ) is a short, disease-specific disability questionnaire first developed and validated in German. Here, we validated the English version of this questionnaire. The CHIQ was assessed together with nonspecific headache-related disability questionnaires in CH patients from a tertiary headache center and an American self-help group. 155 active episodic and chronic CH patients were included. The CHIQ showed good internal consistency (Cronbach's α = 0.91) and test-retest reliability (ICC = 0.93, n = 44). Factor analysis identified a single factor. Convergent validity was shown by significant correlations with the Headache Impact Test™ (HIT-6™, ρ = 0.72, p < 0.001), the Hospital Anxiety and Depression Scale (HADS depression: ρ = 0.53, HADS anxiety: ρ = 0.61, both p < 0.001), the Perceived Stress Scale (PSS-10, ρ = 0.61, p < 0.001) and with CH attack frequency (ρ = 0.29, p < 0.001). Chronic CH patients showed the highest CHIQ scores (25.4 ± 7.9, n = 76), followed by active episodic CH and episodic CH patients in remission (active eCH: 22.2 ± 8.7, n = 79; eCH in remission: 14.1 ± 13.1, n = 127; p < 0.001). Furthermore, the CHIQ was graded into 5 levels from "no to low impact" to "extreme impact" based on the patients' perception. Higher CHIQ grading was associated with higher attack and acute medication frequency, HIT-6™, HADS and PSS scores. The English version of the CHIQ is a reliable, valid, and disease-specific patient-reported outcome measure to assess the impact of headaches on CH patients.
Sections du résumé
BACKGROUND
BACKGROUND
Cluster headache (CH) is associated with high disability. The Cluster Headache Impact Questionnaire (CHIQ) is a short, disease-specific disability questionnaire first developed and validated in German. Here, we validated the English version of this questionnaire.
METHODS
METHODS
The CHIQ was assessed together with nonspecific headache-related disability questionnaires in CH patients from a tertiary headache center and an American self-help group.
RESULTS
RESULTS
155 active episodic and chronic CH patients were included. The CHIQ showed good internal consistency (Cronbach's α = 0.91) and test-retest reliability (ICC = 0.93, n = 44). Factor analysis identified a single factor. Convergent validity was shown by significant correlations with the Headache Impact Test™ (HIT-6™, ρ = 0.72, p < 0.001), the Hospital Anxiety and Depression Scale (HADS depression: ρ = 0.53, HADS anxiety: ρ = 0.61, both p < 0.001), the Perceived Stress Scale (PSS-10, ρ = 0.61, p < 0.001) and with CH attack frequency (ρ = 0.29, p < 0.001). Chronic CH patients showed the highest CHIQ scores (25.4 ± 7.9, n = 76), followed by active episodic CH and episodic CH patients in remission (active eCH: 22.2 ± 8.7, n = 79; eCH in remission: 14.1 ± 13.1, n = 127; p < 0.001). Furthermore, the CHIQ was graded into 5 levels from "no to low impact" to "extreme impact" based on the patients' perception. Higher CHIQ grading was associated with higher attack and acute medication frequency, HIT-6™, HADS and PSS scores.
CONCLUSION
CONCLUSIONS
The English version of the CHIQ is a reliable, valid, and disease-specific patient-reported outcome measure to assess the impact of headaches on CH patients.
Identifiants
pubmed: 39103768
doi: 10.1186/s10194-024-01838-8
pii: 10.1186/s10194-024-01838-8
doi:
Types de publication
Journal Article
Validation Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
128Informations de copyright
© 2024. The Author(s).
Références
Olesen J (2018) Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders. Asbtracts. Cephalalgia 38(1):1–211
doi: 10.1177/0333102417738202
Stewart WF et al (2001) Development and testing of the Migraine Disability Assessment (MIDAS) Questionnaire to assess headache-related disability. Neurology 56(suppl_1):S20–S28
doi: 10.1212/WNL.56.suppl_1.S20
pubmed: 11294956
Kosinski M et al (2003) A six-item short-form survey for measuring headache impact: The HIT-6™. Quality of life research 12:963–974
doi: 10.1023/A:1026119331193
pubmed: 14651415
Ware JE, Kosinski M, Keller SD (1996) A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Medical care 34(3):220–233
doi: 10.1097/00005650-199603000-00003
pubmed: 8628042
D’Amico D et al (2020) Disability, quality of life, and socioeconomic burden of cluster headache: a critical review of current evidence and future perspectives. Headache: J Head Face Pain 60(4):809–818
doi: 10.1111/head.13784
Bakar NA et al (2016) The development and validation of the Cluster Headache Quality of life scale (CHQ). The journal of headache and pain 17(1):79
doi: 10.1186/s10194-016-0674-1
pubmed: 27596922
pmcid: 5011462
Kamm K, Straube A, Ruscheweyh R (2022) Cluster Headache Impact Questionnaire (CHIQ)–a short measure of cluster headache related disability. J Headache Pain 23(1):1–10
doi: 10.1186/s10194-022-01406-y
Klan T et al (2020) Determination of psychosocial factors in cluster headache–construction and psychometric properties of the Cluster Headache Scales (CHS). Cephalalgia 40(11):1240–1249
doi: 10.1177/0333102420928076
pubmed: 32484060
Onofri A et al (2023) Validation of the Italian version of the Cluster Headache Impact Questionnaire (CHIQ). Neurolog Sci 44(8):2845–2851
doi: 10.1007/s10072-023-06758-0
Harris PA et al (2019) The REDCap consortium: Building an international community of software platform partners. Journal of biomedical informatics 95
Harris PA et al (2009) Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 42(2):377–381
doi: 10.1016/j.jbi.2008.08.010
pubmed: 18929686
Cohen, S., T. Kamarck, and R. Mermelstein, A global measure of perceived stress. Journal of health and social behavior, 1983: p. 385-396.
Kosinski M et al (2003) A six-item short-form survey for measuring headache impact: The HIT-6™. Quality Life Res 12(8):963–974
doi: 10.1023/A:1026119331193
Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta psychiatrica scandinavica 67(6):361–370
doi: 10.1111/j.1600-0447.1983.tb09716.x
pubmed: 6880820
Cronbach LJ (1951) Coefficient alpha and the internal structure of tests. Psychometrika 16(3):297–334
doi: 10.1007/BF02310555
Moosbrugger, H. and A. Kelava, Testtheorie und Fragebogenkonstruktion. 2nd edition. Springer 2012.
Koo TK, Li MY (2016) A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropractic Med 15(2):155–163
doi: 10.1016/j.jcm.2016.02.012
Mummendey, H.D. and I. Grau, Die Fragebogen-Methode: Grundlagen und Anwendung in Persönlichkeits-, Einstellungs-und Selbstkonzeptforschung. 2014: Hogrefe Verlag.
Cohen J (1992) Quantitative methods in psychology: A power primer. Psychol. Bull. 112:1155–1159
doi: 10.1037/0033-2909.112.1.155
Jürgens TP et al (2011) Impairment in episodic and chronic cluster headache. Cephalalgia 31(6):671–682
doi: 10.1177/0333102410391489
pubmed: 21123629
Bakar NA et al (2016) The development and validation of the Cluster Headache Quality of life scale (CHQ). J Headache Pain 17(1):1–9
Fischera M et al (2008) The incidence and prevalence of cluster headache: a meta-analysis of population-based studies. Cephalalgia 28(6):614–618
doi: 10.1111/j.1468-2982.2008.01592.x
pubmed: 18422717
Rozen TD, Fishman RS (2012) Cluster headache in the United States of America: demographics, clinical characteristics, triggers, suicidality, and personal burden. Headache: J Head Face Pain 52(1):99–113
doi: 10.1111/j.1526-4610.2011.02028.x