Research Article
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TRANSLATION, CULTURAL ADAPTATION, RELIABILITY, AND VALIDITY OF THE TURKISH VERSION OF THE HEADACHE IMPACT QUESTIONNAIRE

Year 2024, Volume: 5 Issue: 3, 94 - 99, 30.12.2024
https://doi.org/10.52831/kjhs.1534151

Abstract

Objective: To prove the reliability and validity of the Turkish version of the Headache Impact Questionnaire (HImQ) for evaluating individuals with headaches.
Method: 102 individuals (31.12±12.39 years) with headaches participated in the study. Test-retest and internal consistency analyses were used to assess the reliability of the HImQ, and Exploratory (EFA) and Confirmatory Factor Analysis (CFA), and correlation analysis was used to determine its validity. For correlation analysis, the total scores of the HImQ, Headache Impact Test-6 (HIT-6), and Migraine Disability Assessment Scale (MIDAS) were calculated.
Results: The Turkish version of the HImQ demonstrated high reliability with an Intraclass Correlation Coefficient of 0.846 and a Cronbach’s α of 0.769. Structural validity through EFA indicated a three-factor structure, supported by KMO (0.759) and Bartlett’s sphericity test values (780.133; p<0.001). CFA confirmed this structure with good fit indices. Convergent validity was supported by good correlations between the HImQ and HIT-6 (r=0.429; p=0.000), and MIDAS (r=0.487; p=0.000). No floor or ceiling effects were detected.
Conclusion: This study established the Turkish HImQ as a reliable and valid measure for evaluating the impact of headaches on daily functioning. With strong internal consistency, test-retest reliability, and supported validity, the scale proved effective for clinical and research use in the Turkish-speaking people. It provides a solid framework for assessing headache-related disability in daily life.

Ethical Statement

The necessary permission and approval were obtained from the Tokat Gaziosmanpaşa University Ethics Committee of Clinical Investigations for the study (16 September 2022 – decision no.: 83116987-555).

Supporting Institution

None.

Thanks

The researchers would like to thank the individuals who participated in the study.

References

  • Steiner TJ, Stovner LJ, Katsarava Z, et al. The impact of headache in Europe: principal results of the Eurolight project. J Headache Pain. 2014;15:1-11.
  • Arnold M. Headache classification committee of the international headache society (IHS) the international classification of headache disorders. Cephalalgia. 2018;38:1-211.
  • Ferrante T, Manzoni GC, Russo M, et al. Prevalence of tension-type headache in adult general population: the PACE study and review of the literature. Neurol Sci. 2013;34:137-8.
  • Burch R, Rizzoli P, Loder E. The prevalence and impact of migraine and severe headache in the United States: figures and trends from government health studies. Headache J Head Face Pain. 2018;58:496-505.
  • Crystal SC, Robbins MS. Epidemiology of tension-type headache. Curr Pain Headache Rep. 2010;14:449-54.
  • Stovner LJ, Hagen K, Jensen R, et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007;27:193-210.
  • Torelli P, Lambru G, Manzoni GC. Psychiatric comorbidity and headache: clinical and therapeutical aspects. Neurol Sci. 2006;27:s73-6.
  • Stovner LJ, Nichols E, Steiner TJ, et al. Global, regional, and national burden of migraine and tension-type headache, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2018;17:954-76.
  • Stewart WF, Lipton RB, Simon D, Von Korff M, Liberman J. Reliability of an illness severity measure for headache in a population sample of migraine sufferers. Cephalalgia. 1998;18:44-51.
  • Andresen EM. Criteria for assessing the tools of disability outcomes research. Arch Phys Med Rehabil. 2000;81:S15-20.
  • Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. Spine (Phila Pa 1976). 2000;25:3186-3191.
  • Portney LG. Foundations of clinical research: applications to evidence-based practice. 4th ed. Philadelphia: FA Davis; 2020.
  • Terwee CB, Bot SDM, de Boer MR, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60:34-42.
  • Kosinski M, Bayliss MS, Bjorner JB, et al. A six-item short-form survey for measuring headache impact: The HIT-6TM. Qual life Res. 2003;12:963-74.
  • Dikmen PY, Bozdağ M, Güneş M, et al. Reliability and validity of Turkish version of Headache Impact Test (HIT-6) in patients with migraine. Arch Neuropsychiatry. 2021;58:300-307.
  • Stewart WF, Lipton RB, Kolodner K, Liberman J, Sawyer J. Reliability of the migraine disability assessment score in a population-based sample of headache sufferers. Cephalalgia. 1999;19:107-114.
  • Ertaş M, Siva A, Dalkara T, et al. Validity and reliability of the Turkish Migraine Disability Assessment (MIDAS) questionnaire. Headache J Head Face Pain. 2004;44:786-93.
  • Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15:155-63.
  • Black WC, Babin BJ, Anderson RE. Multivariate data analysis: A global perspective. 7th ed. New York: Pearson; 2010.
  • Tabachnick BG, Fidell LS, Ullman JB. Using multivariate statistics. Pearson Boston, MA; 2013.
  • Beavers AS, Lounsbury JW, Richards JK, Huck SW, Skolits GJ, Esquivel SL. Practical considerations for using exploratory factor analysis in educational research. Pract Assessment, Res Eval. 2019;18:6.
  • Erkorkmaz Ü, Etikan İ, Demir O, Özdamar K, Sanisoğlu SY. Doğrulayıcı faktör analizi ve uyum indeksleri. Turkiye Klin J Med Sci. 2013;33:210-23.
  • Feise RJ, Menke JM. Functional rating index: a new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions. Spine (Phila Pa 1976). 2001;26:78-87.
  • Dikmen PY, Ozge A, Martelletti P. The use of clinical scales and PROMs in headache disorders and migraine, summarizing their dissemination and operationalization. Heliyon. 2023;9(5):e16187.
  • Marx RG, Menezes A, Horovitz L, Jones EC, Warren RF. A comparison of two time intervals for test-retest reliability of health status instruments. J Clin Epidemiol. 2003;56:730-5.
  • Allen MJ, Yen WM. Introduction to measurement theory. 11th ed. Long Grove, Illinois: Waveland Press; 2001.
Year 2024, Volume: 5 Issue: 3, 94 - 99, 30.12.2024
https://doi.org/10.52831/kjhs.1534151

Abstract

References

  • Steiner TJ, Stovner LJ, Katsarava Z, et al. The impact of headache in Europe: principal results of the Eurolight project. J Headache Pain. 2014;15:1-11.
  • Arnold M. Headache classification committee of the international headache society (IHS) the international classification of headache disorders. Cephalalgia. 2018;38:1-211.
  • Ferrante T, Manzoni GC, Russo M, et al. Prevalence of tension-type headache in adult general population: the PACE study and review of the literature. Neurol Sci. 2013;34:137-8.
  • Burch R, Rizzoli P, Loder E. The prevalence and impact of migraine and severe headache in the United States: figures and trends from government health studies. Headache J Head Face Pain. 2018;58:496-505.
  • Crystal SC, Robbins MS. Epidemiology of tension-type headache. Curr Pain Headache Rep. 2010;14:449-54.
  • Stovner LJ, Hagen K, Jensen R, et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007;27:193-210.
  • Torelli P, Lambru G, Manzoni GC. Psychiatric comorbidity and headache: clinical and therapeutical aspects. Neurol Sci. 2006;27:s73-6.
  • Stovner LJ, Nichols E, Steiner TJ, et al. Global, regional, and national burden of migraine and tension-type headache, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2018;17:954-76.
  • Stewart WF, Lipton RB, Simon D, Von Korff M, Liberman J. Reliability of an illness severity measure for headache in a population sample of migraine sufferers. Cephalalgia. 1998;18:44-51.
  • Andresen EM. Criteria for assessing the tools of disability outcomes research. Arch Phys Med Rehabil. 2000;81:S15-20.
  • Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. Spine (Phila Pa 1976). 2000;25:3186-3191.
  • Portney LG. Foundations of clinical research: applications to evidence-based practice. 4th ed. Philadelphia: FA Davis; 2020.
  • Terwee CB, Bot SDM, de Boer MR, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60:34-42.
  • Kosinski M, Bayliss MS, Bjorner JB, et al. A six-item short-form survey for measuring headache impact: The HIT-6TM. Qual life Res. 2003;12:963-74.
  • Dikmen PY, Bozdağ M, Güneş M, et al. Reliability and validity of Turkish version of Headache Impact Test (HIT-6) in patients with migraine. Arch Neuropsychiatry. 2021;58:300-307.
  • Stewart WF, Lipton RB, Kolodner K, Liberman J, Sawyer J. Reliability of the migraine disability assessment score in a population-based sample of headache sufferers. Cephalalgia. 1999;19:107-114.
  • Ertaş M, Siva A, Dalkara T, et al. Validity and reliability of the Turkish Migraine Disability Assessment (MIDAS) questionnaire. Headache J Head Face Pain. 2004;44:786-93.
  • Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15:155-63.
  • Black WC, Babin BJ, Anderson RE. Multivariate data analysis: A global perspective. 7th ed. New York: Pearson; 2010.
  • Tabachnick BG, Fidell LS, Ullman JB. Using multivariate statistics. Pearson Boston, MA; 2013.
  • Beavers AS, Lounsbury JW, Richards JK, Huck SW, Skolits GJ, Esquivel SL. Practical considerations for using exploratory factor analysis in educational research. Pract Assessment, Res Eval. 2019;18:6.
  • Erkorkmaz Ü, Etikan İ, Demir O, Özdamar K, Sanisoğlu SY. Doğrulayıcı faktör analizi ve uyum indeksleri. Turkiye Klin J Med Sci. 2013;33:210-23.
  • Feise RJ, Menke JM. Functional rating index: a new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions. Spine (Phila Pa 1976). 2001;26:78-87.
  • Dikmen PY, Ozge A, Martelletti P. The use of clinical scales and PROMs in headache disorders and migraine, summarizing their dissemination and operationalization. Heliyon. 2023;9(5):e16187.
  • Marx RG, Menezes A, Horovitz L, Jones EC, Warren RF. A comparison of two time intervals for test-retest reliability of health status instruments. J Clin Epidemiol. 2003;56:730-5.
  • Allen MJ, Yen WM. Introduction to measurement theory. 11th ed. Long Grove, Illinois: Waveland Press; 2001.
There are 26 citations in total.

Details

Primary Language English
Subjects Pain, Clinical Sciences (Other), Public Health (Other)
Journal Section Research Articles
Authors

Halime Arıkan 0000-0003-2381-9978

Publication Date December 30, 2024
Submission Date August 16, 2024
Acceptance Date November 4, 2024
Published in Issue Year 2024 Volume: 5 Issue: 3

Cite

Vancouver Arıkan H. TRANSLATION, CULTURAL ADAPTATION, RELIABILITY, AND VALIDITY OF THE TURKISH VERSION OF THE HEADACHE IMPACT QUESTIONNAIRE. Karya J Health Sci. 2024;5(3):94-9.