Outline

• Migraine Background
• Previous Assessment Work
  • Themes
  • Traditional EFA Development
• Current Goals
  • Phone App Tracker
  • Computer Adaptive Assessment
  • Multigroup or DIF analysis

What is a headache?

• Head pain that is unpleasant, ranging from mild to severe
• Pressure and aching
• Triggers include stress, anxiety, sinus
• Nearly everyone experiences these

What is a migraine?

• Often characterized as an “attack”
• Moderate to severe pain
• Comorbid with visual disturbances, nausea, vomiting, sensitivity to light/sound/smell, auras
• ~12% of the population experiences these

Infographic

Fast facts

• 3rd most prevalent illness in the world
• A woman’s illness
• Often 1-2 attacks per month, others are chronic with 15+ per month
• Serious impacts on work, family, and daily life

Previous work

• We developed the Functional Assessment of Migraine Scale to measure response to treatment across a wide variety of patient concerns
  • First, we established factors that were indicated as most important to patients when appraising the efficacy of treatment
  • Second, we developed a patient reported outcome measure to evaluate headache meaningful response to headache treatment regimens
• Why?
  • Migraine Disability Assessment (MIDAS): 5 items measuring loss of productivity across work and social/family
  • Headache Impact Test (HIT-6): 6 items measuring lost work time, pain severity, fatigue

What is important?

• Two Main Results:
  • Rating of importance for our preselected themes
  • Thematic Analysis of open ended responses

Ratings