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HEADWORK Questionnaire: Why Do We Need a New Tool to Assess Work‐Related Disability in Patients With Migraine?
Author(s) -
D’Amico Domenico,
Grazzi Licia,
Grignani Eleonora,
Leonardi Matilde,
Sansone Emanuela,
Raggi Alberto
Publication year - 2020
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/head.13735
Subject(s) - migraine , medicine , work (physics) , physical therapy , epidemiology , clinical trial , psychiatry , mechanical engineering , pathology , engineering
Objective This article reviews current headache disability measures and clinical need, as well as presenting the rationale for a new measure addressing work‐related disability in migraine patients and the steps devoted to this aim. Background Episodic and chronic migraine (EM and CM) constitute an enormous economic burden to societies, and the vast majority of this burden is attributable to indirect costs, ie those associated with productivity loss. A measure of work‐related disability is therefore needed to quantify the impact of EM and CM on patients' ability to carry out work tasks. Methods We briefly present the advantages and disadvantages of the disability measures that have been most commonly used for this purpose and the rationale for developing a new measure. Results The entire process of development of HEADWORK, a questionnaire designed to assess work‐related disability, is presented together with short‐term sensitivity to change. Conclusions Current headache disability measures need improvement. HEADWORK is a valid, reliable, and sensitive questionnaire to address the amount and severity of work‐related difficulties and of the factors contributing to such difficulties. HEADWORK is suitable for daily clinical practice, epidemiological research and for clinical trials, and potentially to define work‐related disability weights for the calculation of migraine indirect costs.