title: Validity and reliability of the Migraine-Treatment Optimization Questionnaire.
abstract: Our aim was to establish the validity and reliability of a patient-rated Migraine Treatment Optimization Questionnaire (M-TOQ) in primary care. Patients who met International Classification of Headache Disorders, 2nd edn criteria for migraine completed a 19-item questionnaire containing candidate items for the M-TOQ, and three questionnaires designed to test convergent/construct validity [Migraine Disability Assessment Scale (MIDAS), Headache Impact Test (HIT)-6 and Migraine-Specific Quality of Life Scale (MSQoL)]. A 15-item (M-TOQ-15) and a five-item (M-TOQ-5) questionnaire were derived. Two hundred and fifty-three adult patients were recruited. Five treatment optimization domains were identified: functioning, rapid relief, consistency of relief, risk of recurrence and tolerability; with Cronbach alphas of 0.70-0.84. The Cronbach alpha for M-TOQ-15 was 0.85, and it correlated well with MIDAS, HIT-6 and MSQoL (r = 0.33-0.44). The Cronbach alpha for M-TOQ-5 was 0.66, and it also correlated well with the three questionnaires (r = 0.33-0.41). The utility of the M-TOQ for assessing treatment benefit in research (M-TOQ-15) and primary care (M-TOQ-5) should be further validated.
authors.affiliation: Department of Neurology, Albert Einstein College of Medicine, New York, NY 10461, USA. rlipton@aecom.yu.edu
authors.forename: R B
authors.initials: RB
authors.lastname: Lipton
authors.forename: K
authors.initials: K
authors.lastname: Kolodner
authors.forename: M E
authors.initials: ME
authors.lastname: Bigal
authors.forename: D
authors.initials: D
authors.lastname: Valade
authors.forename: M J A
authors.initials: MJ
authors.lastname: Láinez
authors.forename: J
authors.initials: J
authors.lastname: Pascual
authors.forename: A
authors.initials: A
authors.lastname: Gendolla
authors.forename: G
authors.initials: G
authors.lastname: Bussone
authors.forename: N
authors.initials: N
authors.lastname: Islam
authors.forename: K
authors.initials: K
authors.lastname: Albert
authors.forename: B
authors.initials: B
authors.lastname: Parsons
mesh_terms: D000328:Adult; D000368:Aged; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000188:drug therapy*; D017063:Outcome Assessment, Health Care; D011788:Quality of Life; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires