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Evaluating Migraine Disability: The Headache Impact Test Instrument in Context

Published online by Cambridge University Press:  02 December 2014

William Pryse-Phillips
William Pryse-Phillips*
Affiliation:
Department of Medicine (Neurology), Memorial University of Newfoundland, St. John's NF, Canada
*
William Pryse-Phillips, Professor of Medicine (Neurology), Memorial University of Newfoundland, St. John’s NF, Canada A1B 3V6
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Abstract

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Migraine impairs physical, social and emotional functioning but the diagnosis is not always made despite the availability of helpful tools. Poor patient-physician communication is one reason cited for this. It is arguable that if the impact that headaches are having on a person's life can be communicated adequately to the physician, the likelihood of appropriate management will increase. The tools currently employed for assessing headache impact are reviewed briefly and the Headache Impact Test (HIT) and HIT-6 described as validated and reliable measures of the effect that headaches are having on patients. The availability of the standard test on the internet, with feedback provided, indicates that this is a potentially useful tool enabling headache sufferers to realize the extent of the burden of migraine and empowering them to seek appropriate management strategies.

Résumé:

RÉSUMÉ:

La migraine affecte le fonctionnement physique, social et émotif, mais le diagnostic n'est pas toujours fait en dépit de la disponibilité d'outils efficaces. Une des raisons évoquées est une communication médecin-patient déficiente. On peut penser que, si l'impact des céphalées sur la vie d'un patient peut être communiqué adéquatement au médecin, on augmentera les chances d'une prise en charge appropriée. Les outils actuellement utilisés pour évaluer l'impact de la céphalée sont révisés brièvement et le test d'impact de la céphalée (HIT) et le HIT-6 sont décrits comme des mesures validées et fiables pour l'évaluation de l'impact des céphalées chez les patients. La disponibilité sur Internet d'un test standard avec rétroaction indique que c'est un outil potentiellement utile pour faire réaliser aux patients l'ampleur du fardeau de la migraine et les motiver à rechercher des stratégies de gestion appropriées.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 29 , Issue S2: A Peer-Reviewed Supplement to the Canadian Journal of Neurological Sciences , 2002 , pp. S11 - S15
Copyright
Copyright © The Canadian Journal of Neurological 2002

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