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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2018

Open Access 01-12-2018 | Research

Translation, cross-cultural adaptation and reliability of the German version of the migraine disability assessment (MIDAS) questionnaire

Authors: Thomas Benz, Susanne Lehmann, Andreas R. Gantenbein, Peter S. Sandor, Walter F. Stewart, Achim Elfering, André G. Aeschlimann, Felix Angst

Published in: Health and Quality of Life Outcomes | Issue 1/2018

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Abstract

Background

The Migraine Disability Assessment (MIDAS) is a brief questionnaire and measures headache-related disability. This study aimed to translate and cross-culturally adapt the original English version of the MIDAS to German and to test its reliability.

Methods

The standardized translation process followed international guidelines. The pre-final version was tested for clarity and comprehensibility by 34 headache sufferers. Test-retest reliability of the final version was quantified by 36 headache patients completing the MIDAS twice with an interval of 48 h. Reliability was determined by intraclass correlation coefficients and internal consistency by Cronbach’s α.

Results

All steps of the translation process were followed, documented and approved by the developer of the MIDAS. The expert committee discussed in detail the complex phrasing of the questions that refer to one to another, especially exclusion of headache-days from one item to the next. The German version contains more active verb sentences and prefers the perfect to the imperfect tense. The MIDAS scales intraclass correlation coefficients ranged from 0.884 to 0.994 and was 0.991 (95% CI: 0.982–0.995) for the MIDAS total score. Cronbach’s α for the MIDAS as a whole was 0.69 at test and 0.67 at retest.

Conclusions

The translation process was challenged by the comprehensibility of the questionnaire. The German version of the MIDAS is a highly reliable instrument for assessing headache related disability with moderate internal consistency. Provided validity testing of the German MIDAS is successful, it can be recommended for use in clinical practice as well as in research.
Appendix
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Literature
1.
Stovner L, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher A, et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia Int. J. Headache. 2007;27:193–210.
2.
Linde M, Gustavsson A, Stovner LJ, Steiner TJ, Barré J, Katsarava Z, et al. The cost of headache disorders in Europe: the Eurolight project. Eur J Neurol. 2012;19:703–11.CrossRefPubMed
3.
Steiner TJ, Stovner LJ, Katsarava Z, Lainez JM, Lampl C, Lantéri-Minet M, et al. The impact of headache in Europe: principal results of the Eurolight project. J Headache Pain. 2014;15:31.CrossRefPubMedPubMedCentral
4.
Stewart WF, Lipton RB, Dowson AJ, Sawyer J. Development and testing of the migraine disability assessment (MIDAS) questionnaire to assess headache-related disability. Neurology. 2001;56:S20–8.CrossRefPubMed
5.
Buse DC, Sollars CM, Steiner TJ, Jensen RH, Al Jumah MA, Lipton RB. Why HURT? A review of clinical instruments for headache management. Curr Pain Headache Rep. 2012;16:237–54.CrossRefPubMed
6.
Stewart WF, Lipton RB, Kolodner K. Migraine disability assessment (MIDAS) score: relation to headache frequency, pain intensity, and headache symptoms. Headache. 2003;43:258–65.CrossRefPubMed
7.
Stewart WF, Lipton RB, Whyte J, Dowson A, Kolodner K, Liberman JN, et al. An international study to assess reliability of the migraine disability assessment (MIDAS) score. Neurology. 1999;53:988–94.CrossRefPubMed
8.
Lipton RB, Stewart WF, Sawyer J, Edmeads JG. Clinical utility of an instrument assessing migraine disability: the migraine disability assessment (MIDAS) questionnaire. Headache J. Head face Pain. 2001;41:854–61.CrossRef
9.
10.
Turk DC, Dworkin RH, Revicki D, Harding G, Burke LB, Cella D, et al. Identifying important outcome domains for chronic pain clinical trials: an IMMPACT survey of people with pain. Pain. 2008;137:276–85.CrossRefPubMed
11.
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 Int J Headache. 1999;19:107–14. discussion 74CrossRef
12.
Stewart WF, Lipton RB, Kolodner KB, Sawyer J, Lee C, Liberman JN. Validity of the migraine disability assessment (MIDAS) score in comparison to a diary-based measure in a population sample of migraine sufferers. Pain. 2000;88:41–52.CrossRefPubMed
13.
Hung P-H, Fuh J-L, Wang S-J. Validity, reliability and application of the Taiwan version of the migraine disability assessment questionnaire. J Formos Med Assoc Taiwan Yi Zhi. 2006;105:563–8.CrossRefPubMed
14.
Magnoux E, Freeman MA, Zlotnik GMIDAS. HIT-6 French translation: reliability and correlation between tests. Cephalalgia Int. J. Headache. 2008;28:26–34.CrossRef
15.
Juyal R, Verma R, Garg RK, Shukla R, Agarwal A, Singh MK. Reliability and validity of Hindi translation of the migraine disability assessment and headache impact test-6 questionnaires. Ann Indian Acad Neurol. 2010;13:276–83.CrossRefPubMedPubMedCentral
16.
Iigaya M, Sakai F, Kolodner KB, Lipton RB, Stewart WF. Reliability and validity of the Japanese migraine disability assessment (MIDAS) questionnaire. Headache. 2003;43:343–52.CrossRefPubMed
17.
Shaik MM, Hassan NB, Tan HL, Bhaskar S, Gan SH. Validity and reliability of the Bahasa Melayu version of the migraine disability assessment questionnaire. Biomed Res Int. 2014;2014:435856.CrossRefPubMedPubMedCentral
18.
Zandifar A, Asgari F, Haghdoost F, Masjedi SS, Manouchehri N, Banihashemi M, et al. Reliability and validity of the migraine disability assessment scale among migraine and tension type headache in Iranian patients. Biomed Res Int. 2014;2014:978064.PubMedPubMedCentral
19.
Seethong P, Nimmannit A, Chaisewikul R, Prayoonwiwat N, Chotinaiwattarakul W. Reliability and validity of migraine disability assessment questionnaire-Thai version (Thai-MIDAS). J. Med. Assoc. Thail. Chotmaihet Thangphaet 2013;96 Suppl 2:S29–S38.
20.
Ertaş M, Siva A, Dalkara T, Uzuner N, Dora B, Inan L, et al. Validity and reliability of the Turkish migraine disability assessment (MIDAS) questionnaire. Headache. 2004;44:786–93.CrossRefPubMed
21.
Agosti R, Chrubasik JE, Kohlmann T, MIDAS-Fragebogen D. Ars Medici. 2008;16:700–1.
22.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25:3186–91.CrossRefPubMed
23.
Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, et al. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health J Int Soc Pharmacoeconomics Outcomes Res. 2005;8:94–104.CrossRef
24.
Gjersing L, Caplehorn JRM, Clausen T. Cross-cultural adaptation of research instruments: language, setting, time and statistical considerations. BMC Med Res Methodol. 2010;10:13.CrossRefPubMedPubMedCentral
25.
Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: a clear and user-friendly guideline. J Eval Clin Pract. 2011;17:268–74.CrossRefPubMed
26.
Streiner DL, Norman GR, Cairney J. Health measurement scales: a practical guide to their development and use. Fifth ed. Oxford, New York: Oxford University Press; 2014.
27.
Wiesinger GF, Nuhr M, Quittan M, Ebenbichler G, Wölfl G, Fialka-Moser V. Cross-cultural adaptation of the Roland-Morris questionnaire for German-speaking patients with low back pain. Spine. 1999;24:1099–103.CrossRefPubMed
28.
29.
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.CrossRefPubMed
30.
Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet Lond Engl. 1986;1:307–10.CrossRef
Metadata
Title
Translation, cross-cultural adaptation and reliability of the German version of the migraine disability assessment (MIDAS) questionnaire
Authors
Thomas Benz
Susanne Lehmann
Andreas R. Gantenbein
Peter S. Sandor
Walter F. Stewart
Achim Elfering
André G. Aeschlimann
Felix Angst
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2018
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-018-0871-5

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