Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.
Curr Pain Headache Rep. 2012 Jun;16(3):237-54. doi: 10.1007/s11916-012-0263-1.
The Global Campaign against Headache, directed by the non-governmental organization Lifting The Burden (LTB) in official relations with the World Health Organization (WHO), aspires to reduce the global burden of headache. Ultimately this calls for improvements in headache management, largely in primary care, where most people with headache receive medical care. In support, LTB is developing a range of headache management aids for primary care. Presently, no single instrument covers the range of assessment and decision-making necessary for successful headache management, and few make the important link between assessment and clinical advice. Expressly to fill this gap, LTB has developed a new instrument: the Headache Under-Response to Treatment (HURT) Questionnaire, an eight-item, self-administered questionnaire addressing headache frequency, disability, medication use and effect, perceptions of headache "control" and knowledge of diagnosis. This instrument is intended not only to evaluate current headache outcomes and assess the need for and response to treatment, but also to provide guidance on appropriate actions towards treatment optimization. The first draft of the HURT was created by an expert consensus group, meeting at WHO headquarters in Geneva, Switzerland. The final version came about through multiple refinements following psychometric testing. Assessment of clinical utility is ongoing in multiple countries.
全球头痛防治运动由非政府组织 Lifting The Burden（LTB）发起，与世界卫生组织（WHO）建立正式关系，旨在减轻全球头痛负担。最终，这需要改善头痛管理，主要是在初级保健中，因为大多数头痛患者在那里接受医疗护理。为此，LTB 正在为初级保健开发一系列头痛管理辅助工具。目前，没有任何单一的工具可以涵盖成功管理头痛所需的评估和决策范围，而且很少有工具能够将评估与临床建议联系起来。为了填补这一空白，LTB 专门开发了一种新的工具：头痛治疗反应不足（HURT）问卷，这是一种八项、自我管理的问卷，用于评估头痛频率、残疾、药物使用和效果、对头痛“控制”的看法以及对诊断的了解。该工具不仅旨在评估当前的头痛结果，并评估治疗的必要性和反应，还旨在提供有关优化治疗的适当措施的指导。HURT 的初稿是由一个专家共识小组在瑞士日内瓦的世卫组织总部会议上制定的。在进行心理计量学测试后，又经过多次改进才形成最终版本。目前正在多个国家对其临床实用性进行评估。
