El-Sherbiny Naglaa A, Shehata Hatem Samir, Amer Hanan, Elmazny Alaa, Masoud Mohamed, Helmy Hanan, Shalaby Nevin M
Faculty of Medicine, Fayoum University, Faiyum, Egypt.
Faculty of Medicine, Cairo University, Cairo, Egypt.
J Pain Res. 2017 May 26;10:1289-1295. doi: 10.2147/JPR.S137795. eCollection 2017.
The reported prevalence of headache disorders in Arab regions varies considerably between countries. This may be due to a lack of standardized survey instruments that capture the prevalence.
Our goal was to construct and validate a structured headache questionnaire for Arabic-speaking headache patients to be used as an epidemiological survey instrument.
We developed a culturally adapted interviewer-administered questionnaire in Arabic language comprising two sets of questions. The first set included personal and sociodemographic data together with a screening question regarding the presence of headaches over the last year. The second set was designed to define the type and pattern of headaches according to the International Classification of Headache Disorders criteria (for subjects with "yes" answers on the screening question). Validation process took place in two phases through probability random sampling selected from 1,221 headache subjects collected in an epidemiological survey 3 (n=70) and 6 months (n=232) later. A detailed assessment of patients' headaches was performed by neurologists (blinded from the questionnaire diagnosis) who clinically assessed the patients' headache.
The validity of the questionnaire was tested in 232 subjects with a mean age of 41.2±10.9 years, 72.8% of whom were females. The mean time to complete the questionnaire was 8.4±1.7 minutes. The intraclass correlation coefficient was 0.903 (95% confidence interval: 0.875-0.925), the Cronbach κ coefficient was 0.775 (95% confidence interval: 0.682-0.837), and the percentage of agreement was 84.5%.
Our results support the use of this comprehensive questionnaire as a valid tool for headache assessment among Arabic-speaking patients.
据报道，阿拉伯地区头痛疾病的患病率在不同国家之间差异很大。这可能是由于缺乏用于统计患病率的标准化调查工具。
我们的目标是构建并验证一份针对讲阿拉伯语的头痛患者的结构化头痛问卷，以用作流行病学调查工具。
我们开发了一份经过文化适应性调整的、由访谈员进行的阿拉伯语问卷，其中包括两组问题。第一组包括个人和社会人口统计学数据，以及一个关于过去一年是否有头痛症状的筛查问题。第二组旨在根据《国际头痛疾病分类标准》确定头痛的类型和模式（针对筛查问题回答为“是”的受试者）。验证过程分两个阶段进行，通过概率随机抽样，从一项流行病学调查中收集的1221名头痛患者中选取，分别在3个月（n = 70）和6个月（n = 232）后进行。由神经科医生（对问卷诊断不知情）对患者的头痛情况进行详细评估，这些医生对患者的头痛进行临床评估。
在232名受试者中测试了问卷的有效性，这些受试者的平均年龄为41.2±10.9岁，其中72.8%为女性。完成问卷的平均时间为8.4±1.7分钟。组内相关系数为0.903（95%置信区间：0.875 - 0.925），克朗巴赫κ系数为0.775（95%置信区间：0.682 - 0.837），一致性百分比为84.5%。
我们的结果支持将这份综合问卷用作评估讲阿拉伯语患者头痛情况的有效工具。
