{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:06:11Z","timestamp":1753891571908,"version":"3.41.2"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,8,27]],"date-time":"2021-08-27T00:00:00Z","timestamp":1630022400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:p><jats:bold>Objective:<\/jats:bold> To validate a patient-reported outcome (PRO) measure for patients with tension-type headache (TTH).<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Literature analysis, interview, and group discussion were performed to develop an initial TTH-PRO. Thereafter, the initial scale was pre-evaluation in a small range of patients with TTH, and the expert panel made necessary adjustments based on the content feedback. The clinical test was carried out by using the adjusted initial scale. Based on the test results, the items were screened by the method of classical test theory to form the final scale, and the performance evaluation indicators such as validity, reliability, and responsiveness of the final scale were tested.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> The final formed TTH-PRO scale contained three domains, six dimensions, and 30 items. The split-half reliability, Cronbach's \u03b1 coefficients, and construct validity of the scale were acceptable, as was feasibility. The responsiveness in the physiological domain was fair, but the overall responsiveness still needed further clinical validation.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold>The TTH-PRO scale has been developed with extensive patient input and demonstrates evidence for reliability and validity. It is complementary to existing evaluation indicators of TTH, emphasizing the patient's experience. Further studies are needed to optimize its items and to verify its clinical applicability for population in more regions and countries.<\/jats:p>","DOI":"10.3389\/fneur.2021.693553","type":"journal-article","created":{"date-parts":[[2021,9,6]],"date-time":"2021-09-06T15:44:59Z","timestamp":1630943099000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and Validation of a Patient-Reported Outcome Scale for Tension-Type Headache"],"prefix":"10.3389","volume":"12","author":[{"given":"Jinke","family":"Huang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weichi","family":"Guo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Runsheng","family":"Xie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min","family":"Shen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huimin","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2021,8,27]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1298\/jjpta.Vol17_005","article-title":"Effectiveness of physical therapy in patients with tension-type headache: literature review","volume":"17","author":"Victoria","year":"2014","journal-title":"J Jpn Phys Ther Assoc"},{"volume-title":"Lifting the burden. Atlas of headache disorders and resources in the world 2011","year":"2001","key":"B2"},{"key":"B3","doi-asserted-by":"publisher","first-page":"743","DOI":"10.1016\/S0140-6736(15)60692-4","article-title":"Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990\u20132013: a systematic analysis for the global burden of disease study 2013","volume":"386","year":"2015","journal-title":"Lancet"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1789","DOI":"10.1016\/S0140-6736(18)32279-7","article-title":"Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017","volume":"392","year":"2018","journal-title":"Lancet"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2020\/4262910","article-title":"Acupuncture for the treatment of tension-type headache: an overview of systematic reviews","volume":"2020","author":"Huang","year":"2020","journal-title":"Evid Based Complement Altern Med."},{"key":"B6","doi-asserted-by":"publisher","first-page":"887","DOI":"10.1023\/A:1008996223999","article-title":"Recommendations on health-related quality of life research to support labeling and promotional claims in the United States","volume":"9","author":"Revicki","year":"2000","journal-title":"Qual Life Res."},{"key":"B7","doi-asserted-by":"publisher","first-page":"661","DOI":"10.2147\/COPD.S240842","article-title":"Development and validation of the modified patient-reported outcome scale for chronic obstructive pulmonary disease (mCOPD-PRO)","volume":"15","author":"Li","year":"2020","journal-title":"Int J Chron Obstruct Pulmon Dis"},{"key":"B8","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1186\/s12955-015-0246-0","article-title":"Development and validation of a patient-reported outcome measure for stroke patients","volume":"13","author":"Luo","year":"2015","journal-title":"Health Qual Life Outcomes"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/03007995.2017.1338562","article-title":"Development of the Rheumatoid Arthritis Symptom Questionnaire (RASQ): a patient reported outcome scale for measuring symptoms of rheumatoid arthritis","volume":"33","author":"Banderas","year":"2017","journal-title":"Curr Med Res Opin"},{"key":"B10","doi-asserted-by":"publisher","first-page":"451","DOI":"10.7326\/0003-4819-114-6-451","article-title":"Failure of physicians to recognize functional disability in ambulatory patients","volume":"114","author":"Calkins","year":"1991","journal-title":"Ann Intern Med."},{"key":"B11","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1186\/1477-7525-4-79","article-title":"U.S. Department of Health and Human Services FDA Center for Drug Evaluation and Research, U.S. Department of Health and Human Services FDA Center for Biologics Evaluation and Research, U.S. Department of Health and Human Services FDA Center for Devices and Radiological Health. Guidance for industry: patient-reported outcome measures: use in medical product development to support labeling claims: draft guidance","volume":"4","year":"2006","journal-title":"Health Qual Life Outcomes"},{"key":"B12","doi-asserted-by":"publisher","first-page":"988","DOI":"10.1212\/WNL.53.5.988","article-title":"An international study to assess reliability of the Migraine Disability Assessment (MIDAS) score","volume":"53","author":"Stewart","year":"1999","journal-title":"Neurology."},{"key":"B13","doi-asserted-by":"publisher","first-page":"963","DOI":"10.1023\/A:1026119331193","article-title":"A six-item short-form survey for measuring headache impact: The HIT-6","volume":"12","author":"Kosinski","year":"2003","journal-title":"Qual Life Res"},{"key":"B14","doi-asserted-by":"publisher","first-page":"473","DOI":"10.1097\/00005650-199206000-00002","article-title":"The MOS 36-item short-form health survey (SF-36)","volume":"30","author":"Ware","year":"1992","journal-title":"Med Care."},{"key":"B15","doi-asserted-by":"publisher","first-page":"337","DOI":"10.3109\/07853890109002087","article-title":"EQ-5D: a measure of health status from the EuroQol Group","volume":"33","author":"Rabin","year":"2001","journal-title":"Ann Med."},{"key":"B16","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1007\/s11136-013-0505-7","article-title":"Development and initial psychometric evaluation of the hepatitis C virus-patient-reported outcomes (HCV-PRO) instrument","volume":"23","author":"Anderson","year":"2014","journal-title":"Qual Life Res."}],"container-title":["Frontiers in Neurology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fneur.2021.693553\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,6]],"date-time":"2021-09-06T15:45:04Z","timestamp":1630943104000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fneur.2021.693553\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,27]]},"references-count":16,"alternative-id":["10.3389\/fneur.2021.693553"],"URL":"https:\/\/doi.org\/10.3389\/fneur.2021.693553","relation":{},"ISSN":["1664-2295"],"issn-type":[{"type":"electronic","value":"1664-2295"}],"subject":[],"published":{"date-parts":[[2021,8,27]]},"article-number":"693553"}}