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Can DoloTest predict the efficacy of psychological treatment in patients suffering from severe headache?

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The Journal of Headache and Pain

Springer

The European Headache and Migraine Trust International Congress

20-23 September 2012

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      Abstract

      Objective To test whether DoloTest [1], a new instrument for measurement of pain and quality of life, also is a valid test for documenting changes related to psychological treatment, in patients suffering from severe headaches. Method DoloTest is a validated pain and quality of life assessment tool that has been applied to patients in different pain clinics, but newer tested in a headache clinic. It measures 8 different domains: Pain, problems with light physical activities, problems with more strenuous physical activities, problems doing your job, reduced energy and strength, low spirit, reduced social life and sleeping problems. The patient is asked to score an average of the past week on a VAS-scale for each domain. The maximum value of each domain score is 100 and 800 for the total score. The DoloTest provides a graphic picture of a patient’s pain, as well as a numeric score. Headache patients from the Danish Headache Center were referred to weekly psychoeducational group sessions within a cognitive framework including intensive relaxation training over a 9-weeks period, with 8 patients per group. Psychological treatment was given in addition to other multidisciplinary interventions. DoloTest was applied before, under and after the psychological treatment. Results Baseline data for 110 patients, 22 males and 88 females, with an average age of 36.1 years (range 18 – 69) are collected. Most of the patients suffer from more than one type of headache: primarily migraine with or without aura n=66, frequent or chronic episodic tension-type headache n=70, others n=45. At baseline the average frequency of headache is 24 days/month, and the average total DoloTest score was 358 (range 32 – 675). Conclusion The DoloTest may be at valuable tool to measure the effect of psychological treatment, and further evaluation is ongoing.

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      Introduction and Validation of DoloTest(®): a new health-related quality of life tool used in pain patients.

      The aim of the publication is to introduce DoloTest(®) and to document the validation of DoloTest(®) . DoloTest(®) is a health-related quality of life (HRQoL) tool for pain patients with low-time burden involving the patient in interpretation of the test result by creating a graphic presentation of the test result in a DoloTest(®) Profile and therefore, suitable use in clinical setting. Validation against SF-36, 246 participants in four pain clinics. Face validity (domains) cognitive interviewing (time and patient's perception), factor analysis (factors and eigenvalues), construct validity (correlation coefficients), Reliability: Intern consistency (Cronbach's alpha), test-retest stability (correlation coefficients). Face validation: the eight domains most important for assessment of the patients with persistent pain were selected. The factor analysis shows equal relevance and weighting of all domains. Construct validation against SF-36™ shows positive correlation within each domain; correlation coefficients were between 0.47 and 0.69. Reliability was tested with Cronbach's alpha and test-retest. Cronbach's alpha values were 0.615 to 0.715. Correlation coefficients for linear regressions of test and retest for the DoloTest(®) and SF-36 were all positive. INTRODUCTION AND VALIDATION OF DOLOTEST(®): A new HRQoL tool used in pain patients. © 2010 World Institute of Pain.
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        Author and article information

        Affiliations
        [1]Danish Headache Center, Department of Neurology, Glostrup Hospital, University of Copenhagen, Denmark
        Conference
        J Headache Pain
        J Headache Pain
        The Journal of Headache and Pain
        Springer
        1129-2369
        1129-2377
        2013
        21 February 2013
        : 14
        : Suppl 1
        : P146
        3620186
        1129-2377-14-S1-P146
        10.1186/1129-2377-14-S1-P146
        Copyright ©2013 Zimmer and Kjeldgaard; licensee Springer.

        This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

        The European Headache and Migraine Trust International Congress
        London, UK
        20-23 September 2012
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        Poster Presentation
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