Which strategy should be applied? Design of a Norwegian epidemiological survey on chronic headache

Acta Neurol Scand Suppl. 2007:187:59-63. doi: 10.1111/j.1600-0404.2007.00849.x.

Abstract

Background: Large-scale population-based epidemiological surveys on chronic headache based on clinical interview by a physician are lacking.

Aims of the study: To describe a method that aims to provide valid information on chronic headache.

Method: A self-administered questionnaire including two questions about headache frequency within the last month and within the last year was used to screen for possible chronic headache. Respondents with self-reported headache more than half of the days were interviewed by neurological residents with experience in headache diagnostics.

Discussion: Previous studies have shown that a single question from a self-administered questionnaire can be used to screen for chronic headache. However, a precise headache diagnosis requires an interview by a physician experienced in headache diagnostics, as diagnoses extracted from questionnaires or provided by lay interviewers are not sufficiently precise.

Conclusions: A combination of a screening questionnaire and a clinical interview by a physician is likely to be a cost-effective method to conduct an epidemiological survey on chronic headache.

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Diagnostic Errors / prevention & control
  • Epidemiologic Research Design*
  • Epidemiologic Studies*
  • Female
  • Headache Disorders / diagnosis
  • Headache Disorders / epidemiology*
  • Humans
  • Interviews as Topic / standards
  • Male
  • Mass Screening / methods
  • Norway / epidemiology
  • Physician's Role
  • Surveys and Questionnaires / standards*