Brazilian version of headache management self-efficacy scale

Rebeca Veras De Andrade Vieira,Liselotte Menke Barea,Renata Gomes Londero,Franciele Machado Beria,Isadora Silveira Ligório,Gustavo Gauer,Vanise Grassi,William Barbosa Gomes,Fernando Kowacs

doi:10.48208/headachemed.2021.36

Abstract

Background Headache-management self-efficacy has been associated with pain severity and headache-related disability. Objective The aim of this study was to test the cross-cultural adaptation and psychometric properties of a Brazilian version of the Headache Management Self-Efficacy Scale (HMSE) in a sample of patients coming from three tertiary headache centers in Brazil. Methods 137 migraine outpatients completed the Headache Management Self-Efficacy Scale (HMSE) and measures of psychopathological symptoms, pain catastrophizing, depression, anxiety, quality of life and headache-related disability. Results HMSE-10 showed good reliability (α = 0.84) and adequate corrected item-total correlation, ranging from 0.46 to 0.64. HMSE-10 was positively correlated with 6 of 8 domains of overall health status and negatively correlated with psychopathological symptoms, depression, anxiety, pain catastrophizing, headache-related disability, headache frequency and headache intensity. The difference between the means of the episodic and chronic headache patients had a magnitude of moderate effect in all the study measures, being headache-related disability the largest one found (d = 0.68). Along with headache intensity and depression, Efficacy Scale beliefs were predictors of headache-related disability. Conclusions The Brazilian short version of Headache Management Self-Efficacy Scale (HMSE-10) was revealed as a valid and reliable measure of headache-specific Efficacy Scale beliefs.

Highlights

In the context of headache management, self-efficacy (SE) beliefs refer to patient’s confidence that they can take actions to prevent headache episodes or manage headache-related pain and disability.[1]
Even though being highly self-efficacious represents a key factor in successful headache management, it is still observed in Brazil an absence of instruments to evaluate SE beliefs in these patients
Patient Health Questionnaire 9 (PHQ-9) and Generalized Anxiety Disorder 7 (GAD-7) are instruments for the evaluation of depression and anxiety according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), respectively.[15]

Summary

Introduction

In the context of headache management, self-efficacy (SE) beliefs refer to patient’s confidence that they can take actions to prevent headache episodes or manage headache-related pain and disability.[1]. Even though being highly self-efficacious represents a key factor in successful headache management, it is still observed in Brazil an absence of instruments to evaluate SE beliefs in these patients. The aim of the present study was to test the cross-cultural adaptation and psychometric properties of a Brazilian version of the Headache Management Self-Efficacy Scale (HMSE) in a sample of patients from three tertiary headache centers in Brazil. Headache-management self-efficacy has been associated with pain severity and headache-related disability

Methods

Results

Conclusion