Evidence map›Paper›PMID 33481276›Full record

Trial reportHeadache2021

Psychometric validation and meaningful within-patient change of the Migraine-Specific Quality of Life questionnaire version 2.1 electronic patient-reported outcome in patients with episodic and chronic migraine.

Rebecca M Speck, Ren Yu, Janet H Ford, David W Ayer, Rohit Bhandari, Kathleen W Wyrwich

Abstract readClinical Trial, Phase IIIRandomized Controlled TrialValidation Study
In one paragraph

Trial report in Headache, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Observational
  5. Magnesium supplementation for migraine prophylaxis.The Cochrane database of systematic reviews · 2025
    Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rebecca M SpeckPatient-Centred Research, Evidera, Bethesda, MD, USA.ORCID https://orcid.org/0000-0002-3580-117X
Ren YuPatient-Centred Research, Evidera, Bethesda, MD, USA.
Janet H FordGlobal Patient Outcomes and Real World Evidence (GPORWE), Eli Lilly and Company, Indianapolis, IN, USA.ORCID https://orcid.org/0000-0001-7966-7737
David W AyerGlobal Patient Outcomes and Real World Evidence (GPORWE), Eli Lilly and Company, Indianapolis, IN, USA.ORCID https://orcid.org/0000-0001-7973-4370
Rohit BhandariGlobal Scientific Communications, Eli Lilly Services India Private Limited, Bangalore, India.ORCID https://orcid.org/0000-0002-1776-0618
Kathleen W WyrwichPatient-Centered Outcomes Assessment, Pfizer Inc, New York, NY, USA.

Funding

Eli Lilly and Company
6 · The paper itself

Abstract

objectiveTo evaluate the measurement properties of all three domains of the Migraine-Specific Quality of Life questionnaire version 2.1 (MSQ v2.1) electronic patient-reported outcome (ePRO) to assess the functional impact of migraine in patients with episodic or chronic migraine (CM); and identify meaningful within-patient change thresholds for the Role Function-Restrictive (RFR), Role Function-Preventive (RFP), and Emotional Function (EF) domains.

methodsData were drawn from three double-blind, placebo-controlled, and randomized Phase 3 clinical studies (episodic migraine [EM]: EVOLVE-1 and EVOLVE-2; CM: REGAIN). The psychometric properties of the MSQ v2.1 ePRO domains were demonstrated by evaluating reliability (internal consistency and test-retest), construct validity (convergent and known groups), and responsiveness. Meaningful within-patient change thresholds for domains were estimated using anchor-based approaches, supplemented by empirical cumulative distribution function curves and probability density function plots to enable interpretation of meaningful change over 3 months. The Patient Global Impression of Severity (PGI-S) and Patient Global Impression of Improvement served as anchors.

resultsA total of 2,850 patients with either EM (EVOLVE-1: 851; EVOLVE-2: 909) or CM (REGAIN: 1,090) were included. The Cronbach's alpha estimates of internal consistency exceeded the recommended threshold of ≥0.70 for all domains from the three studies, indicating adequate internal consistency. Test-retest reliability intraclass correlation coefficients were ≥0.80 for all domains across all three studies, demonstrating almost perfect agreement. Convergent validity was supported by moderate-to-strong correlation (r ≥ 0.30) between all domains of MSQ v2.1 ePRO and studied anchors (Migraine Disability Assessment Score and PGI-S scores) across all three studies. Known group validity was established between all domains and subgroups of patients stratified by baseline PGI-S scores and baseline number of monthly migraine headache days for all three studies. The 3-month meaningful within-patient change thresholds were the same for EM and CM for RFP: 20.00 and EF: 26.67; and for RFR: 25.71.

conclusionsThese findings demonstrate that all three domains of the MSQ v2.1 ePRO have sufficient reliability, validity, responsiveness, and appropriate interpretation standards. Our results suggest that MSQ v2.1 ePRO is a well-defined and reliable patient-reported outcome instrument that is suitable for use in clinical studies for evaluating the impact of migraine on patient functioning in episodic and CM.

Indexed as

Patient Reported Outcome MeasuresQuality of LifeAdolescentAdultAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedMigraine DisordersPsychometricsSurveys and QuestionnairesYoung Adultchronic migraineepisodic migraineMigraine-Specific Quality of Life questionnairepatient-reported outcomes

Identifiers

PMID33481276
PMCPMC8048965

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.