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Table 2 Summary of Item level Cognitive Interview Results

From: Development and exploration of the content validity of a patient-reported outcome measure to evaluate the impact of migraine- the migraine physical function impact diary (MPFID)

Item

Concept

Attribute measureda

Understanding

n (%)b

Changes

Instructions

  

16 (94)

Two sentences added as a clarification to address patient feedback

Item 1

Impact on ability to do usual household chores

Difficulty

17 (100)

No changes

Item 2

Impact on ability to do activities outside of the home

Difficulty

17 (100)

Parenthetical phrase “For example shopping or doing errands” added to provide examples

Item 3

Impact on ability to keep routines/schedule

Difficulty

17 (100)

No changes

Item 4

Impact on ability to do Activities than require concentration

Difficulty

14 (82)

No changes

Item 5

Impact on ability to do activities that require thinking clearly

Difficulty

12 (71)

No changes

Item 6

Impact on ability to make yourself presentable

Difficulty

17 (100)

Item revised to clarify the concept as “getting ready for the day”

Item 7

Impact on ability to interact with others

Difficulty

17 (100)

Item and response options replaced by item on “avoiding interaction with other people”

Item 8

Needing to rest or lie down

Duration

17 (100)

No changes

Item 9

Overall Impact on ability to do usual activities

Difficulty

17 (100)

Response options “without any difficulty” to “unable to do” changed to “not difficult” to “extremely difficult”

Item 10

Impact on ability to move head

Duration

15 (88)

No changes

Item 11

Impact on ability to move body

Duration

15 (88)

No changes

Item 12

Impact on ability to get in and out of bed

Difficulty

17 (100)

Modified “get in and out of bed” to “get out of bed”

Item 13

Impact on ability to stand up

Difficulty

16 (94)

No changes

Item 14

Impact on ability to bend over

Difficulty

17 (100)

No changes

Item 15

Impact on ability to walk around inside home

Difficulty

17 (100)

No changes

Item 16

Impact on ability to walk at normal speed

Difficulty

17 (100)

No changes

Item 17

Impact on ability to do activities needing physical effort

Difficulty

17 (100)

No changes

  1. aResponse option type. b n (%) of subjects demonstrating that they understood the item as intended and were able to select a response to the item