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Table 6 Summary of modifications from Item Tracking Matrix

From: Establishing content validity for the migraine Global Impression Item (mGI-I) assessment: a modified single-item migraine symptom severity questionnaire

 

Instructions

Item Stem & Alternative Item Stem

Response Options

Wave 1

 Patient

Add probe to change from “migraine” to “migraine attack”

Only test alternative item stem” in next wave. Add probe to discussion guide to explore potential change of “physical impairment” to “pain severity”

No change

 KFM

Add probe to change from “migraine” to “migraine attack”

Only test alternative item stem in next wave. Add probe to discussion guide to explore potential change of “physical impairment” to “pain severity”

No change

 HCP

Add probe to change from “migraine” to “migraine attack”

Removed the phrase “we are interested in how you feel”

Only test alternative item stem in next wave. Add probe to discussion guide to explore potential change of “physical impairment” to “pain severity”

No change

Wave 2

 Patient

Change the term “migraine” to “migraine attack” to better connect with patients

Change the term “migraine” to “migraine attack” to better connect with patients.

Change the term “physical impairment” to “pain severity”.

Continue to only test the alternate item stem with descriptive

Only continue to test the majority preferred 5-point scale (based on the Wave 2 feedback from all respondents as well as having 17 respondents preferring the 5-point scale versus only 11 respondents preferring the 7-point scale)

 KFM

Change the term “migraines” to “migraine attacks”

Change the term “migraines” to “migraine attacks”

Change the term “physical impairment” to “pain severity”.

Continue to only test the alternate item stem with descriptive.

Only continue to test the majority preferred 5-point scale (based on the Wave 2 feedback from all respondents as well as having 17 respondents preferring the 5-point scale versus only 11 respondents preferring the 7-point scale)

 HCP

Change the term “migraines” to “migraine attacks”

Change the term “migraines” to “migraine attacks”

Change the term “physical impairment” to “pain severity”.

Continue to only test the alternate item stem with descriptive.

Only continue to test the majority preferred 5-point scale (based on the wave 2 feedback from all respondents as well as having 17 respondents preferring the 5-point scale versus only 11 respondents preferring the 7-point scale)

Wave 3

 Patient

No further changes

No further changes

No further changes

 KFM

No further changes

No further changes

No further changes

 HCP

No further changes

No further changes

No further changes