Table 2.
Rank* | Proposed ‘merged’ domain and definition | Top 10/27 prioritised domains | Top 50% of prioritised domains (rank 1–13/27 inclusive) | Lower 50% of prioritised domains (rank 14–27 inclusive) |
1 | Pain
|
Pain associated with migraine—experience of an unpleasant sensation that aches or hurts (1/27) | ||
Frequency of pain associated with a migraine (2/27) | ||||
Severity or intensity of pain associated with a migraine (3/27) | ||||
Duration of pain associated with a migraine (4/27) | ||||
2 | Usual activities
|
Being able to carry out activities related to work (paid or unpaid) or study to an acceptable or usual standard (5/27) | ||
Family roles—able to provide usual care or support for family or close friends, including ability to commit activities (11/27) | ||||
Needing to take time off work (paid or unpaid) or study (13/27) | ||||
Participation in social or leisure activities—ability to participate in, or commit to, social or leisure activities (22/27) | ||||
3 | Cognition
|
Cognitive function—difficulty concentrating, ability to think ‘clearly’ or to remember things (6/27) | ||
4 | Adverse events | Treatment side effects—experiencing undesired secondary effects from taking medications for a migraine (7/27) | ||
5 | Overall health | An individual’s general health status; the ability to ‘live a normal life’ (8/27) | ||
6 | Self-management | Trigger factors—the ability to avoid/manage migraine trigger factors (9/27) | ||
Self-management—ability to effectively decrease/minimise/control the impact of migraine on oneself (eg, pharmaceutical, diet, lifestyle choices, etc) (11/27) | ||||
Unpredictability of a migraine—uncertainty of being symptom free or able to engage in activities (17/27) † prioritised in top 10 (10/27) by patients |
||||
7 | Associated symptoms | Increased sensitivities—to light, sound, smell or touch (10/27) | ||
Vomiting and/or feelings of nausea (15/27)† prioritised in top 10 (8/27) by HCPs | ||||
Physical fatigue—experiencing physical fatigue, tiredness, lacking in energy and feeling physically exhausted (18/27)† prioritised in top 50% (11/27) by patients | ||||
8 | Medication use | Satisfaction with treatment (14/27)† prioritised in top 10 (9/27) by HCPs | ||
The type (potency) and dose (how much) of a medication taken when experiencing a migraine (16/27)† prioritised in top 50% (11/27) by HCPs | ||||
The type (potency) and dose (how much) of a medication taken to prevent a migraine (21/27) | ||||
Consistency in treatment (23/27) | ||||
Confidence in treatment (25/27) | ||||
9 | Emotional well-being | Anxiety (19/27) | ||
Depression (19/27)† prioritised in top 50% (13/27) by patients | ||||
Stress (24/27) | ||||
Self-worth (24/27) | ||||
Isolation (27/27) |
*Top 7 grouped domains: informed by top 10 and top 50% of prioritised domains (13/27).
†6 domains prioritised differently between the two panels, considered further in round 3.
HCPs, healthcare professionals.