Cranio : the journal of craniomandibular practice · 2026
The Headache Needs Assessment (HANA) survey: psychometric properties of the Turkish version in migraine.
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Arikan Halime, Onan Dilara, Kulu Uğur
Аннотация
OBJECTIVES: This study aimed to cross-culturally adapt and validate the Turkish version of the 7-item Headache Needs Assessment (HANA) survey in individuals with migraine.
METHODS: Structural validity was evaluated using Exploratory (EFA) and Confirmatory Factor Analysis (CFA) in 79 participants. Reliability was assessed via Cronbach's α, Intraclass Correlation Coefficient (ICC), and Bland-Altman plots. Convergent validity was analyzed by correlating HANA with the Headache Disability Inventory (HDI), Headache Impact Test-6 (HIT-6), Visual Analog Scale (VAS), and Migraine Disability Assessment (MIDAS).
RESULTS: EFA revealed a two-factor structure for HANA A (explaining 68.81% of variance) and a single-factor structure for HANA B, confirmed by acceptable CFA indices. Cronbach's α exceeded 0.879 and ICC ranged from 0.784 to 0.836, indicating excellent reliability. HANA correlated moderately-to-strongly with HDI (p = .000; r = 0.622) and HIT-6 (p = .000; r = 0.481), but weakly with VAS (p = .000; r = 0.389) and MIDAS (p = .068; r = 0.206).
CONCLUSION: The Turkish HANA possesses robust psychometric properties for clinical and research use.
CLINICAL TRIALS NUMBER: NCT06675279.
METHODS: Structural validity was evaluated using Exploratory (EFA) and Confirmatory Factor Analysis (CFA) in 79 participants. Reliability was assessed via Cronbach's α, Intraclass Correlation Coefficient (ICC), and Bland-Altman plots. Convergent validity was analyzed by correlating HANA with the Headache Disability Inventory (HDI), Headache Impact Test-6 (HIT-6), Visual Analog Scale (VAS), and Migraine Disability Assessment (MIDAS).
RESULTS: EFA revealed a two-factor structure for HANA A (explaining 68.81% of variance) and a single-factor structure for HANA B, confirmed by acceptable CFA indices. Cronbach's α exceeded 0.879 and ICC ranged from 0.784 to 0.836, indicating excellent reliability. HANA correlated moderately-to-strongly with HDI (p = .000; r = 0.622) and HIT-6 (p = .000; r = 0.481), but weakly with VAS (p = .000; r = 0.389) and MIDAS (p = .068; r = 0.206).
CONCLUSION: The Turkish HANA possesses robust psychometric properties for clinical and research use.
CLINICAL TRIALS NUMBER: NCT06675279.