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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2020; 78(08): 568-572
DOI: 10.1590/0004-282X20200004
Articles

Assessment of Work Productivity and Activity Impairment (WPAI) questionnaire for migraine with the help of a smartphone app

Avaliação do questionário Work Productivity and Activity Impairment (WPAI) para enxaqueca com o auxílio de um aplicativo para smartphone
Renan Barros DOMINGUES 
1   Santa Casa de Misericórdia de São Paulo, São Paulo SP, Brazil.
2   Santa Casa de Misericórdia de São Paulo, Faculdade de Ciências Médicas, São Paulo SP, Brazil.
3   Dr Cefaleia Clínica & Telemedicina, São Paulo SP, Brazil.
,
Isabella Silva PICON 
1   Santa Casa de Misericórdia de São Paulo, São Paulo SP, Brazil.
,
Julia VESCOVi 
1   Santa Casa de Misericórdia de São Paulo, São Paulo SP, Brazil.
,
Gabriel CHUNG 
2   Santa Casa de Misericórdia de São Paulo, Faculdade de Ciências Médicas, São Paulo SP, Brazil.
,
Felipe Teijeiro CABRAL 
2   Santa Casa de Misericórdia de São Paulo, Faculdade de Ciências Médicas, São Paulo SP, Brazil.
,
Ayrton Piassi BERTELLI 
2   Santa Casa de Misericórdia de São Paulo, Faculdade de Ciências Médicas, São Paulo SP, Brazil.
,
Annelise Akemi Higa LEE 
2   Santa Casa de Misericórdia de São Paulo, Faculdade de Ciências Médicas, São Paulo SP, Brazil.
,
Paulo Diego Santos SILVA 
1   Santa Casa de Misericórdia de São Paulo, São Paulo SP, Brazil.
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ABSTRACT

Background: Migraine is a major cause of disability, which affects many areas of life, including productivity at work. Measuring absenteeism and presenteeism resulting from migraine with the use of appropriate tools is essential for better understanding the impact of this disease. Objective: The aim of the present study was to assess the work impact of migraine using the Brazilian Portuguese version of Work Productivity and Activity Impairment (WPAI) questionnaire. Methods: This survey was carried out with the aid of a smartphone app (Dr Cefaleia for Doctors) containing the questionnaires: ID-Migraine, Headache Impact Test (HIT-6), and WPAI. The data were collected during a headache awareness event. Correlations were assessed between migraine impact (HIT-6) with WPAI parameters: a) work time missed (absenteeism), b) impairment at work (presenteeism), c) overall work productivity loss (absenteeism+presenteeism), and d) activity impairment outside work. Results: Overall, 305 subjects with headache were interviewed and 167 were classified as having migraine. No significant differences in migraine impact according to sex (p=0.8) and modality of work were registered (p=0.8). Females had significantly higher absenteeism score (p<0.001), but presenteeism score was not significantly different between genders (p=0.3). WPAI absenteeism and presenteeism scores significantly correlated with migraine impact (HIT-6). Conclusions: The results suggest WPAI Brazilian Portuguese version was efficient in assessing migraine related work impact. The use of an app with validated questionnaires facilitates the conduction of migraine impact research in different populations, allowing a better understanding of the burden of this disease.

RESUMO

Introdução: A enxaqueca é uma causa importante de incapacidade, afetando diversos domínios, incluindo a produtividade no trabalho. Avaliar o absenteísmo e o presenteísmo decorrentes da enxaqueca, por meio de ferramentas adequadas, é essencial para melhor conhecer o impacto desta doença. Objetivo: O objetivo deste estudo foi avaliar o impacto da enxaqueca sobre a produtividade no trabalho utilizando a versão em português do questionário Work Productivity and Activity Impairment (WPAI). Métodos: Para a realização desta pesquisa utilizou-se o aplicativo Dr. Cefaleia para Médicos com os seguintes questionários: “ID-Migraine”, “Headache Impact Test - HIT-6” e o WPAI. Os dados foram coletados durante um mutirão de conscientização sobre cefaleias. Foram avaliadas as correlações entre o impacto da enxaqueca (HIT-6) com os parâmetros do WPAI: a) tempo de trabalho perdido (absenteísmo), b) comprometimento do trabalho (presenteísmo), c) perda geral de produtividade (absenteísmo+presenteísmo), e d) comprometimento das atividades fora do trabalho. Resultados: Foram entrevistados 305 indivíduos com cefaleia, sendo que 167 dos casos foram classificados como enxaqueca. Não foram encontradas diferenças significativas no impacto da enxaqueca de acordo com o sexo (p=0,8) nem a modalidade de trabalho (p=0,8). As mulheres tiveram maior absenteísmo (p<0,001) mas não houve diferenças significativas entre os sexos quanto ao presenteísmo (p=0,3). Tanto os escores de absenteísmo quanto de presenteísmo do WPAI correlacionaram-se significativamente com o impacto da enxaqueca (HIT-6). Conclusões: Os resultados descritos sugerem que a versão em português do WPAI foi eficiente em avaliar o impacto no trabalho relacionado à enxaqueca. O uso de um aplicativo contendo questionários validados facilita pesquisas sobre o impacto da enxaqueca em diferentes populações, permitindo uma melhor compreensão do ônus resultante desta doença.

Keywords:

Migraine Disorders - Headache, Presenteeism - Absenteism - Telemedicine

Palavras-chave:

Transtornos de Enxaqueca - Cefaleia - Presenteísmo - Absenteísmo - Telemedicina


Publication History

Received: 28 November 2019

Accepted: 15 December 2019

Article published online:
13 June 2023

© 2020. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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