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{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/4144696","sourcedb":"PMC","sourceid":"4144696","source_url":"https://www.ncbi.nlm.nih.gov/pmc/4144696","text":"Study instruments\nFor headache diagnosis and headache-attributed burden estimation, we used the Headache-Attributed Restriction, Disability, Social Handicap and Impaired Participation (HARDSHIP) questionnaire developed by LTB [6].This modular instrument included demographic enquiry and headache questions for all participants, then, for those reporting headache in the preceding year, diagnostic questions based on ICHD-3 beta followed by enquiries into the multiple components of burden [16]. We translated this into Nepali language following the LTB translation protocol for hybrid documents [17]. We administered the translated version in a pre-pilot study to 20 patients presenting at the Psychiatry Outpatient Department in Dhulikhel Hospital to verify cultural acceptability and inoffensiveness.\nWe imported Nepali-translated and culturally-validated versions of the Hospital Anxiety and Depression Scale (HADS) [18] and Eysenck Personality Questionnaire-Neuroticism (EPQ-N), revised version [19], into HARDSHIP (Additional file 1) to assess psychiatric morbidity in terms of caseness (a dichotomous measure) and symptom severity (a continuous measure).\nWe used a digital device (3BM1-3® by Microlife) to record blood pressure, with the participant sitting on the floor because many Nepalese would not have a chair in their homes. We used a simple portable scale to measure weight with shoes and outdoor clothes removed, and a measuring tape for height and waist circumference.\nWe used a portable altimeter (SAL 7030® by Sunoh) to establish the altitude of each household.","divisions":[{"label":"title","span":{"begin":0,"end":17}},{"label":"p","span":{"begin":18,"end":802}},{"label":"p","span":{"begin":803,"end":1160}},{"label":"p","span":{"begin":1161,"end":1484}}],"tracks":[{"project":"2_test","denotations":[{"id":"25146939-24400999-60562897","span":{"begin":227,"end":228},"obj":"24400999"},{"id":"25146939-9055211-60562898","span":{"begin":920,"end":922},"obj":"9055211"}],"attributes":[{"subj":"25146939-24400999-60562897","pred":"source","obj":"2_test"},{"subj":"25146939-9055211-60562898","pred":"source","obj":"2_test"}]}],"config":{"attribute types":[{"pred":"source","value type":"selection","values":[{"id":"2_test","color":"#ecc993","default":true}]}]}}