The Major Disorders of the Brain in Nepal
Annual report (year 2015) of the project “The Major Disorders of the Brain in Nepal”
Three papers have now been published in a highly ranked Journals ( two paper in 2015 and one in 2016). I had presented result at an international, scientific congress (IHC, Valencia, Spain 2015) and completed all the planned educational courses in Norway and also published all plan papers.
Paper I The original English version of EPQRS-N was translated into Nepali using a forward backward translation protocol. The first set of translated items was modified after testing by factor analysis with principal component extraction in an outpatient sample.The final Nepali version of EPQRS-N achieved satisfactory internal consistency. The item distribution coincided with the original English version, providing acceptable construct validity. It is psychometrically adequate for use in capturing the personality trait of neuroticism, and has broad applicability to the adult population of Nepal. Paper II Headache disorders are very common in Nepal. Migraine is unusually so, and strongly associated with living at altitude, which in very large part accounts for the high national prevalence: the age- and gender standardized prevalence in the low-lying Terai is 27.9 %. Headache occurring on =15 days/month is also common. This new evidence will inform national health policy and provide a basis for health-care needs assessment. However, research is needed to explain the association between migraine and altitude, since it may be relevant to health-care interventions. Paper III Headache disorders, very common in Nepal, are also highly burdensome at both individual and population levels. There is a substantial penalty in lost production. The remedy lies in better health care for headache; structured headache-care services are urgently needed in the country, and likely to be cost-saving.
Annual report (year 2014) of the project “The Major Disorders of the Brain in Nepal”
The straightforward methodology applied during the survey in 2013 has now been published in a highly ranked Journal. I presented this result at an international, scientific congress and completed the planned first half of educational courses in Norway.
The straightforward description of what was then done during the first year. We ran pre-pilot and pilot studies before embarking on the main study. The study design was cross-sectional. The population of interest were adults aged 18– 65 years who were Nepali speaking and living in Nepal. We selected, employed and trained groups of interviewers to visit randomly selected households by cold-calling. Households were selected from 15 representative districts out of 75 in the country through multistage cluster sampling. One participant was selected randomly from each household. We used structured questionnaires (the HARDSHIP questionnaire, Hospital Anxiety and Depression Scale, and Eysenck Personality Questionnaire -Neuroticism), culturally adapted and translated into Nepali. We recorded blood pressure, weight, height and waist circumference, and altitude of each household. We implemented various quality-assurances measures. We completed the survey in one month, prior to onset of the monsoon. Among 2,210 selected households, all were contacted, 2,109 were eligible for the study and, from these, 2,100 adults participated. The participation rate was 99.6%. I had presented a poster on straightforward methodology paper at an international, scientific congress (The European Headache and Migraine Trust International Congress, EHMTIC 2014) in Copenhagen. I have also stayed for half a year in Trondheim while successfully participating in the first half of the planned educational courses at NTNU.
The prevalence of primary headache disorders in Nepal: a nationwide population-based study.
J Headache Pain 2015;16():95. Epub 2015 nov 10
PMID: 26554602 - Inngår i doktorgradsavhandlingen
Measuring Neuroticism in Nepali: Reliability and Validity of the Neuroticism Subscale of the Eysenck Personality Questionnaire.
Kathmandu Univ Med J (KUMJ) 2015 Apr-Jun;13(50):156-61.
PMID: 26643834 - Inngår i doktorgradsavhandlingen
Estimating the prevalence and burden of major disorders of the brain in Nepal: methodology of a nationwide population-based study.
J Headache Pain 2014;15():52. Epub 2014 aug 21
PMID: 25146939 - Inngår i doktorgradsavhandlingen
The burden of headache disorders in Nepal: estimates from a population-based survey