mtoq_4_score: Migraine Treatment Optimization Questionnaire (mTOQ-4)

In cliot: Clinical Indices and Outcomes Tools

Migraine Treatment Optimization Questionnaire (mTOQ-4)

Description

Calculates the mTOQ-4 score to assess the adequacy of acute migraine treatment. The 4-item questionnaire evaluates treatment efficacy (pain-free at 2 hours, function restoration), tolerability (comfortable with side effects), and consistency (sustained relief with single dose). Higher scores indicate better treatment optimization.

Usage

mtoq_4_score(q1_pain_free_2h, q2_function_2h, q3_comfortable_2h, q4_single_dose)

Arguments

q1_pain_free_2h	Numeric (0-4). Are you pain-free at 2 hours? (0=Never, 4=All the time).
q2_function_2h	Numeric (0-4). Does your medicine return you to normal function at 2 hours? (0=Never, 4=All the time).
q3_comfortable_2h	Numeric (0-4). Are you comfortable with your medicine's side effects? (0=Never, 4=All the time).
q4_single_dose	Numeric (0-4). Does one dose work for 24 hours? (0=Never, 4=All the time).

Details

Scoring Key: 0 = Never 1 = Rarely 2 = Less than half the time 3 = More than half the time 4 = All the time

Value

A list containing:

mTOQ_4_Score	The calculated total score (Range 0-16).
Optimization_Status	Interpretation of treatment optimization.

References

Lipton RB, Kolodner K, Bigal ME, et al. Validity and reliability of the Migraine-Treatment Optimization Questionnaire. Cephalalgia. 2009;29(7):751-759. doi:10.1111/j.1468-2982.2008.01785.x

Examples

# Example 1: Optimal Treatment
# All the time (4) for all questions
mtoq_4_score(4, 4, 4, 4)

# Example 2: Poor Optimization
# Rarely (1) for efficacy, sometimes (2) for others
mtoq_4_score(1, 1, 2, 2)

cliot documentation built on Dec. 1, 2025, 1:06 a.m.