Heralding a New Era of Episodic, Chronic and Refractory Migraine Management

PRO Tool

Measuring the burden of headache worldwide

The HALT indices and HURT questionnaire are products of the Global Campaign against Headache led by Lifting The Burden in official relations with the World Health Organization.

Headache-Attributed Lost Time (HALT) indices are a measure of burden for headache management in primary care.

Headache Under-Response to Treatment (HURT) index is a diagnostic diary, and an outcome measure specifically to guide follow-up in primary care.

Timothy J Steiner

Emeritus Professor of Medicine (Headache and Global Public Health) in the Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway

Professor Steiner is an academic physician and specialist in headache medicine. He trained first in physiology, and then in medicine at the University of London. Later he obtained Masters Degrees in law, in medical ethics and in business management.

He has worked in the field of headache medicine for 40 years. He is past-President of the European Headache Federation and past-General Secretary of the International Headache Society.

His principal research interests relate to public health aspects of headache. He is the founder of the UK-registered charity, Lifting The Burden, which operates in official relations with the World Health Organization. He is the architect and Director of the Global Campaign against Headache, which is conducted by Lifting The Burden as its principal activity.

English-language version

Also available in the following languages

  1. Steiner TJ, Lipton RB on behalf of Lifting The Burden: The Global Campaign against Headache. The Headache-Attributed Lost Time (HALT) Indices: measures of burden for clinical management and population-based research. J Headache Pain 2018; 19: 12.
  2. Steiner TJ, Buse DC, Al Jumah M et al, Lipton RB on behalf of Lifting The Burden: The Global Campaign against Headache. The headache under-response to treatment (HURT) questionnaire, an outcome measure to guide follow-up in primary care: development, psychometric evaluation and assessment of utility. J Headache Pain 2018; 19: 15.

We would like to thank all the translators who participated in the creation of this project.

This programme is made possible thanks to independent educational sponsorship from Eli Lilly and Company.