Migraine
Conditions
Brief summary
Migraine is common in adolescents and can cause missed school and disability. The American Academy of Pediatrics (AAP) recommends that high schools start no earlier than 8:30 AM in order to accommodate the physiologic needs of adolescents-whose brains naturally want to fall asleep later and wake up later and who still need to get at least 8 hours of sleep per night to function optimally-however, only about 18% of US high schools comply with this AAP recommendation. There is a relationship between adequate sleep and migraine. The investigators aim to determine whether high school students with migraine who attend high schools that comply with this AAP recommendation have lower migraine frequency than those that do not. If so, it would argue for advocating for changes in high school policy to optimize health of adolescents with migraine.
Detailed description
Study design: This is an observational study of high-school students in the U.S. who have migraine and who attend a standard high school (i.e. are not home schooled or online schooled). They will complete a one-time online survey answering questions about their headaches and their schedule--particularly schedule aspects related to school and sleep.
Interventions
OTHERHigh School start time
The time that the school starts
Sponsors
University of California, San Francisco
Study design
Observational model
CASE_ONLY
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
1. Live in the U.S. 2. In 9th-12th grade 3. Attends a high school that is outside of the home (i.e. not home-schooled or online schooled) 4. High school has a consistent start time all 5 days of the week 5. Has migraine by International Classification of Headache Disorders criteria 6. Can read and write in English
Exclusion criteria
NA
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Headache days per month | Last 30 days | How many headache days experienced in the last month |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Typical bedtime on school night | Last 30 days | Respondent's estimate of typical bedtime on school night |
| Typical wake up time on a school day | Last 30 days | Respondent's estimate of typical wakeup time on a school day |
| Hours of sleep on typical school night | Last 30 days | Respondent's estimate of hours of sleep on a typical school night |
| Acute headache medication days per month | Last 30 days | How many days per month respondent uses acute headache medication |
| PedMIDAS (Pediatric Migraine Disability Assessment Scale) | Last 90 days | Headache related disability score--Total score ranges from 0-246 |
| Number of missed breakfasts in a typical school week | Last 30 days | Respondent's estimate of how many times they miss breakfast in a typical school week |
Countries
United States
Outcome results
None listed