Clinical trial NCT03766412: High School Start Time and Teen Migraine Frequency
Official title: High School Start Time and Adolescent Migraine Frequency
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Migraine
Lead sponsor: University of California, San Francisco
Sponsor class: OTHER
First posted: 2018-12-06
Enrollment: 256
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: U.S. High school students with migraine

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.

Eligibility criteria: 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

Primary outcomes:
measure: Headache days per month
timeFrame: Last 30 days
Secondary outcomes:
measure: Hours of sleep on typical school night
timeFrame: Last 30 days
measure: Typical bedtime on school night
timeFrame: Last 30 days
measure: Typical wake up time on a school day
timeFrame: Last 30 days
measure: Number of missed breakfasts in a typical school week
timeFrame: Last 30 days
measure: Acute headache medication days per month
timeFrame: Last 30 days
measure: PedMIDAS (Pediatric Migraine Disability Assessment Scale)
timeFrame: Last 90 days
Other outcomes:
Locations:
city: San Francisco
country: United States
facility: University of California, San Francisco, (UCSF)
state: California
Study officials:
affiliation: University of California, San Francisco
name: Amy A Gelfand, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Gelfand AA, Pavitt S, Greene K, Szperka CL, Irwin S, Grimes B, Allen IE. High School Start Time and Migraine Frequency in High School Students. Headache. 2019 Jul;59(7):1024-1031. doi: 10.1111/head.13535. Epub 2019 Apr 24.