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2. Later high school start time is associated with lower migraine frequency in adolescents.

Author

Gelfand, Amy A, Pavitt, Sara, Ross, Alexandra C, Szperka, Christina L, Irwin, Samantha L, Bertisch, Suzanne, Stone, Katie L, Frazier, Remi, Grimes, Barbara, and Allen, I Elaine

Subjects
Humans, Health Surveys, Cross-Sectional Studies, Time Factors, Schools, Students, Adolescent, Adult, United States, Female, Male, Migraine Disorders, Young Adult, Self Report, adolescent, migraine, sleep, Migraines, Neurosciences, Clinical Research, Pain Research, Pediatric, Chronic Pain, Prevention, Headaches, Clinical Sciences, Neurology & Neurosurgery
Abstract

ObjectiveTo determine whether high school start time is associated with headache frequency in adolescents with migraine.BackgroundAdolescence is marked by a physiologic delayed circadian phase, characterized by later bedtimes and wake times. The American Academy of Pediatrics (AAP) recommends that high schools start no earlier than 8:30 a.m., but most high schools in the United States start earlier. The study hypothesis was that adolescents with migraine whose high schools start at 8:30 a.m. or later (late group) would have lower headache frequency than those whose schools start earlier than 8:30 a.m. (early group).MethodsThis was a cross-sectional Internet survey study of US high schoolers with migraine recruited online through social media. Comparisons were made between the late group and the early group. The primary outcome measure was self-reported headache days/month.ResultsIn total, 1012 respondents constituted the analytic set: n = 503 in the late group versus n = 509 in the early group. Mean (SD) self-reported headache days/month was 4.8 (4.6) versus 7.7 (6.1) in the late and early groups, respectively (p

Published
2021

3. High School Start Time and Migraine Frequency in High School Students

Author

Gelfand, Amy A, Pavitt, Sara, Greene, Kaitlin, Szperka, Christina L, Irwin, Samantha, Grimes, Barbara, and Allen, Isabel E

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Pediatric, Pain Research, Clinical Research, Neurosciences, Migraines, Headaches, Chronic Pain, Behavioral and Social Science, Adolescent, Cross-Sectional Studies, Female, Humans, Male, Migraine Disorders, Schools, Sleep, Students, Time Factors, United States, Wakefulness, migraine, adolescent, sleep, Neurology & Neurosurgery, Clinical sciences
Abstract

ObjectiveTo investigate whether later high school start time is associated with lower migraine frequency in high school students with migraine.BackgroundAdequate sleep is thought to be important in managing adolescent migraine. The American Academy of Sleep Medicine recommends teenagers sleep ≥8 hours/night. Adolescents have a physiologically delayed sleep phase, going to bed, and waking later than children and adults. The American Academy of Pediatrics (AAP) accordingly recommends high schools start no earlier than 8:30 AM.MethodsCross-sectional observational study of U.S. high schoolers with migraine. Participants were recruited nationally using social media. Respondents attending high schools starting at 8:30 AM or later were compared to those attending earlier start time schools. The primary outcome was headache days/month.ResultsTwo hundred and fifty-six subjects constituted the analysis set: 115 later group vs 141 earlier group. Age and sex did not differ. Mean (SD) self-reported headache days/month were 7 (5) vs 8 (7), respectively, (P = .985); mean difference (95% CI for the difference) was -0.8 (-2.3-0.7) days. Median (IQR) self-reported total hours of sleep/school night were: 5.6 (5.0-6.6) vs 5.6 (4.5-6.4), P = .058. Students attending later start time schools woke later (median [IQR] 6:38 AM [55 minutes] vs 6:09 AM [59 minutes], P

Published
2019

19. Supplemental_Materials_FINAL – Supplemental material for Breaking a Cycle of Dependence to Improve Neurology Education: A Qualitative Study Exploring Pediatric Residents’ Perspectives

Author

Nguyen, Thuy, Pavitt, Sara, Wusthoff, Courtney, and Rassbach, Caroline

Subjects
FOS: Clinical medicine, 111403 Paediatrics
Abstract

Supplemental material, Supplemental_Materials_FINAL for Breaking a Cycle of Dependence to Improve Neurology Education: A Qualitative Study Exploring Pediatric Residents’ Perspectives by Thuy Nguyen, Sara Pavitt, Courtney Wusthoff and Caroline Rassbach in Clinical Pediatrics

Published
2019
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