CClinicalTrials.gg
CompletedNCT03766412Updated May 3, 2024

High School Start Time and Teen Migraine Frequency

An observational study in Migraine, sponsored by University of California, San Francisco. Completed at 1 site in United States. Per ClinicalTrials.gov, last updated 2024-05-03.

Sponsored by University of California, San Francisco · Observational

Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
256
Sex
All
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Study 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.

Read the 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.

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Conditions studied

  • Migraine

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In context

Migraine Disorders

1,528 studies on the registry are indexed under Migraine Disorders; 299 are open to participants now.

This study's enrollment of 256 is above the median of 130 across 299 observational studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

University of California, San Francisco is the lead sponsor of 2,132 studies on the registry; 375 are open to participants now.

Of its 262 completed or terminated interventional studies of FDA-regulated products, 196 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

U.S. High school students with migraine

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

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Study design

Observational model
Case-only
Time perspective
Cross-sectional
Enrollment
256 participants (actual)
Patient registry
No

Groups and cohorts

  • School start time 8:30 AM or later

    These are high schoolers with migraine who attend a school that begins at 8:30 AM or later (i.e. follows AAP recommendation re: high school start time).

    Other: High School start time

  • School start time earlier than 8:30

    These are high schoolers with migraine who attend a school that begins earlier than 8:30 AM (i.e. does not follow AAP recommendation re: high school start time).

    Other: High School start time

Interventions

  • OtherHigh School start time

    The time that the school starts

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What researchers measure

Primary outcomes

  1. Headache days per month

    How many headache days experienced in the last month

    Time frame: Last 30 days

Secondary outcomes

  1. Hours of sleep on typical school night

    Respondent's estimate of hours of sleep on a typical school night

    Time frame: Last 30 days

  2. Typical bedtime on school night

    Respondent's estimate of typical bedtime on school night

    Time frame: Last 30 days

  3. Typical wake up time on a school day

    Respondent's estimate of typical wakeup time on a school day

    Time frame: Last 30 days

  4. Number of missed breakfasts in a typical school week

    Respondent's estimate of how many times they miss breakfast in a typical school week

    Time frame: Last 30 days

  5. Acute headache medication days per month

    How many days per month respondent uses acute headache medication

    Time frame: Last 30 days

  6. PedMIDAS (Pediatric Migraine Disability Assessment Scale)

    Headache related disability score--Total score ranges from 0-246

    Time frame: Last 90 days

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Study locations

1 site
  • University of California, San Francisco, (UCSF)
    San Francisco, California 94158, United States
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References and documents

Publications

  • 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. PubMed 31016722 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03766412
Lead sponsor
University of California, San Francisco
Responsible party
Sponsor
First posted
Dec 6, 2018
Start date
Oct 1, 2018
Primary completion
Oct 15, 2018
Completion
Oct 15, 2018
Last update
May 3, 2024

Study contacts

Amy A Gelfand, MD
principal investigator · University of California, San Francisco

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2018. You cannot join it, but the record below documents what was studied.

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