title: Evaluation of resource utilization and cost burden before and after an employer-based migraine education program.
abstract: OBJECTIVE
  Study objectives were to determine the impact of migraine and severe headache on employer burden, resource utilization, and workplace productivity before and after a migraine education program; estimate the associated costs in an employed sample; and evaluate whether a migraine management program can help manage costs.
  
  
  METHODS
  Employees of three US companies were informed of a company-specific web site with information regarding the study as well as a validated migraine screening questionnaire. Employees who screened positive for migraine completed a baseline survey examining migraine frequency and severity, Migraine Disability Assessment (MIDAS) grade, medical resource utilization, and impact on workplace productivity. After the baseline survey, employees received three print packets and six e-mailed newsletters of migraine management educational materials. Six months after the last mailing, participants completed a follow-up survey. Participants were stratified by MIDAS grade and prevention needs status. Direct and indirect migraine-related costs were estimated and differences between baseline and follow-up survey results were analyzed.
  
  
  RESULTS
  Indirect costs and measures of migraine impact improved after the educational program. Three-month indirect costs of migraine decreased 34.5% and total costs decreased 14.7% after the educational program.
  
  
  CONCLUSIONS
  Migraine management programs, including screening questionnaires and educational initiatives, may potentially help reduce the employer cost burden due to improvements in their employees' disability associated with migraine headache.
authors.affiliation: Center for Health Economics, Epidemiology and Science Policy, United BioSource Corporation, Bethesda, MD, USA.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Page
authors.forename: L Clark
authors.initials: LC
authors.lastname: Paramore
authors.forename: Dilesh
authors.initials: D
authors.lastname: Doshi
authors.forename: Marcia F T
authors.initials: MF
authors.lastname: Rupnow
mesh_terms: D000041:Absenteeism; D000293:Adolescent; D000328:Adult; D004526:Efficiency; D005260:Female; D017048:Health Care Costs; D006266:Health Education / Q000458:organization & administration*; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000191:economics* / Q000517:prevention & control*; D009786:Occupational Health Services / Q000379:methods*; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D014481:United States