{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T19:49:08Z","timestamp":1784836148516,"version":"3.55.0"},"reference-count":42,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,1,27]],"date-time":"2023-01-27T00:00:00Z","timestamp":1674777600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We prospectively performed the Itoigawa Headache Awareness Campaign from August 2021 to June 2022, with two main interventions, and evaluated its effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Headache is a common public health problem, but its burden could be reduced by raising awareness about headache and the appropriate use of acute and prophylactic medication. However, few studies on raising headache awareness in the general public have been reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The target group was the general public aged 15\u201364. We performed two main interventions synergistically supported by other small interventions. Intervention 1 included leaflet distribution and a paper\u2010based questionnaire about headache during COVID\u201019 vaccination, and intervention 2 included on\u2010demand e\u2010learning and online survey through schools. In these interventions, we emphasize the six important topics for the general public that were described in the Clinical Practice Guideline for Headache Disorders 2021. Each response among the two interventions\u2019 cohorts was collected on pre and post occasions. The awareness of the six topics before and after the campaign was evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We obtained 4016 valid responses from 6382 individuals who underwent vaccination in intervention 1 and 2577 from 594 students and 1983 parents in intervention 2; thus, 6593 of 20,458 (32.2%) of the overall working\u2010age population in Itoigawa city experienced these interventions. The percentage of individuals\u2019 aware of the six topics significantly increased after the two main interventions ranging from 6.6% (39\/594)\u201340.0% (1606\/4016) to 64.1% (381\/594)\u201392.6% (1836\/1983) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001, all).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We conducted this campaign through two main interventions with an improved percentage of individuals who know about headache. The two methods of community\u2010based interventions could raise headache awareness effectively. Furthermore, we can achieve outstanding results by doing something to raise disease awareness during mass vaccination, when almost all residents gather in a certain place, and school\u2010based e\u2010learning without face\u2010to\u2010face instruction due to the COVID\u201019 pandemic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/head.14472","type":"journal-article","created":{"date-parts":[[2023,1,27]],"date-time":"2023-01-27T08:16:32Z","timestamp":1674807392000},"page":"429-440","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Headache education by leaflet distribution during\n                    <scp>COVID<\/scp>\n                    \u201019 vaccination and school\u2010based on\u2010demand e\u2010learning: Itoigawa Geopark Headache Awareness Campaign"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0192-5430","authenticated-orcid":false,"given":"Masahito","family":"Katsuki","sequence":"first","affiliation":[{"name":"Department of Neurosurgery Itoigawa General Hospital  Itoigawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiko","family":"Matsumori","sequence":"additional","affiliation":[{"name":"Department of Neurology Sendai Headache and Neurology Clinic  Sendai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junko","family":"Kawahara","sequence":"additional","affiliation":[{"name":"Department of Health Promotion Itoigawa City Servant Service  Itoigawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinami","family":"Yamagishi","sequence":"additional","affiliation":[{"name":"Department of Health Promotion Itoigawa City Servant Service  Itoigawa 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