Case Study

Migraine Stigma

The Researcher

Brian is a doctoral candidate at Liberty University, pursuing a PhD in Industrial and Organizational Psychology. He is doing his dissertation on the prevalence of migraine-related stigma in the Construction industry.

The Challenge

Brian attempted to recruit participants through migraine support groups on Facebook, but group admins declined to approve his posts. He then launched a Facebook ad campaign, which yielded two qualified participants alongside a large number of fraudulent responses. A LinkedIn post was also made, but it did not result in any participant sign-ups.

Participant Criteria

  • Currently works as a Laborer, General Laborer, Demolition Laborer, Roofer, Construction Worker, Mason, or Ironworker
  • In the Construction industry
  • Has experienced at least five attacks with a headache lasting 4-72 hours, where the headaches were not attributable to another disorder
  • Has pain characterized by at least 2 of the following features (unilateral location, pulsating quality, moderate to severe intensity, aggravation by physical activity), where the features were not attributable to another disorder
  • Has accompanying symptoms like nausea, vomiting, photophobia, and phonophobia, where the symptoms were not attributable to another disorder
  • Location: United States
  • English proficiency: Advanced or Native

Study Details

  • Format In-depth interview
  • Interview duration 30 minutes
  • Venue Zoom video conference
  • Number of participants 12
  • Incentive ⭐ $75 gift card ⭐

The Solution

Qualitative met with Brian to discuss his research study and sent him a proposal for participant recruitment. After he decided to move forward with Qualitative, we guided him in setting up his account and creating a participant screener that minimized response bias. We then simulated recruitment to gauge the cost of participant recruitment. The study initially targeted people suffering from chronic migraines and offered a $40 incentive. The simulation indicated that the cost of targeting chronic migraine sufferers would be extremely high and that the $40 incentive was too low. We worked with Brian to figure out new recruitment criteria (i.e., targeting people suffering from migraine headaches instead of chronic migraines) and a higher incentive ($75). The new study configuration was successful and we came back to Brian with a quote for participant recruitment.

Brian paid the invoice for participant recruitment and within a day, participants were appearing in Brian's project in Qualitative, ready to be scheduled for interviews. Most of the participants completed their interview at the scheduled time. 6 of the participants did not confirm their interview time and were unscheduled. Another 6 participants were no-shows and replaced. The rate of no-confirmations and no-shows was very high, and this is most likely due to a few reasons: the target population does not use a calendar or spend time on video calls regularly, the target population suffers from migraines, and the target population changed their minds about discussing their migraines. Brian conducted all 12 interviews over the course of 5 weeks.

The Outcome

By the end of the study, Qualitative had recruited 12 blue-collar workers from the Construction industry who experienced migraine headaches. 8 of the participants experienced at least 15 migraine headaches that lasted more than 4 hours, 2 experienced at least 10 migraine headaches that lasted more than 4 hours, and 2 experienced at least 5 migraine headaches that lasted more than 4 hours. 8 participants experienced the headache only on one side of the head. Almost all of the participants felt throbbing, an increase in pain with movement, and had had nausea, vomiting, sensitivity to light, or sensitivity to sound. There were 3 females and 9 males. All participants were U.S. residents. 5 participants were from the East Coast, 1 was from the West Coast, and 6 were from the middle of America.

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