Headache Education and Awareness vs. Daily Mindfulness Strategies - Understanding Pain

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age12-17
SponsorUniversity of Colorado, Denver

About this trial

The goal of this study (supported by and included in the NIH HEAL Initiative: https://heal.nih.gov/) is to learn if a fully virtual study comparing two telehealth group interventions for adolescents with migraine is feasible and acceptable:

1. Telehealth group mindfulness-based intervention 2. Telehealth group headache education

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 12 to 17 years old

Diagnosed with migraine by medical provider using criteria from the International Classification of Headache Disorders, Third Edition

Patient report of at least 6 headache days per month

At least mild headache-related disability, as assessed by PedMIDAS score > 10

Disqualifiers

Currently engaged in, or previously received 4 or more sessions of behavioral interventions for pain management (e.g., mindfulness or cognitive-behavioral therapy) in the past 6 months

Current psychiatric crisis (e.g., active suicidal ideation)

Cognitive impairments or developmental delays that interfere with their ability to participate in the study

Inability to provide consent/assent

Trial design

Design model

Parallel

Treatments tested in this trial

  • BREATHE with Headache (BREATHE-HA)

    Behavioral

    BREATHE-HA is a 6-session group mindfulness-based intervention delivered via telehealth for adolescents with migraine. The intervention was adapted from an empirically-supported mindfulness-based intervention for adolescents (Learning to BREATHE; Broderick, 2021). Example activities include breath awareness, body scanning, mindful eating, loving-kindness practice, and mindful movement, as well as activities and discussion focused on improving distress tolerance and enhancing self-care, with examples related to living with migraine.

  • Enhanced Standard-of-Care: Headache Education

    Behavioral

    Enhanced Standard-of-Care is a 6-session group headache education program delivered via telehealth. It will be derived from a manual with fidelity as an attention-matched control in a behavioral trial for pediatric migraine. Headache education will include didactics and discussion on headache symptoms, medication, lifestyle factors for pain management, communication with providers, education on mood/stress, and impact of headaches on school and family.

Treatment groups

72 Participants
are divided into 2 treatment groups
Group A: BREATHE with Headache (BREATHE-HA)Experimental treatment 1 intervention
Group B: Enhanced Standard-of-Care: Headache EducationActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Recruitment Feasibility (Primary)

≥ 80% of adolescents screened eligible will agree to participate

Time frame
24 months

Secondary outcomes

1

Recruitment Feasibility (Secondary)

Recruit N=72; mean n=6 enrolled per month

Time frame
24 months
2

Retention (Secondary)

≥ 80% retained at post-intervention follow-up and 12-week follow-up

Time frame
Post-intervention (1 week after final intervention session); 12-week follow-up
3

Intervention Adherence (Secondary)

\>80% of adolescents will attend 5 out of 6 (80% dose) of the intervention sessions

Time frame
6 weeks
4

Acceptability (Secondary)

≥80% adolescent liking/credibility ratings ≥4 (1=not at all to 5=extremely) on the adapted Program Acceptability Questionnaire; qualitative themes indicative of liking/credibility, as derived from grounded theory/qualitative analysis of adolescent focus groups at post-intervention

Time frame
Post-intervention (1 week after final intervention session)

Other outcomes

Sponsors and contacts

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University of Colorado, Denver

Lead sponsor

National Center for Complementary and Integrative Health (NCCIH)

Collaborator

National Institute of Neurological Disorders and Stroke (NINDS)

Collaborator

This trial is not recruiting at the moment. You can still explore other options: