About this trial
This study is a fully powered, remote randomized control trial to evaluate RELAXaHEAD in people with migraine.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
English speaking. (At this time, the validated app is only available in English.)
≥16 years of age
Meets International Classification of Headache Disorder (ICHD)-3 migraine criteria based on Information in the Study Manual
Headaches for ≥1 year with a stable pattern for the past >3 months
Disqualifiers
Patients who have had CBT, Biofeedback, or other Relaxation Therapy for migraine in the past year
Alcohol or other substance abuse as determined by self-report or prior documentation in the medical record
Diagnosis of medication overuse headache and/or opioid or barbiturate use
PHQ-8 scores greater than 15, indicate a conservative score of moderately severe depressive symptoms based on the PHQ-9 12-14 (in those with PHQ-8 scores >15, more intense intervention targeted to the depression may be needed, as depression is a significant predictor of migraine chronification and people with migraine and comorbid depression are more likely to be refractory to migraine treatments and to suffer from medication overuse)
Trial design
Parallel
Treatments tested in this trial
RELAXaHEAD Smartphone App Version 1
BehavioralRELAXaHEAD is a smartphone application that allows users to track headache frequency and severity, sleep, medication, medication side effects, and menstrual cycle, and create personal notes daily. The RELAXaHEAD app has an option for users to view their data reports and charts.
RELAXaHEAD Smartphone App Version 2
BehavioralRELAXaHEAD is a smartphone application that allows users to track headache frequency and severity, sleep, medication, medication side effects, and menstrual cycle, and create personal notes daily. The RELAXaHEAD app has an option for users to view their data reports and charts. This version also contains audio materials.
Treatment groups
Trial outcomes
Primary outcomes
Change from Baseline in Modified Monthly Migraine Disability Assessment Scale (mMIDAS) Score
5-item scale designed to measure disability over the previous 4 weeks. The total score is the sum of missed days due to a migraine from paid work, school, housework, and nonwork (family, social, and leisure) activities and days at paid work or housework where productivity was reduced by at least half. A decrease in scores indicates disability decreased during the observational period.
Secondary outcomes
Change in Migraine Specific Quality of Life (MSQ) Version 2 Scores
14-item self-assessment of how migraine affects a patient's life. Items ranked on a 6-point Likert scale, where: 1 = None of the time; 2 = A little bit of the time; 3 = Some of the time; 4 = A good bit of the time; 5 = Most of the time; and 6 = All of the time. Raw dimension scores are computed as a sum of item responses and rescaled on a 0-100 scale; higher scores indicate better quality of life.
Change in Monthly Headache Days (MHDs)
MHDs data derived from the mMIDAS questionnaire and electronic diary.
Sponsors and contacts
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NYU Langone Health
Lead sponsor
National Institutes of Health (NIH)
Collaborator