Introvision for Migraine and Headaches (IntroMig)
Treatment of Migraine With Introvision, a Method of Mental Self-regulation - IntroMig: Randomised Waiting-list Control Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Randomized, single-center, waiting-list control group study: Introvision as preventative in Migraine
Randomized, single center, waiting-list group control study to evaluate the effect of Introvison, a mental and emotional self regulation method to reduce headache days in patients with migraine, migraine and tension type headache and chronic migraine. The number of headache days 3 months after completion of the last session of Introvision will be compared with the number of headache days of the waiting list group in the month before the course to learn Introvision.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Monika Empl, MD
- Phone Number: 73906 +49 89 4400
- Email: monika.empl@med.uni-muenchen.de
Study Locations
-
-
Bavaria
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Munich, Bavaria, Germany, 81377
- Hospital of the Ludwig-Maximilians-University
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Episodic migraine with at least 5 headache days per month, episodic migraine and tension type headache with at least 5 migraine headache days per month, chronic migraine
- Stable prophylactic headache medication
- Stable non-medication headache prophylaxis (sports, relaxation techniques, …)
- Informed consent
Exclusion Criteria:
- Other causes of headache, symptomatic headaches
- Other primary headaches such as Cluster headache, trigeminal neuralgia, idiopathic facial pain, new daily persistent headache
- Severe depression (more than 13 points in the Beck Depression inventory fast screen (BDI-FS)
- Drug - or alcohol abuse
- Non-compliance, especially significant missing entries in the headache diaries
- Active psychosis
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: non-waiting list group
Intervention: Introvision: mental and emotional self-regulation
|
Participants learn Introvision
|
|
Experimental: waiting list group
Intervention: Introvision: mental and emotional self-regulation Introvision is teached to participants of the waiting-list group at least 6 weaks or more after first group |
Participants learn Introvision
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Headache Days Per Month
Time Frame: approximately 4 months, as the course to learn Introvision and the three individual sessions will take nearly 2 months to be completed, and headaches per month will be assessed in the month 3 months after the last session of Introvision.
|
The number of headache days per month 3 months after completion of the last session of Introvision will be compared with the number of headache days of the waiting list group in the month before the course to learn Introvision.
|
approximately 4 months, as the course to learn Introvision and the three individual sessions will take nearly 2 months to be completed, and headaches per month will be assessed in the month 3 months after the last session of Introvision.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Headache Intensity
Time Frame: approximately 5 - 6 months, baseline before introvision training and 3 three months after the last introvision session
|
Headache intensity rated by the patients themselves with a scale in the headache diary: weak (=1) , moderate (=2), severe (=3) headache.
Scores may range from 1 to 3. Average headache intensity of the attacks per months will be compared three months after the last session of Introvision compared to the values before Introvison.
|
approximately 5 - 6 months, baseline before introvision training and 3 three months after the last introvision session
|
|
Acute Medication Per Month
Time Frame: approximately 5 - 6 months, baseline before introvision training and 3 three months after the last introvision session
|
The number of days with acute medication against migraine attacks/headache per month 3 months after completion of the last session of Introvision will be compared with the number of days with acute medication per month before Introvision.
|
approximately 5 - 6 months, baseline before introvision training and 3 three months after the last introvision session
|
|
Number of Headache Days Per Month in Pooled Groups Analysis Before and 3 Months After Introvision as Parameter for the Efficacy of Introvision
Time Frame: approximately 5-6 months
|
number of headache days per months in pooled groups analysis before and 3 months after Introvision, measured with the number of headache days per months as in the primary outcome measure, but both groups together compared before Introvision and three months after the last session
|
approximately 5-6 months
|
|
Headache Management Self-efficacy Scale-German-short Form (HMSE-G-SF)
Time Frame: approximately 5 - 6 months, baseline before introvision training and 3 three months after the last introvision session
|
The headache specific self-efficacy scale (Headache Management Self-efficacy Scale-German-short form: HMSE-G-SF) consists of 6 items with a 7-point response scale which ranges from 1 (strongly disagree) to 7 (strongly agree).The 6 items measure self-efficacy beliefs, for instance: "There are things I can do to alleviate the headache".
The scores for each of the six items are combined to compute the total score, that may range from 6 to 42 points.
A higher score indicates a stronger self-efficacy in headache management.
It is measured before Introvision and three month after the last session of Introvision.
|
approximately 5 - 6 months, baseline before introvision training and 3 three months after the last introvision session
|
|
Headache-Impact Test 6, HIT-6
Time Frame: approximately 5 - 6 months, baseline before introvision training and 3 three months after the last introvision session
|
Impact of headache (Headache-Impact Test 6, HIT-6), compared three months after the last session of Introvision to before introvision.
The total score may range from 6 to 78 points, a higher score indicates a higher impact of headaches on daily activities.
|
approximately 5 - 6 months, baseline before introvision training and 3 three months after the last introvision session
|
|
Overall Satisfaction of Patients
Time Frame: approximately 5 - 6 months, baseline before introvision training and 3 three months after the last introvision session
|
Patients will be asked whether they would recommend Introvision for headache patients and can choose between "yes" or "no".
The number of patients responding "yes" is reported.
|
approximately 5 - 6 months, baseline before introvision training and 3 three months after the last introvision session
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Influence of Frequency of Exercises as Exploratory Outcome Measure
Time Frame: approximately 5-6 months
|
Influence of frequency of self-regulation exercises per week on outcome, measured with reduction of headache days per month before and after Introvision. The frequency of self-regulation exercises is documented by the patients themselves on average in a month in the headache diary, with a three categories scale: 0 exercise per week; 1-3 exercises per week, more than 4 exercises per week. |
approximately 5-6 months
|
|
Patients' Mastery of Introvision as Exploratory Outcome Measure
Time Frame: approximately 5-6 months
|
investigators' estimation of patients' mastery of introvision,. Evaluated by the investigator after the last session in a three category scale: good mastery, moderate mastery, insufficient mastery. Does the mastery of introvision influence the reduction of headache days per month? |
approximately 5-6 months
|
|
Influence of Side of Headache on Outcome as Exploratory Outcome Measure
Time Frame: approximately 5-6 months
|
Do patients with a predominantly left-sided headache show a greater reduction of headache days per month 3 months after completion of the last session of Introvision compared to patients with predominantely right-sided headache?
|
approximately 5-6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Monika Empl, MD, Department of Neurology, Marchioninistr. 15, 81377 Munich, Germany
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- IntroMig 632-15
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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