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- Registre américain des essais cliniques
- Essai clinique NCT07513662
Éducation et Sensibilisation aux Maux de Tête contre Stratégies Quotidiennes de Pleine Conscience - Comprendre la Douleur (HEADS-UP)
Essai de faisabilité d'une intervention basée sur la pleine conscience délivrée à distance pour les adolescents souffrant de migraine
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:
- Telehealth group mindfulness-based intervention
- Telehealth group headache education
Aperçu de l'étude
Statut
Les conditions
Description détaillée
Mindfulness-based intervention (MBI) shows promise in adults with migraine, but research is limited in adolescents. The current study aims to advance behavioral treatments for adolescents with frequent migraine by examining an MBI that was adapted specifically for adolescents with migraine. This a pilot randomized controlled trial is designed to test feasibility and acceptability in preparation for a future efficacy trial. Adolescents with migraine will be randomized to one of two 6-week telehealth group programs: a mindfulness-based intervention (BREATHE-Headache) or Enhanced Standard-of-Care (a headache education program). Participants (and their parent/guardian) will complete assessments at baseline, immediately post-intervention, and 12-week follow up.
Type d'étude
Inscription (Estimé)
Phase
- N'est pas applicable
Contacts et emplacements
Coordonnées de l'étude
- Nom: Michelle A Clementi, Ph.D.
- Numéro de téléphone: 720-777-7487
- E-mail: michelle.clementi@childrenscolorado.org
Sauvegarde des contacts de l'étude
- Nom: Arlet Campuzano, B.S.
- E-mail: arlet.campuzano@childrenscolorado.org
Lieux d'étude
-
-
Colorado
-
Aurora, Colorado, États-Unis, 80045
- Recrutement
- Children's Hospital Colorado
-
Contact:
- Michelle A Clementi, Ph.D.
- Numéro de téléphone: 720-777-7487
- E-mail: michelle.clementi@childrenscolorado.org
-
Contact:
- Arlet Campuzano, B.S.
- Numéro de téléphone: 720-777-4904
- E-mail: arlet.campuzano@childrenscolorado.org
-
-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- 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
- Stable dose (≥4 weeks) of prophylactic migraine medication or no current prophylactic medication at enrollment
- Adolescent participant fluent in English for the intervention content
Exclusion Criteria:
- 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
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: BREATHE with Headache (BREATHE-HA)
Mindfulness-based intervention adapted for adolescents with migraine, delivered as a telehealth group program |
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. |
|
Comparateur actif: Enhanced Standard-of-Care: Headache Education
Headache education, delivered as a telehealth group program |
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. |
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Recruitment Feasibility (Primary)
Délai: 24 months
|
≥ 80% of adolescents screened eligible will agree to participate |
24 months
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Recruitment Feasibility (Secondary)
Délai: 24 months
|
Recruit N=72; mean n=6 enrolled per month |
24 months
|
|
Retention (Secondary)
Délai: Post-intervention (1 week after final intervention session); 12-week follow-up
|
≥ 80% retained at post-intervention follow-up and 12-week follow-up |
Post-intervention (1 week after final intervention session); 12-week follow-up
|
|
Intervention Adherence (Secondary)
Délai: 6 weeks
|
>80% of adolescents will attend 5 out of 6 (80% dose) of the intervention sessions |
6 weeks
|
|
Acceptability (Secondary)
Délai: Post-intervention (1 week after final intervention session)
|
≥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 |
Post-intervention (1 week after final intervention session)
|
|
Protocol Feasibility (Secondary)
Délai: Baseline, post-intervention (1 week after final intervention session), 12-week follow-up
|
≤10% missing daily log data and 0% missing entire questionnaires at all time points |
Baseline, post-intervention (1 week after final intervention session), 12-week follow-up
|
|
Intervention Fidelity (Secondary)
Délai: 6 weeks
|
>95% interventionist adherence to content delivery based on fidelity checklists |
6 weeks
|
Collaborateurs et enquêteurs
Parrainer
Collaborateurs
Les enquêteurs
- Chercheur principal: Michelle A Clementi, Ph.D., University of Colorado, Denver
Publications et liens utiles
Publications générales
- Broderick, P. C. (2021). Learning to breathe: A mindfulness curriculum for adolescents to cultivate emotion regulation, attention, and performance. New Harbinger Publications.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- 25-1999
- 1K23AT013838 (Subvention/contrat des NIH des États-Unis)
Plan pour les données individuelles des participants (IPD)
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Informations sur les médicaments et les dispositifs, documents d'étude
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