- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT07513662
Educazione e Consapevolezza del Mal di Testa vs. Strategie di Consapevolezza Quotidiana - Comprendere il Dolore (HEADS-UP)
Studio di Fattibilità di un Intervento di Mindfulness a Distanza per Adolescenti con Emicrania
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
Panoramica dello studio
Stato
Condizioni
Descrizione dettagliata
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.
Tipo di studio
Iscrizione (Stimato)
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
- Nome: Michelle A Clementi, Ph.D.
- Numero di telefono: 720-777-7487
- Email: michelle.clementi@childrenscolorado.org
Backup dei contatti dello studio
- Nome: Arlet Campuzano, B.S.
- Email: arlet.campuzano@childrenscolorado.org
Luoghi di studio
-
-
Colorado
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Aurora, Colorado, Stati Uniti, 80045
- Reclutamento
- Children's Hospital Colorado
-
Contatto:
- Michelle A Clementi, Ph.D.
- Numero di telefono: 720-777-7487
- Email: michelle.clementi@childrenscolorado.org
-
Contatto:
- Arlet Campuzano, B.S.
- Numero di telefono: 720-777-4904
- Email: arlet.campuzano@childrenscolorado.org
-
-
Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
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
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Separare
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
|
Sperimentale: 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. |
|
Comparatore attivo: 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. |
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Recruitment Feasibility (Primary)
Lasso di tempo: 24 months
|
≥ 80% of adolescents screened eligible will agree to participate |
24 months
|
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Recruitment Feasibility (Secondary)
Lasso di tempo: 24 months
|
Recruit N=72; mean n=6 enrolled per month |
24 months
|
|
Retention (Secondary)
Lasso di tempo: 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)
Lasso di tempo: 6 weeks
|
>80% of adolescents will attend 5 out of 6 (80% dose) of the intervention sessions |
6 weeks
|
|
Acceptability (Secondary)
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 6 weeks
|
>95% interventionist adherence to content delivery based on fidelity checklists |
6 weeks
|
Collaboratori e investigatori
Sponsor
Collaboratori
Investigatori
- Investigatore principale: Michelle A Clementi, Ph.D., University of Colorado, Denver
Pubblicazioni e link utili
Pubblicazioni generali
- Broderick, P. C. (2021). Learning to breathe: A mindfulness curriculum for adolescents to cultivate emotion regulation, attention, and performance. New Harbinger Publications.
Studiare le date dei record
Studia le date principali
Inizio studio (Stimato)
Completamento primario (Stimato)
Completamento dello studio (Stimato)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- 25-1999
- 1K23AT013838 (Sovvenzione/contratto NIH degli Stati Uniti)
Piano per i dati dei singoli partecipanti (IPD)
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Informazioni su farmaci e dispositivi, documenti di studio
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Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .