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- Klinische proef NCT07513662
Hoofdpijn Educatie en Bewustzijn versus Dagelijkse Mindfulness Strategieën - Inzicht in Pijn (HEADS-UP)
Haalbaarheidsonderzoek naar een op afstand uitgevoerde mindfulness-gebaseerde interventie voor adolescenten met 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
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Michelle A Clementi, Ph.D.
- Telefoonnummer: 720-777-7487
- E-mail: michelle.clementi@childrenscolorado.org
Studie Contact Back-up
- Naam: Arlet Campuzano, B.S.
- E-mail: arlet.campuzano@childrenscolorado.org
Studie Locaties
-
-
Colorado
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Aurora, Colorado, Verenigde Staten, 80045
- Werving
- Children's Hospital Colorado
-
Contact:
- Michelle A Clementi, Ph.D.
- Telefoonnummer: 720-777-7487
- E-mail: michelle.clementi@childrenscolorado.org
-
Contact:
- Arlet Campuzano, B.S.
- Telefoonnummer: 720-777-4904
- E-mail: arlet.campuzano@childrenscolorado.org
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-
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
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
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: 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. |
|
Actieve vergelijker: 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. |
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Recruitment Feasibility (Primary)
Tijdsspanne: 24 months
|
≥ 80% of adolescents screened eligible will agree to participate |
24 months
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Recruitment Feasibility (Secondary)
Tijdsspanne: 24 months
|
Recruit N=72; mean n=6 enrolled per month |
24 months
|
|
Retention (Secondary)
Tijdsspanne: 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)
Tijdsspanne: 6 weeks
|
>80% of adolescents will attend 5 out of 6 (80% dose) of the intervention sessions |
6 weeks
|
|
Acceptability (Secondary)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 6 weeks
|
>95% interventionist adherence to content delivery based on fidelity checklists |
6 weeks
|
Medewerkers en onderzoekers
Sponsor
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Michelle A Clementi, Ph.D., University of Colorado, Denver
Publicaties en nuttige links
Algemene publicaties
- Broderick, P. C. (2021). Learning to breathe: A mindfulness curriculum for adolescents to cultivate emotion regulation, attention, and performance. New Harbinger Publications.
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- 25-1999
- 1K23AT013838 (Subsidie/contract van de Amerikaanse NIH)
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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