Adherence to and Beliefs on Recommendations for Behavioral Treatment for Migraine

Study Overview
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Brief Summary
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Migraine patients are oftentimes referred for evidence based behavioral therapies to prevent migraine. Yet, at follow-up visits, they report not seeing the behavioral therapist. This is a pilot feasibility acceptability study to assess whether motivational interviewing (MI) can be implemented in the headache center setting to help improve initiation and adherence to behavioral therapy for migraine. We will also assess patients' reasons for making/not making the appointment.

Official Title
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Adherence to and Beliefs on Recommendations for Behavioral Treatment for Migraine

Conditions
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Migraine

Intervention / Treatment
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* Behavioral: Motivational Interviewing
* Behavioral: Treatment as Usual


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Migraine diagnosis age 16+ English speaking Exclusion Criteria: Unable to read the questionnaire, no phone number

Ages Eligible for Study
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Minimum Age: 16 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Motivational Interviewing<br> | Behavioral: Motivational Interviewing<br>* Phone call using motivational interviewing technique<br>|
| Active Comparator: Usual Care<br> | Behavioral: Treatment as Usual<br>* will receive a regular study phone call after three months<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of Patients Who Made an Appointment for Behavioral Therapy |  | 3-6 Months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of Participants Who Attended Appointments | Of those who initiated behavioral therapy, percentage who attended appointments | 3-6 Months | 
| Percentage of Participants Who Initiated Appointments |  | Month 3-4 post-recruitment | 
| Mean Reported Importance of Managing Migraine | Reported the importance to participants of managing migraine. Importance was rated on a scale from 0 to 10, where the higher the score, the higher the importance. | First Follow-up Call (1 month post baseline) conducted only for the Arm/Group Motivational Interviewing and Last Follow-up Call (3-4 months post baseline) | 
| Mean Reported Confidence in Managing Migraines | Reported confidence in participant's ability to manage migraine. Confidence was rated on a scale from 0 to 10, with the higher the score, the higher the confidence. | First Follow-up Call (1 month post baseline) conducted only for the Arm/Group Motivational Interviewing and Last Follow-up Call (3-4 months post baseline) | 
| Mean Reported Confidence in Behavioral Therapy | Reported confidence in behavioral therapy to help participant manage migraine. Confidence was rated on a scale from 0 to 10, where the higher the score, the higher the confidence. | First Follow-up Call (1 month post baseline) conducted only for the Arm/Group Motivational Interviewing and Last Follow-up Call (3-4 months post baseline) |