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Migraine With AuraNCT05617339

Tailored Digital Treatment for Migraine

A study testing I am (internet approach to migraine) in people with Migraine With Aura and Migraine Without Aura, run by Vastra Gotaland Region at 1 site in Sweden.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Background: An individualized internet-based treatment program from a biopsychosocial perspective has been developed within the Västra Götaland region (VGR) with funds from the Innovation Fund. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Migraine With Aura, Migraine Without Aura
What is being tested?
I am (internet approach to migraine)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
1 siteSweden
Study dates
1 Jan 2023to 31 Dec 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Women and men
  • 18 years and up
  • diagnosed episodic or chronic migraine with or without aura 3 or more migraine days a month.
  • Access to computer / tablet or smartphone with Bankid and internet connection.

Who cannot join

  • ongoing malignant disease
  • other rarer migraine diseases such as cluster headache, basilar migraine, hemiplegis migraine, vestibular migraine and eye migraine
  • ongoing moderate to more severe psychiatric problems such as depression, anxiety disorders, neuropsychiatric conditions, psychotic disorders, substance abuse and personality disorders
  • Ongoing psychological/physiotherapeutic treatment
  • People who cannot read, speak or understand the Swedish language

Trial locations and contacts

1 site in 1 country.

Marie S Persson, Phd-student contact

+46733167183

marie.s.persson@vgregion.se

Sandra Weineland, Docent contact

+46700825088

sandra.weineland@vgregion.se

Sweden1 site
  • FoU primary care Södra Älvsborg

    Borås, Sven Eriksonsplatsen 4, 503 38

Other trials in Sweden

About this study

Background: An individualized internet-based treatment program from a biopsychosocial perspective has been developed within the Västra Götaland region (VGR) with funds from the Innovation Fund. The treatment program is called Learn to live with migraine and goes by the abbreviation I AM (Internet Approach to Migraine). I AM is a complement to the medical treatment and focuses on pain management and learning to live as good a life as possible with the disease migraine. During the spring of 2022, I AM has been tested regarding the feasibility of primary care on 29 research subjects in a pilot RCT (DNR 2020-02359). A weighted preliminary assessment shows moderate effect size on mental health, that the participants accept the intervention, and that I AM with recruitment and care process can be carried out in a primary care context. Purpose: An overall purpose of the study is to evaluate the effect of the addition of the internet-based biopsychosocial treatment I AM compared to usual treatment (TREATMENT as usual - TAU) in primary care regarding frequency and severity of migraine attacks, functional level, mental health, quality of life and employment rate with a randomized controlled trial design (RCT). An additional aim is to evaluate whether it is possible to prevent episodic migraine from developing into chronic migraine among those who have episodic migraine at the start of the study via the supplement treatment program I AM. Expected results: The greatest expected benefit of I AM is to reduce the burden and suffering of migraines for all the people affected. AM is also expected to increase the availability of treatment with a biopsychosocial perspective, have a quality-enhancing effect in terms of method and increase the patient's participation in their treatment. An environmental aspect is that neither patient nor therapist need to travel, accessibility also increases for individuals living in smaller communities who receive equal treatment.

Read the detailed description

An overall purpose of the study is to evaluate in a randomized controlled trial (RCT) the effect of the addition of the internet-based treatment Internet Approach to Migraine (I AM ) compared to usual treatment (Treatment as usual - TAU) in primary care regarding frequency and severity of migraine attacks, functional level, mental health, quality of life and employment rate. An additional aim is to evaluate whether it is possible to prevent episodic migraine, among those who have episodic migraine at the start of the study, from developing into chronic migraine in primary care via the addition of the I AM treatment program for migraine, compared to TAU.

Question / Hypothesis Impact evaluation - primary outcomes1. What effect does I AM have, in comparison with treatment as usual (TAU) regarding the frequency and severity of migraine as well as functional capacity, mental health and quality of life, in follow-up measurement after termination, at 6 months after the end of treatment, and at 1 year and 2 years of follow-up measurement? The hypothesis is that there is an interaction effect and that the participants in I AM at follow-ups have a significantly lower degree of frequency and severity of migraine, as well as better functional ability, mental health and quality of life.2. Is there a significant difference between how many people have developed chronic migraine (measured by cut off of 15 days a month?) in the I AM and TAU groups, respectively? The hypothesis being tested is that the frequency and severity of migraine attacks is not reduced or further developed by the targeted treatment program I AM in comparison with TAU.

Process Evaluation - Secondary outcomes3. What effect does I AM have in comparison to TAU regarding flexibility and acceptance, selfcompassion, mindfulness, degree of pain sensitivitization and confidence in one's ability to engage in physical training? How does the effect of the intervention stand after 6, 12 and 24 months.

Being tested
I am (internet approach to migraine)
Keywords
migraine
Medical subject headings
Migraine with Aura, Migraine without Aura, Migraine Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • I am (internet approach to migraine)Behavioural

    Also called Learn to live with migraine (Lär dig leva med migrän)

    I AM has a biopsychosocial perspective. Modules 1-3 and 10 are mandatory and for those who are in need of shorter support and module 1-10 is for those who have more frequent and severe migraines and want a long time of support and treatment. The rationale of the treatment assumes that we do not know why we get migraines and instead focus on becoming as good as possible at managing the migraine attacks. The focus area of the treatments cognitive-behavioral interventions is, among other things, psychoeducation, what migraine is and what happens in the body during migraines and pain, interpretation of symptoms and information processing, training to stop through mindfulness and becoming aware of assumptions that guide behavior during pain management, management of grief, worry, guilt and feelings of shame based on self-compassion, challenging avoidances in a valued direction through ACT interventions and physiotherapist-led cardio training and exercises.

Study groups in NCT05617339
Study groupRoleWhat they receive
Personalised internet-based treatment "I am".ExperimentalNeed-based internet-based treatment
Receives: Behavioral: I am (internet approach to migraine)
Treatment As UsualNo interventionControl group, Treatment in primary care which is medical treatment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Headache Impact Test-6 (HIT-6)

    Frequency and severity of migraine attacks.Two questions are added in the present study: How many migraine days per month have you had on average in the last 3 months? Estimated on a scale of 1-10 how painful the headache was. 0= no pain and 10= worst imaginable pain. What percentage have you been employed in the last 3 months?

    Measured: Week 1

  2. Headache Impact Test-6 (HIT-6)

    Frequency and severity of migraine attacks.Two questions are added in the present study: How many migraine days per month have you had on average in the last 3 months? Estimated on a scale of 1-10 how painful the headache was. 0= no pain and 10= worst imaginable pain. What percentage have you been employed in the last 3 months?

    Measured: post (week 8 or 20)

  3. Headache Impact Test-6 (HIT-6)

    Frequency and severity of migraine attacks.Two questions are added in the present study: How many migraine days per month have you had on average in the last 3 months? Estimated on a scale of 1-10 how painful the headache was. 0= no pain and 10= worst imaginable pain. What percentage have you been employed in the last 3 months?

    Measured: 6 months follow up

  4. Headache Impact Test-6 (HIT-6)

    Frequency and severity of migraine attacks.Two questions are added in the present study: How many migraine days per month have you had on average in the last 3 months? Estimated on a scale of 1-10 how painful the headache was. 0= no pain and 10= worst imaginable pain. What percentage have you been employed in the last 3 months?

    Measured: 12 months follow up

  5. Headache Impact Test-6 (HIT-6)

    Frequency and severity of migraine attacks.Two questions are added in the present study: How many migraine days per month have you had on average in the last 3 months? Estimated on a scale of 1-10 how painful the headache was. 0= no pain and 10= worst imaginable pain. What percentage have you been employed in the last 3 months?

    Measured: 24 months follow up

Secondary outcomes (52)
  1. Mental Health Continuum Short Form (MHC-SF).

    Mental health and quality of life

    Measured: Week 1

  2. Mental Health Continuum Short Form (MHC-SF).

    Mental health and quality of life

    Measured: post (week 8 or 20)

  3. Mental Health Continuum Short Form (MHC-SF).

    Mental health and quality of life

    Measured: 6 months follow up

  4. Mental Health Continuum Short Form (MHC-SF).

    Mental health and quality of life

    Measured: 12 months follow up

  5. Mental Health Continuum Short Form (MHC-SF).

    Mental health and quality of life

    Measured: 24 months follow up

  6. Swedish version of CORE-10

    A broader measure of mental health in terms of well-being, symptoms, function and risk.

    Measured: Week 1

  7. Swedish version of CORE-10

    A broader measure of mental health in terms of well-being, symptoms, function and risk.

    Measured: up to week 4 or 10.

  8. Swedish version of CORE-10

    A broader measure of mental health in terms of well-being, symptoms, function and risk.

    Measured: post (week 8 or 20)

  9. Swedish version of CORE-10

    A broader measure of mental health in terms of well-being, symptoms, function and risk.

    Measured: 6 months follow up

  10. Swedish version of CORE-10

    A broader measure of mental health in terms of well-being, symptoms, function and risk.

    Measured: 12 months follow up

  11. Swedish version of CORE-10

    A broader measure of mental health in terms of well-being, symptoms, function and risk.

    Measured: 24 months follow up

  12. Self-Efficacy for Exercise Scale

    Their ability to conduct physical exercise

    Measured: Week 1

  13. Self-Efficacy for Exercise Scale

    Their ability to conduct physical exercise

    Measured: up to week 4 or 10.

  14. Self-Efficacy for Exercise Scale

    Their ability to conduct physical exercise

    Measured: post (week 8 or 20)

  15. Self-Efficacy for Exercise Scale

    Their ability to conduct physical exercise

    Measured: 6 months follow up

  16. Self-Efficacy for Exercise Scale

    Their ability to conduct physical exercise

    Measured: 12 months follow up

  17. Self-Efficacy for Exercise Scale

    Their ability to conduct physical exercise

    Measured: 24 months follow up

  18. Five Facet Mindfulness Questionnaire

    Conscious

    Measured: Week 1

  19. Five Facet Mindfulness Questionnaire

    Conscious

    Measured: post (week 8 or 20)

  20. Five Facet Mindfulness Questionnaire

    Conscious

    Measured: 6 months follow up

  21. Five Facet Mindfulness Questionnaire

    Conscious

    Measured: 12 months follow up

  22. Five Facet Mindfulness Questionnaire

    Conscious

    Measured: 24 months follow up

  23. Self-Compassion Scale

    Self compassion

    Measured: Week 1

  24. Self-Compassion Scale

    Self compassion

    Measured: post (week 8 or 20)

  25. Self-Compassion Scale

    Self compassion

    Measured: 6 months follow up

  26. Self-Compassion Scale

    Self compassion

    Measured: 12 months follow up

  27. Self-Compassion Scale

    Self compassion

    Measured: 24 months follow up

  28. Two questions to Haskell 2007 -

    Physical activity Physical activity

    Measured: Week 1

  29. Two questions to Haskell 2007 -

    Physical activity Physical activity

    Measured: up to week 20

  30. Two questions to Haskell 2007 -

    Physical activity Physical activity

    Measured: post (week 8 or 20)

  31. Two questions to Haskell 2007 -

    Physical activity Physical activity

    Measured: 6 months follow up

  32. Two questions to Haskell 2007 -

    Physical activity Physical activity

    Measured: 12 months follow up

  33. Two questions to Haskell 2007 -

    Physical activity Physical activity

    Measured: 24 months follow up

  34. Central Sensitization Inventory (CSI)

    Key symptoms associated with central sensitization

    Measured: Week 1

  35. Central Sensitization Inventory (CSI)

    Key symptoms associated with central sensitization

    Measured: post (week 8 or 20)

  36. Central Sensitization Inventory (CSI)

    Key symptoms associated with central sensitization

    Measured: 6 months follow up

  37. Central Sensitization Inventory (CSI)

    Key symptoms associated with central sensitization

    Measured: 12 months follow up

  38. Central Sensitization Inventory (CSI)

    Key symptoms associated with central sensitization

    Measured: 24 months follow up

  39. Acceptance of the treatment

    Acceptance of the treatment Measured with its own constructed form developed for the study. The form consists of four questions: Would you recommend the processing to someone else? How meaningful have you experienced the treatment scale 1-7, as well as two open questions answered in writing: what have you got out of the treatment? What has been less good about the treatment?

    Measured: Post (week 8 or 20)

  40. Acceptance of the treatment

    Acceptance of the treatment Measured with its own constructed form developed for the study. The form consists of four questions: Would you recommend the processing to someone else? How meaningful have you experienced the treatment scale 1-7, as well as two open questions answered in writing: what have you got out of the treatment? What has been less good about the treatment?

    Measured: 6 months follow up

  41. Acceptance of the treatment

    Acceptance of the treatment Measured with its own constructed form developed for the study. The form consists of four questions: Would you recommend the processing to someone else? How meaningful have you experienced the treatment scale 1-7, as well as two open questions answered in writing: what have you got out of the treatment? What has been less good about the treatment?

    Measured: 12 months follow up

  42. Acceptance of the treatment

    Acceptance of the treatment Measured with its own constructed form developed for the study. The form consists of four questions: Would you recommend the processing to someone else? How meaningful have you experienced the treatment scale 1-7, as well as two open questions answered in writing: what have you got out of the treatment? What has been less good about the treatment?

    Measured: 24 months follow up

  43. Other treatment

    "Other treatment" is measured with the question: Have you since you finished the treatment I AM, Learn to live with migraine or since the last self-assessment received other treatment for migraine? If yes, please describe which one.

    Measured: post (week 8 or 20)

  44. Other treatment

    "Other treatment" is measured with the question: Have you since you finished the treatment I AM, Learn to live with migraine or since the last self-assessment received other treatment for migraine? If yes, please describe which one.

    Measured: 6 months follow up

  45. Other treatment

    "Other treatment" is measured with the question: Have you since you finished the treatment I AM, Learn to live with migraine or since the last self-assessment received other treatment for migraine? If yes, please describe which one.

    Measured: 12 months follow up

  46. Other treatment

    "Other treatment" is measured with the question: Have you since you finished the treatment I AM, Learn to live with migraine or since the last self-assessment received other treatment for migraine? If yes, please describe which one.

    Measured: 24 months follow up

  47. Bulls eye

    Behavioral activation in a valued direction was measured with a Swedish version of Bulls eye (Lundgren, Louma, Dahl, Strohsal \&melin, 2012). The self-assessment scale is divided into four areas of values in people's lives: work/education, leisure, relationships and self-care/health. The instrument has demonstrated a test-retest reliability of 0.86 and good kriterieva deaths (Lundgren, Dahl \&hayes, 2008).

    Measured: Week 1

  48. Bulls eye

    Behavioral activation in a valued direction was measured with a Swedish version of Bulls eye (Lundgren, Louma, Dahl, Strohsal \&melin, 2012). The self-assessment scale is divided into four areas of values in people's lives: work/education, leisure, relationships and self-care/health. The instrument has demonstrated a test-retest reliability of 0.86 and good kriterieva deaths (Lundgren, Dahl \&hayes, 2008).

    Measured: up to week 20

  49. Bulls eye

    Behavioral activation in a valued direction was measured with a Swedish version of Bulls eye (Lundgren, Louma, Dahl, Strohsal \&melin, 2012). The self-assessment scale is divided into four areas of values in people's lives: work/education, leisure, relationships and self-care/health. The instrument has demonstrated a test-retest reliability of 0.86 and good kriterieva deaths (Lundgren, Dahl \&hayes, 2008).

    Measured: post (week 8 or 20)

  50. Bulls eye

    Behavioral activation in a valued direction was measured with a Swedish version of Bulls eye (Lundgren, Louma, Dahl, Strohsal \&melin, 2012). The self-assessment scale is divided into four areas of values in people's lives: work/education, leisure, relationships and self-care/health. The instrument has demonstrated a test-retest reliability of 0.86 and good kriterieva deaths (Lundgren, Dahl \&hayes, 2008).

    Measured: 6 months follow up

  51. Bulls eye

    Behavioral activation in a valued direction was measured with a Swedish version of Bulls eye (Lundgren, Louma, Dahl, Strohsal \&melin, 2012). The self-assessment scale is divided into four areas of values in people's lives: work/education, leisure, relationships and self-care/health. The instrument has demonstrated a test-retest reliability of 0.86 and good kriterieva deaths (Lundgren, Dahl \&hayes, 2008).

    Measured: 12 months follow up

  52. Bulls eye

    Behavioral activation in a valued direction was measured with a Swedish version of Bulls eye (Lundgren, Louma, Dahl, Strohsal \&melin, 2012). The self-assessment scale is divided into four areas of values in people's lives: work/education, leisure, relationships and self-care/health. The instrument has demonstrated a test-retest reliability of 0.86 and good kriterieva deaths (Lundgren, Dahl \&hayes, 2008).

    Measured: 24 months follow up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Nov 2022
  2. Study start1 Jan 2023 (estimated)
  3. Primary completion31 Dec 2025 (estimated)
  4. Study completion31 Dec 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05617339
Sponsor's protocol ID
VGFOUREG-979683
Status last verified
Oct 2022
First submitted
17 Oct 2022
Last updated
15 Nov 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing I am (internet approach to migraine) in people with Migraine With Aura and Migraine Without Aura, run by Vastra Gotaland Region at 1 site in Sweden.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 15 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Marie S Persson, Phd-student (+46733167183, marie.s.persson@vgregion.se), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Headache Impact Test-6 (HIT-6) (time frame: Week 1). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Nov 2022.

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