Mindfulness vs Education for Migraine

(HEADS-UP Trial)

This trial aims to determine if virtual group programs can help teens manage migraines more effectively. It compares two telehealth options: one focuses on mindfulness techniques (BREATHE with Headache, or BREATHE-HA), and the other provides education about headaches (Enhanced Standard-of-Care: Headache Education). Teens aged 12 to 17 who experience migraines at least six days a month and face daily challenges due to these headaches might be suitable candidates. Participants should not have recently undergone extensive behavioral therapy for pain management.

As an unphased trial, this study offers teens a unique opportunity to explore innovative ways to manage migraines through virtual support.

The trial does not specify if you need to stop taking your current medications. However, you must be on a stable dose of any migraine prevention medication for at least 4 weeks before joining.

Research has shown that mindfulness and breathing exercises can safely and effectively help manage migraines. Studies on breathing techniques, such as alternate nostril breathing, indicate they can reduce migraine frequency and severity without harmful effects. Participants in these studies experienced fewer migraines and improved quality of life, with no negative side effects reported.

Researchers are excited about these treatments for migraines because they explore non-pharmacological options that could provide relief without the side effects of medication. The BREATHE with Headache (BREATHE-HA) program is particularly unique because it uses a mindfulness-based approach tailored for adolescents, delivered via telehealth, making it accessible and convenient. Meanwhile, the Enhanced Standard-of-Care: Headache Education arm emphasizes education delivered remotely, which may empower patients with knowledge and self-management strategies. These approaches could offer new avenues for managing migraines by focusing on mental and educational strategies rather than just medication.

Research has shown that mindfulness can help reduce migraine symptoms. In this trial, participants will join one of two groups: the BREATHE with Headache (BREATHE-HA) mindfulness-based intervention or the Enhanced Standard-of-Care: Headache Education. A study involving over 800 people, including some with headaches, found that a telehealth mindfulness program significantly improved their condition. Another review found that mindfulness-based activities eased chronic headache symptoms. Participants in mindfulness programs reported fewer migraine attacks and less disability related to headaches. Mindfulness not only reduces pain but also enhances quality of life and mental well-being.⁶⁷⁸⁹¹⁰