Improving Health Outcomes of Migraine Patients Who Present to the Emergency Department
Status:
Withdrawn
Trial end date:
2019-12-01
Target enrollment:
Participant gender:
Summary
Collectively, evidence shows that a combination of medication and behavioral therapy is most
effective for migraine care. The ED is a critical point of contact with the health care
system for many migraine patients; in current practice, it is a missed opportunity to
initiate and establish a comprehensive migraine management paradigm. Behavioral headache
treatments (e.g., progressive muscle relaxation (PMR), biofeedback, cognitive-behavioral
therapy (CBT)) are effective migraine treatment options that are essentially free of side
effects. PMR has also been successful as a technique that patients can do independently.
Studies have shown that combination pharmacological-behavioral therapy is most effective for
migraine treatment.
Several aspects of this study are innovative, including: 1. Initiation of preventive
medication in a timely manner for migraineurs who present to the ED. 2. Introduction of
PM+PMR in the ED at a time that can serve as a teachable moment. 3. Introduction of a
smartphone application-based product (a minimal contact based behavioral therapy) in the ED
setting to reduce headache disability, frequency, and intensity.
Phase:
Phase 4
Details
Lead Sponsor:
New York University School of Medicine NYU Langone Health