Nonpharmacological Self-Management of Migraine Across Social Locations: An Equity-Oriented, Qualitative Analysis.
Deanna R Befus, Sharon Hull, Justine Strand de Oliveira...
https://pubmed.ncbi.nlm.nih.gov/31223518/Actively Recruiting
Led by Brigham and Women's Hospital · Updated on 2026-06-26
60
Participants Needed
1
Research Sites
4 weeks
Total Duration
Migraine is a chronic headache disorder that significantly affects quality of life and ranks among the top causes of disability worldwide. This research aims to study chiropractic care as a potential integrative treatment for adults with episodic migraine, comparing it to headache health education in a pilot randomized trial. The goal is to help design a larger, fully powered trial by assessing feasibility and refining methods at two academic medical centers. Participants will be randomly assigned to one of two groups one receiving personalized chiropractic care consisting of 14 sessions over about 15 weeks, including spinal manipulation, exercises, and relaxation techniques the other receiving 14 interactive 15-minute headache health education sessions via videoconference. Both groups continue their usual medical care throughout the study. During participation, individuals will complete headache diaries and undergo assessments including questionnaires on migraine frequency, severity, disability, quality of life, and related symptoms over a period of 24 weeks. Feasibility outcomes such as recruitment, retention, and adherence will be tracked. The study includes baseline, initial follow-up, and final follow-up assessments to measure changes in migraine and related health outcomes.
CONDITIONS
Chiropractic Care for Episodic Migraine
P
Pamela M Rist, ScD
V
Viviane Nguyen, BS
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Brigham and Women's Hospital
Lead Sponsor
Palmer College of Chiropractic
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Chiropractic Care (study arm) | Headache Health Education (study arm) |
|---|---|---|
| What it is | A multimodal procedure-based intervention including spinal manipulation, posture and stabilization exercises, soft tissue techniques, breathing/relaxation, stretches, ergonomic modifications, bracing and self-care | An active behavioral control involving 14 interactive 15‑minute headache‑specific education sessions delivered via video conference |
| Role in the trial | Experimental intervention being evaluated | Active comparator designed to control for attention and expectation |
| Primary use or purpose | Test whether multimodal chiropractic care can reduce migraine burden | Provide headache education to match time and expectation to balance attention effects |
| How it is given or performed | Customized in‑person protocols based on clinical needs including manipulation, mobilization, relaxation and ergonomic strategies | Delivered remotely via video over 14 sessions of about 15 minutes each using interactive education and videos |
| Existing evidence for migraine | Evidence suggests spinal manipulation and multimodal chiropractic interventions may improve episodic migraine | Limited direct evidence; likely reduces attention bias but not proven to alter migraine outcomes |
| Important risks | Adverse events in studies were infrequent and generally minor | Minimal risk expected from remote educational sessions |
| Important limitations | Evidence is moderate quality and based on small studies up to 2009; large‑scale trials are limited | Effect on migraine outcomes is unproven; may control for attention but doesn’t test therapeutic impact |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened to confirm eligibility, including migraine diagnosis and ability to complete study procedures.
1 visit (in-person)
Duration - Approximately 15 weeks
Participants receive either personalized chiropractic care sessions over approximately 15 weeks or 14 headache health education sessions via videoconference, while continuing their usual medical care.
14 sessions over 15 weeks
Duration - Up to 24 weeks from enrollment
Participants complete headache diaries and questionnaires to assess migraine frequency, severity, disability, and quality of life at baseline, initial follow-up, and final follow-up over a total of 24 weeks.
Periodic assessments at baseline, 16 weeks, and 20 weeks
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
OTHER
Number of Arms
2
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Lead Sponsor
Palmer College of Chiropractic
Collaborating Sponsor