Educational Video Program to Promote Physical Activity and Reduce Migraine Frequency in Adults With Migraine (PA-MIG)

Universidade do Porto

Status: Completed

Conditions: Migraine Disorders; Audiovisual Aids; Surveys and Questionnaires; Exercise; Health Education

Treatments: Behavioral: Video-based educational program on physical activity for migraine management

Study type: Interventional

Funder types: Other

Identifiers

NCT06993545

393/2023

Details and patient eligibility

About

The goal of this clinical trial is to learn if an educational video program can help reduce migraine frequency and improve migraine-related outcomes in adults with migraine. The main questions it aims to answer are:

• Does the video-based intervention reduce the number of monthly migraine episodes?
• Does it reduce the use of acute migraine medication?
• Does it increase the physical activity levels?

Researchers will compare participants who watch educational videos about physical activity with participants who receive usual care, to see if the intervention has additional benefits.

Participants will:

• Be randomly assigned to one of two groups: intervention or control
• The intervention group will watch seven short educational videos over a period of 3 months
• All participants will complete questionnaires before and after the intervention period to assess migraine impact, frequency, medication use, and physical activity levels

Enrollment: 307 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults aged 18 years or older
• Diagnosis of episodic or chronic migraine confirmed by a neurologist, based on the 3rd edition of the International Classification of Headache Disorders (ICHD-3)
• Willing and able to participate in the study

Exclusion criteria

• Inability to read or understand the study materials
• Inability or unwillingness to collaborate with study procedures
• Refusal to participate
• Diagnosis of other primary headache disorders (except for medication overuse headache)
• Presence of substance use disorders
• Presence of chronic medical conditions that limit physical activity (e.g., rheumatic diseases, systemic inflammatory conditions, neoplastic diseases)
• Presence of severe psychiatric disorders

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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307 participants in 2 patient groups

Control group

No Intervention group

Description:

Participants in the control group received usual care provided by their healthcare professionals, with no additional educational materials or interventions related to physical activity. This group did not receive the video-based educational program. Throughout the study, preventive and acute treatments were maintained according to standard clinical practice. Participants completed the same assessments as the intervention group at baseline and follow-up, including questionnaires on migraine impact, frequency, medication use, and physical activity levels.

Intervention group

Experimental group

Description:

The intervention consisted of a series of seven short, pre-recorded educational videos delivered over a 3-month period. The videos focused on the benefits of regular physical activity for individuals with migraine and included practical strategies to increase daily activity levels. The content was evidence-based, developed with input from healthcare professionals, and tailored to migraine management. Participants received access to one video approximately every two weeks via email or online platform. The videos aimed to improve awareness, motivation, and self-efficacy regarding physical activity without prescribing a specific exercise program. No direct interaction with healthcare providers occurred during the intervention period.

Treatment:

Behavioral: Video-based educational program on physical activity for migraine management