Educational Video Program to Promote Physical Activity and Reduce Migraine Frequency in Adults With Migraine

Universidade do Porto307 enrolled

Overview

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

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

307

Conditions

Migraine Disorders Exercise Health Education

Interventions

Video-based educational program on physical activity for migraine managementBEHAVIORAL

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.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

Change in Headache Impact Test (HIT-6) score from baseline to 6-month follow-up

The Headache Impact Test (HIT-6) is a validated questionnaire used to assess the impact of headaches on a person's ability to function in daily life. It includes six questions covering domains such as pain, social functioning, role functioning, vitality, cognitive functioning, and psychological distress. Each item is scored on a scale, and the total score ranges from 36 to 78, with higher scores indicating greater impact of headaches. In this study, HIT-6 was used as the primary outcome measure to evaluate the effect of the video-based educational intervention on migraine-related disability. Scores were collected at baseline and again six months later, three months after the intervention period ended, to assess any changes in the perceived impact of migraine on participants' lives.

Time frame: HIT-6 scores were collected at baseline (T0) and at 6-month follow-up (T6), corresponding to three months after the completion of the video-based intervention.

Secondary Outcomes

Change in physical activity indices from baseline to 6-month follow-up in the intervention group

Three physical activity indices (PAI) were used to evaluate changes in participants' activity levels: job-related PAI, housework, house maintenance, and caring for family-related PAI, and recreation, sport, and leisure time-related PAI. These indices are derived from validated self-report questionnaires and reflect both the intensity and frequency of physical activity in different contexts. This outcome aimed to assess whether the video-based educational intervention led to meaningful behavioral changes regarding physical activity. Measurements were taken at baseline and again at 6-month follow-up, corresponding to three months after the completion of the video series.

Time frame: Assessed at baseline (T0) and 6-month follow-up (T6), corresponding to three months after the intervention period.

Change in monthly migraine frequency from baseline to 6-month follow-up in the intervention group

Migraine frequency was measured as the number of self-reported migraine days per month. This secondary outcome aimed to evaluate whether the educational video program contributed to a reduction in the frequency of migraine attacks. Participants recorded their migraine occurrences in headache diaries, and data were collected at baseline and at the 6-month follow-up to compare the frequency before and after the intervention.

Time frame: Assessed at baseline and at 6-month follow-up (T6), i.e., three months post-intervention.

Change in monthly frequency of acute medication use from baseline to 6-month follow-up in the intervention group

This outcome measures how often participants used acute medication (e.g., analgesics or triptans) to treat migraine attacks each month. The goal was to determine whether the video-based educational program reduced the need for acute migraine medication. Participants kept monthly medication logs, and frequency data were collected at baseline and again at the 6-month follow-up to evaluate the impact of the intervention.

Time frame: Reported monthly and compared between baseline and 6-month follow-up, which occurred three months after the intervention.

Patient Global Impression of Change (PGIC) score at 6-month follow-up in the intervention group

At the 6-month follow-up, participants' perceived overall change in their migraine condition was assessed using an adapted version of the Patient Global Impression of Change (PGIC) scale. This version was translated and culturally adapted to Portuguese and asked participants to rate how their condition had changed since the beginning of the study. Response options ranged from "no changes (or worsening of the condition)" to "much better." The PGIC is a validated, subjective measure commonly used in chronic condition trials to evaluate patients' impressions of treatment effectiveness. This outcome aimed to capture participants' global self-assessment of improvement or deterioration after the educational video intervention.

Time frame: Assessed only at the 6-month follow-up (T6), three months after completion of the intervention.