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CompletedNCT01706003Updated Oct 25, 2019Results posted

The Utility of Telemedicine in the Management of Migraine

An observational study in Migraine Headaches, sponsored by University of Texas Southwestern Medical Center. Completed at 1 site in United States. Open to participants aged 18 Years to 89 Years. Per ClinicalTrials.gov, last updated 2019-10-25.

Sponsored by University of Texas Southwestern Medical Center · Observational

Study type
Observational
Model
Ecologic or community
Time perspective
Prospective
Enrollment
45
Ages
18 Years to 89 Years
Sex
All
01

Study summary

Patients will be randomly assigned to receive their follow-up care via telemedicine or in-office visits.

Read the detailed description

After obtaining informed consent, patients will be randomly assigned to receive their follow-up care via telemedicine or in-office visits. All subjects will complete a MIDAS questionnaire and allodynia questionnaire at their initial visit. Follow-up visits will be scheduled at 4-6 weeks, 3, 6, 9 and 12 months. In-person follow-up visits will be conducted in the standard fashion of the current physician's practice, with the initial intake conducted by an ophthalmic technician or resident, followed by the physician visit. Telemedicine visits will be conducted by the physician and recorded. Similar information will be gathered in both groups including: current medications, interim medical and headache history (including visits to the ED or hospitalizations for headache), description of headache, response to treatment (including adverse reactions), allergies, blood pressure and weight. Subjects randomized to telemedicine will be asked to have their blood pressure and weight measured within 5 days of their telemedicine session at a location convenient to them. We will record the length of each visit. Subjects in the in-person group, will be queried about travel time, and the total amount of time for the visit, and any activities missed to attend the visit. We will also ask about other costs associated with attending the office visit, such as child care.

At the one-year follow-up visit, subjects will complete the MIDAS, allodynia questionnaire, Modified Group Health Association of America's Consumer Satisfaction scale, and have the opportunity to express their views on the aspect of care received in a semi-structured interview. The follow-up questionnaires may be completed on line (telemedicine group, optional for in-person group) or on paper (in-person group). Headache diaries will be provided on line or may be done on paper, a smartphone, or a computer program of the subject's choosing.

All subjects will be able to access the physician by telephone, using MyChart, or with additional non-study visits as needed.

Subjects will be responsible for the cost of the medications, treatments prescribed, and laboratory monitoring needed for their condition.

Support staff will be available to help set up the video system for subjects assigned to the telemedicine group who are in need of assistance.

02

Conditions studied

  • Migraine Headaches

Keywords

  • Migraine
  • Headaches
  • Telemedicine
03

In context

Migraine Disorders

1,528 studies on the registry are indexed under Migraine Disorders; 299 are open to participants now.

This study's enrollment of 45 is below the median of 130 across 299 observational studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

University of Texas Southwestern Medical Center is the lead sponsor of 990 studies on the registry; 201 are open to participants now.

Of its 135 completed or terminated interventional studies of FDA-regulated products, 100 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 89 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients must be diagnosed with Migraine Headaches

Eligibility criteria

Inclusion Criteria:• Ages 18 - 89 years

  • Diagnosis of migraine with or without aura, menstrual migraine, hemiplegic migraine
  • Able to provide informed consent
  • Able, in the opinion of the investigator, to reliably perform all aspects of the study
  • Ownership of or access to a computer and high speed internet

Criteria for Exclusion of Subjects:

  • Age less than 18 years
  • Headache type is not migraine
  • No ownership or access to a computer or high speed internet
  • Unfamiliar with basic computer operations or uncomfortable using a computer
  • Unwilling to participate
  • Unable to read English (because of assessment tools)
  • History of another medical, psychiatric, social or behavioral problem that, in the opinion of the investigator, makes it unlikely that they will be able to complete the study activities. Questions regarding mood and anxiety are asked of all patients as part of their initial evaluation for headache.
05

Study design

Observational model
Ecologic or community
Time perspective
Prospective
Enrollment
45 participants (actual)

Groups and cohorts

  • Telemedicine Group

    People who suffer from Migraine Headaches who own a computer and have internet access and will be treated via telemedicine for migraine headaches

  • In-Office Group

    People who suffer from Migraine Headaches who own a computer and have internet access and will be treated in the clinician's office for migraine headaches

06

What researchers measure

Primary outcomes

  1. Assess the Utility of Telemedicine for Follow-up Care in a Headache Medicine Practice

    Percentage of completed scheduled study visits for each group.

    Time frame: One Year

07

Results

Posted Oct 25, 2019

Participant flow

Participant flow — Overall Study
MilestoneIn-Office GroupTelemedicine Group
Started2322
Completed1218
Not completed114
Withdrew: Withdrawal by subject20
Withdrew: Not scheduled30
Withdrew: Lost to follow-up64

Outcome measures

PrimaryAssess the Utility of Telemedicine for Follow-up Care in a Headache Medicine Practice

Percentage of completed scheduled study visits for each group.

Time frame:
One Year
Reported as:
Number · percentage of scheduled appointments
Assess the Utility of Telemedicine for Follow-up Care in a Headache Medicine Practice
percentage of scheduled appointmentsIn-Office GroupTelemedicine Group
Assess the Utility of Telemedicine for Follow-up Care in a Headache Medicine Practice8792.7

Adverse events

Collected over 1 year. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
In-Office Group0/23 (0%)0/23 (0%)0/23 (0%)
Telemedicine Group0/22 (0%)3/22 (13.6%)0/22 (0%)
Most frequent serious events
Most frequent serious events
EventIn-Office GroupTelemedicine Group
Hospital admissionNervous system disorders0/233/22

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)In-Office GroupTelemedicine GroupTotal
<=18 years000
Between 18 and 65 years232245
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)In-Office GroupTelemedicine GroupTotal
Female212243
Male202
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)In-Office GroupTelemedicine GroupTotal
Count of participants——0
Region of Enrollment
Region of Enrollment(participants)In-Office GroupTelemedicine GroupTotal
United States232245
Migraine Disability Assessment Score (MIDAS)
Migraine Disability Assessment Score (MIDAS)(units on a scale)In-Office GroupTelemedicine GroupTotal
Mean40.5 (3 to 161)65 (11 to 192)47.9 (3 to 192)
08

Study locations

1 site
  • Universit of Texas Southwestern
    Dallas, Texas 75390, United States
09

References and documents

Publications

  • Friedman DI, Rajan B, Seidmann A. A randomized trial of telemedicine for migraine management. Cephalalgia. 2019 Oct;39(12):1577-1585. doi: 10.1177/0333102419868250. Epub 2019 Aug 26. PubMed 31450969 ↗

Study documents

  • Protocol and statistical analysis plan · Feb 28, 2012

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 25, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01706003
Lead sponsor
University of Texas Southwestern Medical Center
Collaborators
Merck Sharp & Dohme LLC
Responsible party
Deborah Friedman (Primary Investigator, MD, Neurology and Neurotheraputics, University of Texas Southwestern Medical Center) — Principal investigator
First posted
Oct 15, 2012
Start date
Oct 2012
Primary completion
Oct 2018
Completion
Oct 2018
Results posted
Oct 25, 2019
Last update
Oct 25, 2019

Study contacts

Deborah Friedman, MD
principal investigator · University of Texas Southwestern Medical Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.

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