CClinicalTrials.gg
CompletedNCT04992494TEAM-MUpdated Jul 18, 2023Results posted

Treatment for Migraine and Mood (Team-M)

A Phase 2 interventional study of MBCT-Telephone and MBCT-Video in Migraine and Depression, sponsored by NYU Langone Health. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-07-18.

Sponsored by NYU Langone Health · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
27
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

The researchers propose a two-arm pilot study of telephone and video delivered Mindfulness-based Cognitive Therapy (MBCT-T and MBCT-V) in people with migraine and depressive symptoms.

Read the detailed description

This study aims to set the stage for a future definitive large-scale Phase III trial in patients with migraine and depressive symptoms. This first phase is aimed at fidelity optimization of MBCT-T and MBCT-V in people with migraine (defined by the International Classification of Headache Disorders - 3) and depressive symptoms (defined by empirical cut-offs on the Patient Health Questionnaire - 9).

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Conditions studied

  • Migraine
  • Depression

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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 27 is below the median of 80 across 1,175 interventional studies indexed under Migraine Disorders.

Browse Migraine Disorders studies →

Lead sponsor

NYU Langone Health is the lead sponsor of 1,391 studies on the registry; 254 are open to participants now.

Of its 227 completed or terminated interventional studies of FDA-regulated products, 191 (84%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Currently meets ICHD-3 criteria for migraine using the Structured Diagnostic Interview for Headache
  • Self-reported 4-14 headache days per month, with at least one attack meeting migraine criteria
  • Score between 5-14 on the PHQ-9
  • Age ≥ 18
  • Ability to read and speak English
  • Capacity to consent

Exclusion criteria

Exclusion Criteria:

  • Meeting ICHD-3 criteria for persistent headache attributed to traumatic injury to the head (post-traumatic headache) on the Structure Diagnostic Interview for Headache
  • Changes in preventive migraine medication or anti-depressant medication within 6 weeks of intake; changes in longer-term migraine prevention (onobotulinum toxin A, anti-calcitonin gene related peptide treatment) within 3 months of intake
  • Comorbid psychiatric illness or clinical features that would interfere with participant's ability to participate in or receive benefit from the MBCT intervention, including but not limited to: active suicidal ideation; recent history of psychosis or mania; borderline, histrionic or narcissistic personality disorder; cognitive impairment; sensory disabilities
  • Prior history of engaging in formal mindfulness-based interventions including: MBSR, MBCT, Acceptance and Commitment therapy, Dialectical Behavior Therapy
  • Current meditation practice >3x/week
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
27 participants (actual)

Study arms

  • Experimental
    MBCT-T (Mindfulness-Based Cognitive Therapy - Telephone)

    Mindfulness-based cognitive therapy delivered by Telephone

    Behavioral: MBCT-Telephone

  • Experimental
    MBCT-V (Mindfulness-Based Cognitive Therapy - Video)

    Mindfulness-based cognitive therapy delivered by Video

    Behavioral: MBCT-Video

Interventions

  • BehavioralMBCT-Telephone

    Mindfulness-based cognitive therapy (MBCT) comprised of 8 weekly classes delivered via telephone by a licensed clinical psychologist certified to teach MBCT, following treatment fidelity guidelines from NIH's Behavioral Change Consortium. The program involves a commitment of 1 hour per week for 8 weeks. During the sessions, subjects will learn cognitive and mindfulness skills to help manage and cope with depression. Each weekly session consists of: check-in, instruction, skill building, discussion, and a home-based practice assignment.

  • BehavioralMBCT-Video

    Mindfulness-based cognitive therapy (MBCT) comprised of 8 weekly classes delivered via WebEx video-conferencing by a licensed clinical psychologist certified to teach MBCT, following treatment fidelity guidelines from NIH's Behavioral Change Consortium. The program involves a commitment of 1 hour per week for 8 weeks. During the sessions, subjects will learn cognitive and mindfulness skills to help manage and cope with depression. Each weekly session consists of: check-in, instruction, skill building, discussion, and a home-based practice assignment.

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What researchers measure

Primary outcomes

  1. Treatment Session Adherence Rate

    Treatment Session Adherence is a measure of treatment feasibility and is defined as the number of scheduled treatments that were attended by the participants. This measure will be assessed through electronic monitoring of the attendance logs of each treatment session. A treatment arm will be considered feasible if participants attended/read 75% of sessions on average.

    Time frame: Week 8

  2. Average Client Satisfaction Questionnaire Score (CSQ-8)

    The CSQ-8 is an 8-item generic standardized self-report tool to measure satisfaction with health and human services received by individuals and families. An overall score is calculated by summing the respondent's rating (item rating) score for each scale item. For the CSQ-8 version, scores range from 8 to 32, with higher values indicating higher satisfaction. A threshold score of greater than or equal to 24 is the cut-off for "Acceptability."

    Time frame: Week 8

  3. Mean Score on MBCT-T/V Adherence & Competence Scales (MBCT-TACS)

    The mindfulness-based cognitive therapy (MBCT)-TACS is an assessment of treatment fidelity in terms of adherence and competence. The scores per session are recorded between 0-3 and averaged to get the total score. The total range of score is 0-3; the higher the score, the higher the fidelity.

    Time frame: Week 8

  4. Homework Assignment Completion Rate

    Defined as the proportion of assigned home-based practice that participants completed each week.

    Time frame: Week 8

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Results

Posted Jul 18, 2023

Participant flow

Participant flow — Overall Study
MilestoneMBCT-T (Mindfulness-Based Cognitive Therapy - Telephone)MBCT-V (Mindfulness-Based Cognitive Therapy - Video)
Started88
Completed88
Not completed00

Outcome measures

PrimaryTreatment Session Adherence Rate

Treatment Session Adherence is a measure of treatment feasibility and is defined as the number of scheduled treatments that were attended by the participants. This measure will be assessed through electronic monitoring of the attendance logs of each treatment session. A treatment arm will be considered feasible if participants attended/read 75% of sessions on average.

Time frame:
Week 8
Reported as:
Mean · Number of sessions attended
Treatment Session Adherence Rate
Number of sessions attendedMBCT-T (Mindfulness-Based Cognitive Therapy - Telephone)MBCT-V (Mindfulness-Based Cognitive Therapy - Video)
Treatment Session Adherence Rate7.88 ± 0.358 ± 0
PrimaryAverage Client Satisfaction Questionnaire Score (CSQ-8)

The CSQ-8 is an 8-item generic standardized self-report tool to measure satisfaction with health and human services received by individuals and families. An overall score is calculated by summing the respondent's rating (item rating) score for each scale item. For the CSQ-8 version, scores range from 8 to 32, with higher values indicating higher satisfaction. A threshold score of greater than or equal to 24 is the cut-off for "Acceptability."

Time frame:
Week 8
Reported as:
Mean · score on a scale
Average Client Satisfaction Questionnaire Score (CSQ-8)
score on a scaleMBCT-T (Mindfulness-Based Cognitive Therapy - Telephone)MBCT-V (Mindfulness-Based Cognitive Therapy - Video)
Average Client Satisfaction Questionnaire Score (CSQ-8)29.3 ± 3.228.3 ± 3.7
PrimaryMean Score on MBCT-T/V Adherence & Competence Scales (MBCT-TACS)

The mindfulness-based cognitive therapy (MBCT)-TACS is an assessment of treatment fidelity in terms of adherence and competence. The scores per session are recorded between 0-3 and averaged to get the total score. The total range of score is 0-3; the higher the score, the higher the fidelity.

Time frame:
Week 8
Reported as:
Mean · score on a scale
Mean Score on MBCT-T/V Adherence & Competence Scales (MBCT-TACS)
score on a scaleMBCT-T (Mindfulness-Based Cognitive Therapy - Telephone)MBCT-V (Mindfulness-Based Cognitive Therapy - Video)
Mean Score on MBCT-T/V Adherence & Competence Scales (MBCT-TACS)2.9 ± 0.32.8 ± 0.4
PrimaryHomework Assignment Completion Rate

Defined as the proportion of assigned home-based practice that participants completed each week.

Time frame:
Week 8
Reported as:
Mean · proportion of assignments completed
Homework Assignment Completion Rate
proportion of assignments completedMBCT-T (Mindfulness-Based Cognitive Therapy - Telephone)MBCT-V (Mindfulness-Based Cognitive Therapy - Video)
Homework Assignment Completion Rate0.77 ± 0.150.57 ± 0.21

Adverse events

Collected over 16 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
MBCT-T (Mindfulness-Based Cognitive Therapy - Telephone)——7/8 (87.5%)
MBCT-V (Mindfulness-Based Cognitive Therapy - Video)——4/6 (66.7%)
Most frequent other events
Most frequent other events
EventMBCT-T (Mindfulness-Based Cognitive Therapy - Telephone)MBCT-V (Mindfulness-Based Cognitive Therapy - Video)
COVID infectionInfections and infestations2/82/6
FlashbackGeneral disorders2/81/6
Worsening moodGeneral disorders1/81/6
Increased severity of migraineNervous system disorders1/80/6
Worsening hyperthyroidismEndocrine disorders1/80/6

Baseline characteristics

Age, Continuous
Age, Continuous(years)MBCT-T (Mindfulness-Based Cognitive Therapy - Telephone)MBCT-V (Mindfulness-Based Cognitive Therapy - Video)Total
Mean46 ± 1344 ± 1445 ± 13
Sex: Female, Male
Sex: Female, Male(Participants)MBCT-T (Mindfulness-Based Cognitive Therapy - Telephone)MBCT-V (Mindfulness-Based Cognitive Therapy - Video)Total
Female8816
Male000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)MBCT-T (Mindfulness-Based Cognitive Therapy - Telephone)MBCT-V (Mindfulness-Based Cognitive Therapy - Video)Total
Hispanic or Latino202
Not Hispanic or Latino6814
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)MBCT-T (Mindfulness-Based Cognitive Therapy - Telephone)MBCT-V (Mindfulness-Based Cognitive Therapy - Video)Total
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American011
White6713
More than one race202
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)MBCT-T (Mindfulness-Based Cognitive Therapy - Telephone)MBCT-V (Mindfulness-Based Cognitive Therapy - Video)Total
United States8816
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Study locations

1 site
  • NYU Langone Health
    New York, New York 10016, United States
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References and documents

Study documents

  • Protocol and statistical analysis plan · Mar 13, 2022
  • Informed consent form · Oct 7, 2021

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

Individual participant data

Plan to share: Yes — The de-identified participant data from the final research dataset used in the published manuscript will be shared upon reasonable request beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements supporting the research provided the investigator who proposes to use the data executes a data use agreement with NYU Langone Health. Requests may be directed to the PI. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.

Supporting information: Study protocol, Sap

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 18, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04992494
Lead sponsor
NYU Langone Health
Collaborators
National Center for Complementary and Integrative Health (NCCIH)
Responsible party
Sponsor
First posted
Aug 5, 2021
Start date
Nov 11, 2021
Primary completion
Jun 13, 2022
Completion
Jun 13, 2022
Results posted
Jul 18, 2023
Last update
Jul 18, 2023

Study contacts

Amanda Shallcross, ND, MPH
principal investigator · NYU Langone Health

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.

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