Non-drug Interventions for Migraines

• Change in Migraine frequency from Baseline [ Time Frame: baseline, immediately post-intervention, 4 weeks post-intervention ] [ Designated as safety issue: No ]
  Change in the number of migraines per month from baseline(tracked with headache logs)
  
  

• Change in self-efficacy from baseline [ Time Frame: baseline, immediately post-intervention, 4 weeks post-intervention ] [ Designated as safety issue: No ]
  Change in self-efficacy from baseline(Headache Management Self-Efficacy Scale)
  
  
• Change in perceived stress from baseline [ Time Frame: baseline, immediately post-intervention, 4 weeks post-intervention ] [ Designated as safety issue: No ]
  Change in Perceived stress scale from baseline
  
  
• Change in migraine-related disability/impact from baseline [ Time Frame: baseline, immediately post-intervention, 4 weeks post-intervention ] [ Designated as safety issue: No ]
  Change in migraine-related disability/impact from baseline(one month MIDAS and HIT-6)
  
  
• Change in anxiety from baseline [ Time Frame: baseline, immediately post-intervention, 4 weeks post-intervention ] [ Designated as safety issue: No ]
  Change in anxiety from baseline (state-trait anxiety measure)
  
  
• Change in depression from baseline [ Time Frame: baseline, immediately post-intervention, 4 weeks post-intervention ] [ Designated as safety issue: No ]
  Change in depression from baseline(PHQ-9)
  
  
• Change in mindfulness from baseline [ Time Frame: baseline, immediately post-intervention, 4 weeks post-intervention ] [ Designated as safety issue: No ]
  Change in mindfulness from baseline(Five facet mindfulness scale)
  
  
• Qualitative interviews [ Time Frame: immediately post-intervention ] [ Designated as safety issue: No ]
  Participants will be interviewed qualitatively
  
  
• Change in migraine severity from baseline [ Time Frame: baseline, immediately post-intervention, 4 weeks post-intervention ] [ Designated as safety issue: No ]
  Change in Migraine intensity (1-10) tracked via headache logs from baseline
  
  
• Change in Migraine duration from baseline [ Time Frame: baseline, immediately post-intervention, 4 weeks post-intervention ] [ Designated as safety issue: No ]
  Length of migraines (tracked via headache logs)
  
  
• Change in quality of life from baseline [ Time Frame: baseline, immediately post-intervention, 4 weeks post-intervention ] [ Designated as safety issue: No ]
  Change in Migraine specific quality of life from baseline
  
  

Preliminary research has shown MBSR to be effective in chronic pain syndromes and other mind/body interventions have shown good promise in the treatment of headaches. A randomized controlled trial (RCT) of yoga in migraine without aura patients by John and colleagues showed that yoga resulted in a significant decrease in headache frequency, pain index, and symptomatic medication usage compared to a self-care group. This RCT demonstrated that patients with headaches may benefit from a mind-body intervention. However, their yoga protocol was not specified, and participants were instructed to practice the technique only during the prodromal phase of a headache (prior to the pain becoming severe), so as an abortive intervention at the time of a headache. Thus, the investigators of this trial are proposing to evaluate the effect of MBSR on adults with migraines compared to an education control group. This study will add to the John study because, unlike many other mind-body interventions, MBSR offers the distinct advantage of a standardized protocol that has been used both clinically and in numerous research studies across a wide variety of conditions. Furthermore, MBSR teaches participants a daily practice that, if effective, could serve as a prophylactic intervention.