Efficacy of Smartphone Based Digital Application in Improving Headache Related Parameters in Patients With Migraine

Migraine is a common headache disorder which leads to significantly impaired quality of life, absence from work, loss of productivity in workplace and reduced vitality in social functioning. A structured migraine diary can be a valuable aid for improving communication between patients and physicians regarding migraine disability and treatment outcomes. The other possible measure to ensure improved outcome in migraine patients is better adherence to prophylactic treatment of migraine. Migraine prophylaxis is by pills that have to be taken every day at fixed time to ensure best outcomes. However, it is known that patients with migraine often are not adherent to prophylactic medications. Regular pill reminders issued through smartphone based applications may help improve medication adherence and hence, headache outcomes. Though smartphone based migraine tracker digital applications are available, they mostly are aimed at capturing headache characteristics. The efficacy of providing pill reminders along with patient educational materials and community blog to enable migraineurs share their experiences with each other has not been studied in controlled trials. It is known that patients who are well informed about their chronic diseases such as migraine often have better outcomes. Busy clinicians often resort to providing pamphlets regarding the disease, triggers, acute pain relief medications, prophylactic therapy etc. However, it is yet to be studied if a digital application with all these inbuilt features, which are easily accessible at the finger tips would lead to better information uptake and improved compliance and self management. This RCT would try to assess this gap in knowledge.

Inclusion criteria

• Adult patients attending neurology OPD.
• At least 18 years of age; any gender.
• Episodic or chronic migraine diagnosed (using International Classification of Headache Disorders-3 (ICHD-3) .
• No modifications to the prophylactic therapy or acute pain relief medications is planned over the next 3 months.
• Can read and write in Hindi or English easily.
• Have an Android/iOS smart phone in which digital application can be installed and who knows how to operate smart phone.
• Ready to provide consent and willing to adhere to protocol and comply with follow up visits.
• No major neurological or systemic medical condition that reduces life expectancy to less than 1 year based on clinical prediction scores.

Exclusion criteria

• Not willing to adhere to protocol.
• Not willing to provide consent.
• Inability or unwillingness to complete diary recording.
• Patients with Medication over use headache ( as per ICHD -3).
• Other primary headaches and secondary headache disorders.