A Study of the Effect of a Disease-Specific Migraine Smart Phone Application (App) on Participant Care

Not Applicable

Completed

Brief Summary: The purpose of this study is to determine whether using a smart phone application to foster communication between study participants and their doctor will impact care. Participants must have a history of migraine or have recently been prescribed a common medicine to treat migraine. The study will last about one year for each participant.

Recruitment & Eligibility

Inclusion Criteria

Have a diagnosis of migraine (ICD10: G43.*) since October 2015 OR a record of being prescribed a triptan prior to study
Have not been prescribed a preventive migraine medication within the past twelve months
Have not visited a neurologist in the past year
Have an upcoming visit with their Atrium Health primary care provider

Exclusion Criteria

Do not own an iOS or Android smart phone with a data plan or are unwilling to install the app on their phone
Are currently participating in a clinical trial involving an investigational drug
Have previously used the app used in this study
Are pregnant at the time of study entry
Are not able to provide informed consent
Cannot speak and read English fluently

Arm && Interventions

Group	Intervention	Description
Migraine Participants Using Application (App)	Migraine App	Participants with migraine history or a recent prescription for a common migraine medication will use a migraine app linked to their electronic health record (EHR) with results reported in their EHR.

Primary Outcome Measures

Name	Time	Method
Number of Participants Receiving a Preventive Migraine Prescription	Next primary care appointment following use of app (estimated as 5 weeks)	Number of Participants Receiving a Preventive Migraine Prescription

Secondary Outcome Measures

Name	Time	Method
Number of Referrals to a Neurologist	Baseline through one year	Number of Referrals to a Neurologist
Number of Participants Receiving Acute and Preventive Migraine Treatments, Opioids, Barbiturates	Baseline through one year	Number of Participants Receiving Acute and Preventive Migraine Treatments, Opioids, Barbiturates
Number of Months of App Use	Baseline through one year	Number of Months of App Use
Number of Emergency Room Visits	Baseline through one year	Number of Emergency Room Visits
Number of Urgent Care Visits	Baseline through one year	Number of Urgent Care Visits
Number of Primary Care Visits	Baseline through one year	Number of Primary Care Visits
Number of Acute Care Visits	Baseline through one year	Number of Acute Care Visits
Number of New Diagnoses of Migraine or Chronic Migraine	Baseline through one year	Diagnoses made by International Classification of Diseases 10th revision (ICD10) coding system

Locations (16): Shiland Family Fort Mill
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Fort Mill, South Carolina, United States
Charlotte Internal Medicine
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Charlotte, North Carolina, United States
Charlotte Medical Clinic
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Charlotte, North Carolina, United States
Carmel Family Physicians
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Charlotte, North Carolina, United States
Randolph Internal Medicine
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Charlotte, North Carolina, United States
Charlotte Medical Clinic-South Park
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Charlotte, North Carolina, United States
South Charlotte Primary Care
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Charlotte, North Carolina, United States
Table Rock Family Medicine
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Glen Alpine, North Carolina, United States
Mecklenburg Medical Group - Ballantyne
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Charlotte, North Carolina, United States
Mecklenburg Medical Group - Matthews
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Matthews, North Carolina, United States
Mecklenburg Medical Group - Northcross
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Huntersville, North Carolina, United States
Union Family Practice
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Monroe, North Carolina, United States
Troy Medical Services
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Troy, North Carolina, United States
North Charlotte Medical Specialists - Huntersville
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Huntersville, North Carolina, United States
Lincoln Family Practice
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Lincolnton, North Carolina, United States
Shiland Family Practice
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Fort Mill, South Carolina, United States