Clinical Research Directory

Inclusion Criteria: * A migraine headache ICD-10 diagnosis, and confirmed by the American Migraine Prevalence and Prevention (AMPP) assessment. * Completion of at least 28 headache diary days * A confirmed frequency of ≥4 headache days per month * Confirmed access to a smartphone, computer/tablet * A primary pain complaint of headache. Patients must be stabilized on their headache medications. Patients must be on their current headache medications for the last 3 months and have no known future changes to those medications for the next 3 months from the start of enrollment. Exclusion Criteria: * Non-Veterans * Veterans without a migraine headache ICD-10 diagnosis * Veterans without a migraine headache confirmation from AMPP * Veterans whose primary pain complaint is not headache * Veterans who do not speak English * Veterans with a significant cognitive impairment based on EHR ICD10 diagnosis \[Mild Cognitive Impairment G31.84; Dementia F03.90; Alzheimer's Dementia G30.9\] and confirmed by the Short Portable Mental Status Questionnaire (SPMSQ)19 cognitive screener during the initial baseline assessment. Veterans with a hearing deficit that would impair participation in the MI intervention * Veterans who have a diagnosis of Traumatic Brain Injury ≤ 1 year before diagnosis of migraine or worsening of migraine as indicated by post-traumatic headache screening tool * Veterans currently suffering from a disabling psychiatric illness (as noted by clinician); or psychiatric hospitalization in the last 6 months * Veterans who have active psychotic symptoms, suicidality, or severe depressive symptoms (PHQ score \>20) per patient report and/or EHR notes * Veterans who have had suicidal and/or homicidal ideation in the past 6 months. * Veterans who decline to or cannot pass the tech screening4b * Veterans receiving hospice or palliative care * Veterans who do not have access to smartphone, computer/tablet