Martha Sajatovic|Kari Colón-Zimmermann|Mustafa Kahriman|Edna Fuentes?Casiano|Hongyan Liu|Curtis Tatsuoka|Kristin A. Cassidy|Samden D. Lhatoo|Douglas Einstadter|Peijun Chen
A 6?month prospective randomized controlled trial of remotely delivered group format epilepsy self?management versus waitlist control for high?risk people with epilepsy
Case Western Reserve University|Outcomes Research Consortium|University School|University Hospitals Case Medical Center|Outcomes Research Consortium|University School|Case Western Reserve University|University Hospitals Case Medical Center|Louis Stokes Cleveland VA Medical Center|University School|Case Western Reserve University|University School|Case Western Reserve University|University Hospitals Case Medical Center|Outcomes Research Consortium|Outcomes Research Consortium|Outcomes Research Consortium|University School|Case Western Reserve University|University Hospitals Case Medical Center|University Hospitals of Cleveland|University School|Case Western Reserve University|MetroHealth Medical Center|Case Western Reserve University|Louis Stokes Cleveland VA Medical Center|University School|Case Western Reserve University
summary objective despite advances care many people epilepsy negative health events nhe accidents emergency department visits poor quality life elf nagement fo r people wi h epilepsy history negative health events smart novel group format epilepsy selfmanagement intervention community participatory approach informed refinement smart tested 6month randomized controlled trial smart n 60 versus waitlist control wl n 60 methods participants adults aged 18 years epilepsy nhe within past 6 months seizure accident selfharm attempt emergency department visit hospitalization assessments conducted screening baseline 10 weeks 24 weeks 6 months primary outcome 6month change total nhe count additional outcomes included depression nineitem patient health questionnaire montgomeryasberg depression rating scale quality life 10item quality life epilepsy functioning 36item shortform health survey seizure severity liverpool seizure severity scale results mean age 413 years sd 1182 699 african american 742 unemployed 874 annual income lt us25 000 575 seizure within 30 days enrollment nhe seizures sixmonth study attrition 142 overall similar arms individuals randomized smart greater reduction total median nhe baseline 6 months compared wl p 004 smart also associated improved nineitem patient health questionnaire p 0032 montgomeryasberg depression rating scale p 0002 10item quality life epilepsy p lt 0001 36item shortform health survey p 0015 physical health p 0003 mental health versus wl difference seizure severity significance smart associated reduced health complications improved mood quality life health functioning highrisk people epilepsy additional efforts needed investigate potential scaleup