Self-management for Youth With Epilepsy Pilot

ConditionEpilepsy
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age14-17
SponsorUniversity Hospitals Cleveland Medical Center

About this trial

Pilot feasibility and acceptability trial of the SMART-Y intervention in a small group of adolescents (n=18), age 14-17

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 14-17

Diagnosed with epilepsy, per clinician or chart diagnosis

Has parent/guardian that is able/willing to consent (parent does not have to also participate, just has to consent to the youth's participation)

Speaks English

Disqualifiers

Comorbid Dx: moderate-severe intellectual disability

Unable to assent to the study

Unable to meaningfully participate in the intervention sessions or assessments

Trial design

Design model

Single group

Treatments tested in this trial

  • SMART-Y

    Behavioral

    SMART-Y is a youth-focused adaptation of SMART ( Self-MAnagement for people with epilepsy and a histoRy of negative health evenTs) developed for adolescents transitioning into adulthood. SMART is a remotely delivered, real-time group intervention that supports epilepsy self-management among individuals with recent epilepsy-related complications. The program emphasizes seizure control, lifestyle management, and emotional health.

Treatment groups

18 Participants
are divided into 1 treatment group
Group A: Experimental: [SMART-Y]Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Feasibility 1 - Session Attendance Rate

Percentage of scheduled intervention sessions attended during the 12-week intervention period. Each participant will be scheduled to attend 8 weekly intervention sessions; therefore, the total number of scheduled sessions will be calculated as the number of participants enrolled multiplied by 8 sessions.

Time frame
8 weeks
2

Feasibility 2 - Intervention Sessions Retention

Proportion of participants who attended 75% of the sessions. Retention to sessions will be calculated as the number of participants attending at least 6 of the 8 scheduled intervention sessions divided by the total number of participants enrolled.

Time frame
8 weeks
3

Feasibility 3 - Assessment Retention

Percentage of participants who complete both the baseline and 12-week assessments. Assessment retention will be calculated as the number of participants completing both assessments divided by the number of participants enrolled.

Time frame
12 weeks

Secondary outcomes

1

Change in 30-Day Seizure Count

The 30-day seizure count is a standalone frequency metric determined by the total number of distinct clinical seizure events reported by the participant over a 30-day recall period. The score ranges from 0 to no upper limit, where a higher score indicates a worse clinical outcome (more frequent seizures).

Time frame
Baseline, 12 weeks
2

Change in Negative Health Events (NHE) Total Score

The Negative Health Events (NHE) total score is calculated as the sum of the total number of distinct events occurring over a 6-month recall period across 5 categories: seizures, emergency department visits, inpatient hospital admissions, self-harm attempts, and accidents or traumatic injuries. The total score ranges from 0 to no upper limit, where a higher score indicates a worse clinical outcome (more frequent negative health events).

Time frame
Baseline, 12 weeks
3

Change in PedsQL Epilepsy Module Standard Version Total Score

The PedsQL Epilepsy Module Standard Version Total Scale Score is a 29-item questionnaire assessing epilepsy-specific health-related quality of life (HRQOL) across five domains (Impact, Cognitive, Sleep, Executive Functioning, and Mood/Behavior) with a standard 1-month recall period. Raw 5-point Likert scale items are reverse-scored and linearly transformed onto a 0 to 100 scale. The Total Scale Score represents the mean of all answered items. The total score ranges from 0 to 100, where a higher score indicates a better epilepsy-specific HRQOL.

Time frame
Baseline, 12 weeks
4

Change in PedsQL Epilepsy Module Acute Version Total Score

The PedsQL Epilepsy Module Acute Version Total Scale Score is a 29-item questionnaire assessing epilepsy-specific health-related quality of life (HRQOL) across five domains (Impact, Cognitive, Sleep, Executive Functioning, and Mood/Behavior) with an acute 7-day recall period. Raw 5-point Likert scale items are reverse-scored and linearly transformed onto a 0 to 100 scale. The Total Scale Score represents the mean of all answered items. The total score ranges from 0 to 100, where a higher score indicates a better acute, epilepsy-specific HRQOL.

Time frame
Baseline, 12 weeks

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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