Collaborative Care to Improve Quality of Life for Anxiety and Depression in Epilepsy
Overview
- Phase
- Not Applicable
- Intervention
- collaborative care
- Conditions
- Epilepsy
- Sponsor
- Wake Forest University Health Sciences
- Enrollment
- 60
- Locations
- 2
- Primary Endpoint
- change in emotional quality of life subscale of the Quality of Life in Epilepsy Inventory (QOLIE-31) - between two groups
- Status
- Recruiting
- Last Updated
- 2 months ago
Overview
Brief Summary
This is a randomized effectiveness/implementation trial comparing a 24-week neurology-based collaborative care intervention to usual neurology care among 60 adults with epilepsy.
Detailed Description
The intervention is a 24-week, evidence-based collaborative care model initiated around the time of a neurology visit. The collaborative care team roles include the care manager/social worker and psychiatrist who interact with the patient participant and the patient's neurologist/neurology provider.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Provision of signed and dated Informed Consent Form
- •Stated willingness to comply with all study procedures
- •Males and Females; Age \>= 18 years
- •\* Diagnosis of epilepsy: Epilepsy diagnosis based on neurology clinician impression or EEG findings
- •Anxiety or Depression symptoms
- •Receiving clinical neurological care at Atrium Health
Exclusion Criteria
- •Current participation in another treatment of intervention study
- •Cognitive limitations precluding completion of Anxiety and Depression self-report instruments on paper, electronically, or by interview
- •Comorbid medical condition with life expectancy less than 6 months
- •Not a good candidate for collaborative care due to:
- •Active ongoing treatment by a psychiatrist
- •Active suicidal ideation
- •History of past suicide attempt and:
- •receiving ongoing psychotherapy OR
- •has seen a psychiatrist in the past year
- •History of suicide attempt in the past year and:
Arms & Interventions
collaborative care
The collaborative care team roles include the care manager/social worker and psychiatrist who interact with the patient participant and the patient's neurologist/neurology provider.
Intervention: collaborative care
usual neurology care
Ongoing usual neurology care, without the addition of the collaborative care program - current standard care and is thus an ethically appropriate control condition for effectiveness and implementation trials.
Intervention: usual neurology care
Outcomes
Primary Outcomes
change in emotional quality of life subscale of the Quality of Life in Epilepsy Inventory (QOLIE-31) - between two groups
Time Frame: Month 6
adults with epilepsy and anxiety or depression symptoms - a higher score reflects a more favorable health state
Secondary Outcomes
- Change in Epilepsy-specific quality of life scoring (QOLIE-31) - neurology collaborative care compared to Usual Care(Month 6)
- Number of Participants adhering to Intervention(Week 12)
- Change in anxiety symptoms scoring (EASI) Epilepsy Anxiety Survey Instrument - between groups(Month 6)
- Change in the number of depression symptoms - Beck's Depression Inventory (BDI-II) - neurology collaborative care compared to Usual Care(Month 6)