The purpose of this research is to evaluate a 6 month change in quality of life in subjects who receive collaborative care calls compared to those subjects who receive usual neurology care. This is a 2-site trial comparing a 24 week neurology-based collaborative care program to usual neurology care among a total of 60 adults with post-traumatic epilepsy.
The study will compare collaborative care versus usual care among N=60 adults with post-traumatic epilepsy and anxiety and/or depression symptoms in Veterans Administration (N=20) and civilian university (N=40) settings at the Salisbury VA and Atrium Health Neurology. This single-blind study will evaluate effectiveness and implementation of a remotely-delivered, 24-week team-delivered collaborative care intervention, with features adapted from VA Primary Care Mental Health Integration and Whole Health, as well as an existing Family Medicine Collaborative Care Program at AHWFB.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Twenty-four week, evidence-based remote collaborative care model initiated around the time of a neurology visit. The collaborative care team roles include the care manager, psychiatrist, and psychologist/social worker who interact with the patient participant and the patient's neurologist.
Usual neurology care means ongoing, epilepsy provider-recommended clinic visits, prescriptions, testing and referrals from their epilepsy provider. Mental health referrals or prescribing of antidepressants may potentially occur in this group; these types of interventions will be tracked at outcome assessments.
Atrium Health Wake Forest Baptist
Winston-Salem, North Carolina, United States
RECRUITINGEmotional Subscale-Change in Quality of Life in Epilepsy-31(QOLIE-31)
This is a clinically meaningful patient reported outcome measure that was demonstrated to improve in collaborative care efficacy trials in distinct patient groups (including with various different types of medical illness) Score ranges from 0-100 with higher score indicating better quality of life
Time frame: Baseline through Month 6
Subject Adherence to Intervention
Proportion of intervention arm participants who attend 50% or more of the care management calls in the first 12 weeks of the intervention.
Time frame: Week 12
Change in Epilepsy specific QOLIE-31 score
Score ranges from 0-100 with higher score indicating better epilepsy-specific quality of life.
Time frame: Baseline through Month 6
Change in Beck Depression Inventory-II (BDI-II) score
Depression symptom questionnaire-score ranges from 0-61, with higher score indicating more severe depression symptoms.
Time frame: From baseline through Month 6
Change in Beck Anxiety Index (BAI) score
Anxiety symptom questionnaire-score ranges from 0-61, with higher score indicating more severe anxiety symptoms.
Time frame: From baseline through Month 6
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