Epilepsy is a chronic condition affecting approximately 600,000 people in France. Epilepsy treatment relies on antiepileptic drugs, the effectiveness of which depends on adherence to medication schedule, with missed doses increasing the risk of seizures. As with any chronic illness, epilepsy presents a significant challenge in terms of treatment adherence. Furthermore, despite good medication adherence, 30% of patients remain drug-resistant. Therefore, the aim is to create a remote monitoring program, supported by a nurse, lasting six months after the introduction of a new antiepileptic drug, to support the patient until their next appointment with a neurologist. This system would optimize and secure the care pathway during treatment changes by improving the detection of side effects and/or a resurgence of seizures requiring medication adjustments.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
60
Training in the care pathway via remote monitoring software
Description of the standard care pathway with the nurse
Therapeutic support with a nurse who ensures the patient's adherence to remote monitoring at 1 month and 3 months
Quality of life questionnaires at baseline and at 6 months
Satisfaction questionnaire for the group with remote monitoring at 6 months
Cerebral electrophysiology, epilepsy and sleep, Purpan Hospital, Place du Docteur Baylac
Toulouse, Non, France
Describe the evolution of therapeutic adherence
Measurement of the Mascard scale score in 2 groups of patients benefiting or not from the new care and support pathway.
Time frame: 6 months after the inclusion
Evolution of Quality of Life between baseline and 6 months
Evolution of the score on the QOLIE 31 quality of life scale between the beginning and the end of the course between 2 groups
Time frame: 6 months after the inclusion
Description of the care pathway between baseline and 6 months
Description of the number of consultations in both groups between baseline and 6 months
Time frame: 6 months after the inclusion
Description of patient satisfaction with their medical care
Patient satisfaction score on epilepsy care questionnaire
Time frame: 6 months after the inclusion
Evaluation of patient acceptability of remote monitoring
Patient satisfaction questionnaire score regarding the use of the digital tool for the group of patients who received care via remote monitoring
Time frame: 6 months after the inclusion
Evaluation of satisfaction with the use of remote monitoring by the healthcare team
Score on the satisfaction questionnaire regarding the use of remote monitoring by the care team,
Time frame: 6 months after the inclusion
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