The goal of this study is to identify the needs and barriers to accessing and undergoing epilepsy surgery for patients with epilepsy and then to pilot an educational program regarding the social determinants of health and how they can influence surgical rates and epilepsy outcomes. For the first part, patients (age 18+) and providers will be asked to complete surveys and participate in focus groups to identify gaps and barriers that limit access to and use of epilepsy surgery. For piloting the education program, patients (age 18+) at the Cleveland Clinic Epilepsy Monitoring Unit will be randomized to intervention or control. Those in the intervention group, in addition to their usual care, will also receive educational materials on social determinants of health and their influence on surgical rates and epilepsy outcomes. Those in the control group will receive their usual care. Both groups will be asked to fill out surveys and questionnaires at the beginning of their stay, at the end of their stay, and if they elect to have surgery, 12 months after surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
310
This is a video-based intervention complemented by additional education materials, focusing on educating people with epilepsy on the impact of social determinants of health on epilepsy surgery and outcomes
Participants will receive surveys to assess barriers to accessing epilepsy care
Participants will participate in focus groups to further identify barriers associated with lack of access and utilization of epilepsy surgery
Cleveland Clinic
Cleveland, Ohio, United States
RECRUITINGPart 2a: Identify primary barriers to accessing and undergoing epilepsy surgery
People with epilepsy and providers will be asked to complete a roughly 20 minutes online survey (providers receive a different form of the survey than what patients receive)
Time frame: At study enrollment
Part 2b: Further identify barriers associated with lack of access and utilization of epilepsy surgery
People with epilepsy and epilepsy providers (both from within Cleveland Clinic and from the outside community) will be asked to fill out surveys and participate in focus groups with semi-structured interviews
Time frame: At study enrollment
Part 3: Determine acceptability of PEERS Program
Acceptability will be measured by baseline and post-intervention assessment completion, with success defined as greater than 80% of participants completing both assessments.
Time frame: Baseline, and Prior to discharge from the Cleveland Clinic Epilepsy Monitoring Unit
Part 3: Determine satisfaction of PEERS Program
Measured by the Client Satisfaction Questionnaire (Min-Max 8-32, higher number is greater satisfaction)
Time frame: Prior to discharge from the Cleveland Clinic Epilepsy Monitoring Unit
Part 3: Determine effectiveness of PEERS Program
Measured by the Trust in Physician Scale (Min-Max 11-55; higher number is higher level of trust)
Time frame: Baseline, and Prior to discharge from the Cleveland Clinic Epilepsy Monitoring Unit
Part 2b: Reporting of social needs
The Accountable Health Communities Health-Related Social Needs Screening Tool will be used to assess participants' reporting of social needs. This is a screening tool so there are no high/low values or total score
Time frame: At study enrollment
Part 3: Reporting of social needs
The Accountable Health Communities Health-Related Social Needs (HRSN) Screening Tool will be used to assess participants' reporting of social needs. This is a screening tool so there are not high/low values or total scores
Time frame: At baseline, and prior to discharge from the Cleveland Clinic Epilepsy Monitoring Unit
Part 2b: To assess knowledge of epilepsy surgery
Measured by responses to the Epilepsy Surgery Knowledge Questionnaire (min/max 0-10; higher scores indicate higher knowledge)
Time frame: At study enrollment
Part 3: To assess knowledge of epilepsy surgery
Measured by responses to the Epilepsy Surgery Knowledge Questionnaire (min/max 0-10; higher scores indicate higher knowledge)
Time frame: At baseline, and prior to discharge from the Cleveland Clinic Epilepsy Monitoring Unit
Part 2b: To assess knowledge of social determinants of health
Measured by responses to the Social Determinants of Health Knowledge Questionnaire (min/max 0-10; higher scores indicate higher knowledge)
Time frame: At study enrollment
Part 3: To assess knowledge of social determinants of health
Measured by responses to the Social Determinants of Health Knowledge Questionnaire (min/max 0-10; higher scores indicate higher knowledge)
Time frame: At baseline, and prior to discharge from the Cleveland Clinic Epilepsy Monitoring Unit
Part 2b: Determine participants' positivity towards living with a chronic condition
Measured by the Living with Chronic Illness Scale (min/max 0-104; higher values reflects more positive attitude towards living with a chronic condition)
Time frame: At study enrollment
Part 3: Determine participants' positivity towards living with a chronic condition
Measured by the Living with Chronic Illness Scale (min/max 0-104; higher values reflects more positive attitude towards living with a chronic condition)
Time frame: At baseline, and prior to discharge from the Cleveland Clinic Epilepsy Monitoring Unit
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