About this trial
The goal of this clinical trial is to test if cognitive interventions in those with diagnosed epilepsy can help lessen cognitive lapses and improve overall brain health.
Participants will participate in weekly, virtual group sessions led by a neuropsychologist for 12 weeks. After the 12-week mark, participants will be asked to practice what they learned for 9 more months. Participants will be asked to complete online questionnaires at certain times during the study. Researchers will compare this intervention group to another group that did not get the intervention to see if the intervention improves brain health. Participation in each of these groups will be randomly assigned. Participation in the study will last for one year.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Potential patients will be identified if they have been, or are scheduled to be seen, either in-person or virtually for a clinical visit within the Cleveland Clinic Epilepsy Center
Adults, aged 18-60 years old, with diagnosed epilepsy
Subjective cognitive difficulties based on patient self-report or objective cognitive deficits as determined by neuropsychological tests
Able to independently provide informed consent
Disqualifiers
Patients with a current diagnosis of non-epileptic or psychogenic seizures
Any patient that has engaged in any form of cognitive rehabilitation/intervention within the last 6 months
Patients currently enrolled in another interventional study for epilepsy at the time of enrollment
Anticipated or scheduled epilepsy surgery within 6 months
Trial design
Parallel
Treatments tested in this trial
Cognitive Intervention
BehavioralThis is a virtual, group cognitive intervention. 12 live, weekly sessions will occur during the first 3 months of the study. Groups will be made up of 5-10 participants and will be led by a neuropsychologist. These sessions will include education on the brain and cognitive function as it relates to epilepsy, as well as compensatory strategies for use in daily life. After the 12 sessions, participants will be asked to continue to practice what they learned for the next nine months until their participation ends.
Treatment groups
Trial outcomes
Primary outcomes
Change in Everyday Functioning
As assessed by the Instrumental Activities of Daily Living-Compensation (IADL-C) questionnaire - Min/Max: 27-216 (higher score means worse outcome)
Secondary outcomes
Change in Cognitive function
As assessed by neurocognitive testing and the Memory Assessment Clinics Scale for Epilepsy (MAC-E) questionnaire - Min/Max: 30-150 (higher score means better outcome)
Change in Quality of Life
As assessed by The Quality of Life in Epilepsy (QOLIE) questionnaire - Min/Max: 0-100 (higher score means better outcome)
Change in Stress
As assessed by The Perceived Stress Scale (PSS) questionnaire - Min/Max: 0-16 (higher score means worse outcome)
Change in Mood
As assessed by The Patient Health Questionnaire (PHQ) questionnaire - Min/Max: 0-24 (higher score means worse outcome)
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Kayela Arrotta
Lead sponsor
The Cleveland Clinic
Sponsor institution