Evidence map›Paper›PMID 26209121›Full record

Trial reportBMJ open2015

'Seizure First Aid Training' for people with epilepsy who attend emergency departments, and their family and friends: study protocol for intervention development and a pilot randomised controlled trial.

A J Noble, A G Marson, C Tudur-Smith, M Morgan, D A Hughes, S Goodacre, L Ridsdale

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Guideline
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

A J NobleDepartment of Psychological Sciences, University of Liverpool, Liverpool, UK.
A G MarsonDepartment of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool, UK.
C Tudur-SmithDepartment of Biostatistics, University of Liverpool, Liverpool, UK.
M MorganInstitute of Pharmaceutical Science, King's College London, Liverpool, UK.
D A HughesCentre for Health Economics & Medicines Evaluation, Bangor University, Bangor, UK.
S GoodacreSchool of Health and Related Research, University of Sheffield, Sheffield, UK.
L RidsdaleDepartment of Basic and Clinical Neuroscience, King's College London, London, UK.
University of Liverpool · GBKing's College London · GBBangor University · GBUniversity of Sheffield · GB

Funding

Department of Health 08/1815/234Department of Health HS&DR/14/19/09
6 · The paper itself

Abstract

introductionPeople with chronic epilepsy (PWE) often make costly but clinically unnecessary emergency department (ED) visits. Offering them and their carers a self-management intervention that improves confidence and ability to manage seizures may lead to fewer visits. As no such intervention currently exists, we describe a project to develop and pilot one. METHODS AND ANALYSIS: To develop the intervention, an existing group-based seizure management course that has been offered by the Epilepsy Society within the voluntary sector to a broader audience will be adapted. Feedback from PWE, carers and representatives from the main groups caring for PWE will help refine the course so that it addresses the needs of ED attendees. Its behaviour change potential will also be optimised. A pilot randomised controlled trial will then be completed. 80 PWE aged ≥16 who have visited the ED in the prior 12 months on ≥2 occasions, along with one of their family members or friends, will be recruited from three NHS EDs. Dyads will be randomised to receive the intervention or treatment as usual alone. The proposed primary outcome is ED use in the 12 months following randomisation. For the pilot, this will be measured using routine hospital data. Secondary outcomes will be measured by patients and carers completing questionnaires 3, 6 and 12 months postrandomisation. Rates of recruitment, retention and unblinding will be calculated, along with the ED event rate in the control group and an estimate of the intervention's effect on the outcome measures. ETHICS AND DISSEMINATION: Ethical approval: NRES Committee North West-Liverpool East (Reference number 15/NW/0225). The project's findings will provide robust evidence on the acceptability of seizure management training and on the optimal design of a future definitive trial. The findings will be published in peer-reviewed journals and presented at conferences. TRIAL REGISTRATION NUMBER: ISRCTN13 871 327.

Indexed as

First AidPatient Education as TopicSelf CareEmergency Service, HospitalEpilepsyHealth Knowledge, Attitudes, PracticeHumansPilot ProjectsResearch DesignSeizuresSelf EfficacySingle-Blind MethodSurveys and QuestionnairesACCIDENT & EMERGENCY MEDICINEEDUCATION & TRAINING (see Medical Education & Training)QUALITATIVE RESEARCHREHABILITATION MEDICINETHERAPEUTICS

Identifiers

PMID26209121
PMCPMC4521519
OpenAlexW1886070169

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.