Evidence map›Paper›PMID 31414192›Full record

ArticleJournal of neurology2019

Self-management practices associated with quality of life for adults with epilepsy.

Robert Quon, Angeline Andrew, Samantha Schmidt, Cam Escoffery, Lindsay Schommer, Felicia Chu, Heidi Henninger, Keith Nagle, Nicholas Streltzov, Barbara Jobst

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Neuropsychological assessment in adult epilepsy: rationale, test selection, and clinical integration across non-surgical care in Italian patients.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Article
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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

10 authors.

Robert QuonDepartment of Neurology, Geisel School of Medicine At Dartmouth, 21 Spencer Street, Apt. #215, Lebanon, NH, 03766, USA. Robert.J.Quon.GR@dartmouth.edu.ORCID http://orcid.org/0000-0002-9926-1539
Angeline AndrewDepartment of Epidemiology, Geisel School of Medicine, Hanover, NH, USA.
Samantha SchmidtDepartment of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Cam EscofferyDepartment of Behavioral Sciences and Health Education, Emory University, Atlanta, GA, USA.
Lindsay SchommerDepartment of Neurology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Felicia ChuDepartment of Neurology, University of Massachusetts Memorial Medical Center, Worcester, MA, USA.
Heidi HenningerDepartment of Neurology, Maine Medical Center, Scarborough, ME, USA.
Keith NagleDepartment of Neurological Sciences, University of Vermont College of Medicine, Burlington, VT, USA.
Nicholas StreltzovGeisel School of Medicine At Dartmouth, Lebanon, NH, USA.
Barbara JobstDepartment of Neurology, Geisel School of Medicine At Dartmouth, 21 Spencer Street, Apt. #215, Lebanon, NH, 03766, USA.

Funding

Quantitative Biomedical Sciences at DartmouthT32LM012204 · NLM · DARTMOUTH COLLEGE · PI TOSTESON, TOR D · 2016 to 2020
$876k
ACL HHS U48DP005018CDC HHS 1U48DP005018NLM NIH HHS T32 LM012204
6 · The paper itself

Abstract

Epilepsy self-management practices enhance a patient's competence and confidence in managing their chronic condition, which is assumed to lead to an improved quality of life (QoL). We analyzed the relationship between the Epilepsy Self-Management Scale (ESMS) responses and the Quality of Life in Epilepsy (QOLIE-31) scores. Baseline questionnaires from HOBSCOTCH, a self-management program for cognitive problems, were administered in four New England epilepsy centers on adults (n = 100) with epilepsy and subjective memory complaints. There was no correlation between overall self-management scores and overall quality-of-life scores; however, subscale analyses indicated that certain self-management practices were strongly correlated with the overall QOLIE-31 score. Specifically, improved ESMS lifestyle management was associated with an increased quality-of-life score (adjusted p < 0.01), while enhanced ESMS safety management practices were associated with a decreased overall quality-of-life score (adjusted p < 0.01). Our item-level analysis highlighted specific items within the ESMS safety management, ESMS lifestyle management, and ESMS information management subdomains that were significant predictors for QoL. Depression was also shown to be significantly correlated with the QOLIE-31 (p < 0.01). Our study suggests that an overemphasis on safety practices may negatively affect quality of life, while enhanced lifestyle management has positive effects. Furthermore, our finding that quality of life is greatly dependent on depressive symptoms underscores the importance of treating depression in epilepsy.

Indexed as

AdultEpilepsyFemaleHumansMaleMiddle AgedQuality of LifeSelf-ManagementSurveys and QuestionnairesDepressionDeterminantsEpilepsyQuality of lifeSelf-management

Identifiers

PMID31414192
PMCPMC6810849

What OpenQuestion holds

Textmetadata
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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.