Evidence map›Paper›PMID 31423591›Full record

ArticleEpilepsia2019

Epilepsy Journey: A proof of concept trial of a Web-based executive functioning intervention for adolescents with epilepsy.

Avani C Modi, Constance A Mara, Matthew Schmidt, Aimee W Smith, Luke Turnier, Noah Glaser, Shari L Wade

Erratum issuedAbstract read
In one paragraph

Article in Epilepsia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Avani C ModiCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.ORCID 0000-0002-7580-3751
Constance A MaraCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Matthew SchmidtUniversity of Cincinnati, Cincinnati, Ohio.
Aimee W SmithCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Luke TurnierCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Noah GlaserUniversity of Cincinnati, Cincinnati, Ohio.
Shari L WadeCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

Funding

Web-based Intervention to Improve Executive Functioning in Teens with EpilepsyR21HD083335 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI MODI, AVANI C · 2016 to 2017
$429k
Eunice Kennedy Shriver National Institute of Child Health and Human Development R21HD083335NICHD NIH HHS R21 HD083335
6 · The paper itself

Abstract

objectiveTo examine the preliminary feasibility and acceptability of a Web-based program, Epilepsy Journey, to improve executive function behaviors in adolescents with epilepsy.

methodsWe conducted a proof of concept single-arm pilot trial of Epilepsy Journey with 31 adolescents (average age = 15.3 ± 1.3 years) who had an epilepsy diagnosis and executive function (EF) deficits on the caregiver-report version of the Behavior Rating Inventory of Executive Function (BRIEF). Epilepsy Journey coupled a gamified problem-solving website comprised of 10 learning modules targeting EF deficits (eg, working memory, organization, problem-solving) with Skype sessions with a trained therapist. Outcomes included feasibility (attrition, sessions completed) and acceptability (satisfaction ratings). Exploratory analyses examined changes in caregiver-, self-, and teacher-reported BRIEF scores from baseline to posttreatment and at 2- and 5-month follow-ups.

resultsSeventy-nine percent of participants completed the program. Satisfaction was high, with 97% of caregivers and adolescents rating the program as helpful and indicating they would recommend it to others. Caregivers and adolescents reported global improvements on the BRIEF, with caregivers reporting significant improvements on all BRIEF subscales. EF symptoms rebounded slightly between the 2- and 5-month follow-ups for some of the self- and caregiver-reported BRIEF scales. Notably, clinically meaningful improvements (eg, clinical/subclinical to normative levels) were reported for several caregiver-reported BRIEF subscales, including the Global Executive Composite (62% to 33-34%) and Metacognitive Index (74% to 41-42%) from baseline to 2- and 5-month follow-up. SIGNIFICANCE: Findings suggest that a Web-based problem-solving intervention tailored to EF deficits for adolescents with epilepsy is both feasible and acceptable and may contribute to improvements in EF behaviors across domains.

Indexed as

Patient SatisfactionRemote ConsultationTherapy, Computer-AssistedAdolescentAttentionBehavior TherapyEpilepsyExecutive FunctionFeasibility StudiesFemaleHumansInternetMaleMemory, Short-TermProblem SolvingTreatment Outcomebehavioral regulationclinical trialexecutive dysfunctionmetacognitionworking memory

Identifiers

PMID31423591
PMCPMC6778683

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Registered trials

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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.