Evidence map›Paper›PMID 31486072›Full record

ArticleEpilepsia2019

Self-management for adults with epilepsy: Aggregate Managing Epilepsy Well Network findings on depressive symptoms.

Martha Sajatovic, Erica K Johnson, Robert T Fraser, Kristin A Cassidy, Hongyan Liu, Dilip K Pandey, Rakale C Quarells, Peter Scal, Samantha Schmidt, Ross Shegog and 4 more

Open access · bronzeAbstract 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. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
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

14 authors at 10 institutions in 1 country.

Martha SajatovicDepartment of Psychiatry, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
Erica K JohnsonHealth Promotion Research Center, University of Washington, Seattle, Washington.
Robert T FraserDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington.
Kristin A CassidyDepartment of Psychiatry, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
Hongyan LiuDepartment of Neurology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
Dilip K PandeyDepartment of Neurology and Rehabilitation, University of Illinois College of Medicine at Chicago, Chicago, Illinois.
Rakale C QuarellsDepartment of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, Georgia.
Peter ScalDepartment of Pediatrics and Adolescent Health, University of Minnesota, Minneapolis, Minnesota.
Samantha SchmidtDepartment of Neurology, Geisel School of Medicine at Dartmouth, Dartmouth College, Lebanon, New Hampshire.
Ross ShegogUniversity of Texas Health Science Center at Houston School of Public Health, Houston, Texas.
Tanya M SpruillDepartment of Population Health, New York University School of Medicine, New York, New York.
Mary R JanevicCenter for Managing Chronic Disease, University of Michigan, Ann Arbor, Michigan.
Curtis TatsuokaDepartment of Neurology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
Barbara C JobstDepartment of Neurology, Geisel School of Medicine at Dartmouth, Dartmouth College, Lebanon, New Hampshire.
Case Western Reserve University · USDartmouth College · USUniversity of Washington · USMorehouse School of Medicine · USNew York University · USThe University of Texas Health Science Center at Houston · USUniversity Hospitals of Cleveland · USUniversity of Illinois Chicago · USUniversity of Michigan–Ann Arbor · USUniversity of Minnesota · US

Funding

NCCDPHP CDC HHS U48 DP005030
6 · The paper itself

Abstract

objectiveTo assess depressive symptom outcomes in a pooled sample of epilepsy self-management randomized controlled trials (RCTs) from the Managing Epilepsy Well (MEW) Network integrated research database (MEW DB).

methodsFive prospective RCTs involving 453 adults with epilepsy compared self-management intervention (n = 232) versus treatment as usual or wait-list control outcomes (n = 221). Depression was assessed with the nine-item Patient Health Questionnaire. Other variables included age, gender, race, ethnicity, education, income, marital status, seizure frequency, and quality of life. Follow-up assessments were collapsed into a visit 2 and a visit 3; these were conducted postbaseline.

resultsMean age was 43.5 years (SD = 12.6), nearly two-thirds were women, and nearly one-third were African American. Baseline sample characteristics were mostly similar in the self-management intervention group versus controls. At follow-up, the self-management group had a significantly greater reduction in depression compared to controls at visit 2 (P < .0001) and visit 3 (P = .0002). Quality of life also significantly improved in the self-management group at visit 2 (P = .001) and visit 3 (P = .005). SIGNIFICANCE: Aggregate MEW DB analysis of five RCTs found depressive symptom severity and quality of life significantly improved in individuals randomized to self-management intervention versus controls. Evidence-based epilepsy self-management programs should be made more broadly available in neurology practices.

Indexed as

Quality of LifeSelf-ManagementAdaptation, PsychologicalAdultDatabases, FactualDepressionEpilepsyFemaleHumansMaleMiddle AgedProspective Studiesdepressionepilepsyquality of lifeseizuresself-management

Identifiers

PMID31486072
PMCPMC7370538
OpenAlexW2971780928

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.