Abstract Details

Title Advantages of Face-to-face Contact Versus Video Conferencing in the Delivery of a Self-management Program for People with Epilepsy

Topic Epilepsy/Clinical Neurophysiology (EEG)

Presentation(s) S13 - Epilepsy/Clinical Neurophysiology (EEG) 1 (1:12 PM-1:24 PM)

Poster/Presentation
Number 002

Objective To directly compare two delivery methods of HOBSCOTCH—a self-management program for cognitive dysfunction in epilepsy.

Background HOBSCOTCH (HOme-Based Self-management and COgnitive Training CHanges lives) is an evidence-based intervention that improves quality of life (QOL) in adults with epilepsy. The original 8-session program included six telephone sessions bookended by in-person sessions. To forgo transportation barriers, a virtual version was developed that replaced the two in-person sessions with video-conferencing. The current, multi-site replication study compared the two delivery methods head-to-head.

Design/Methods This trial enrolled 108 adults with epilepsy from four clinical sites across northern New England. Participants were randomized to receive either the HOBSCOTCH in-person intervention (n=20), the virtual intervention (n=17), or a 6 month waitlist-control period (n=48). This analysis compares the primary outcome of QOL (QOLIE-31) and the secondary outcome of subjective cognition (NeuroQOL-Cognitive Function), pre-and-post HOBSCOTCH.

Results

Compared to the control group, the in-person intervention group significantly improved in overall QOL score (p<0.001) with a treatment effect of 12.4 points, and in subjective cognition total score (p <0.001) with a treatment effect of 6.2 points. The virtual group had no statistically significant improvements versus control. In a pairwise comparison of the two versions of the program, the in-person group showed improvements in self-reported cognition (p=.01). While the treatment effect on overall QOL was 6.7 points higher for the in-person group versus the virtual group, the difference did not reach statistical significance.

A within-group analysis found overall QOL improvements from baseline for both in-person (p=0.002) and virtual (p=0.023). In-person HOBSCOTCH improved in subjective cognition (p=0.0001) while the virtual group did not. The control group had no change during this period.

Conclusions There appear to be critical advantages of face-to-face contact between participants and Memory Coaches. While 75% of the program was delivered identically, the two in-person sessions were not adequately replaced by video-conferencing sessions

Authors/Disclosures
Samantha Schmidt (Dartmouth-Hitchcock Medical Center) PRESENTER	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
Lindsay Schommer, NP (Dartmouth)	No disclosure on file
Elaine T. Kiriakopoulos, MD (Dartmouth-Hitchcock Medical Center)	The institution of Dr. Kiriakopoulos has received research support from Centers for Disease Control and Prevention. The institution of Dr. Kiriakopoulos has received research support from Department of Defense. The institution of Dr. Kiriakopoulos has received research support from Epilepsy Foundation New England.
	No disclosure on file
Felicia Chu, MD (Dept of Neurology, UMass Medical School)	No disclosure on file
Catherine Phillips, MD (UMass Memorial Medical Center)	No disclosure on file
Barbara C. Jobst, MD, PhD, FAAN (Dartmouth-Hitchcock Med Ctr)	Dr. Jobst has received personal compensation in the range of $10,000-$49,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for AAN. The institution of Dr. Jobst has received research support from Neuropace, Inc.. The institution of Dr. Jobst has received research support from Harvard Pilgrim. The institution of Dr. Jobst has received research support from NIH. The institution of Dr. Jobst has received research support from CDC.

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