Literature Monitor

SMART Self-Management Program Enhances Epilepsy Care

Epilepsia; ePub 2018 Aug 10 Sajatovic et al.


A self-management program called SMART can help patients with epilepsy reduce the risk of negative health events according to researchers at Case Western Reserve University School of Medicine.

  • A 6-month randomized controlled trial of the community-based program included 60 adult patients and was compared to 60 control patients on a waitlist.
  • The experiment monitored a variety of events, including seizures, accidents, attempts at self-harm, emergency department visits, and hospitalizations.
  • The average patient in this trial was about 41 years old, about 70% were African American, 74% were unemployed.
  • Patients who were randomized to the SMART program had fewer negative health events by 6 months compared to controls.
  • SMART was also linked to improved scores on the Patient Health Questionnaire ( P=.002), the 10 item Quality of Life in Epilepsy Inventory, and the Short Form Health Survey.

Sajatovic M, Colon-Zimmermann K, Kahriman M, et al. A 6-month prospective randomized controlled trial of remotely delivered group format epilepsy self-management versus waitlist control for high-risk people with epilepsy. [Published online ahead of print August 10, 2018]. Epilepsia.

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