Bridging the Gap: Educating Patients on Social Determinants of Health to Improve Epilepsy Surgery Access and Outcomes

Part of paid clinical trials in Cleveland, Ohio.

Sponsor
Anny Reyes
Study ID
NCT07509190
Status
Recruiting
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Conditions

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • PEERS Program — BEHAVIORAL
    This is a video-based intervention complemented by additional education materials, focusing on educating people with epilepsy on the impact of social determinants of health on epilepsy surgery and outcomes
  • Surveys — OTHER
    Participants will receive surveys to assess barriers to accessing epilepsy care
  • Focus group — OTHER
    Participants will participate in focus groups to further identify barriers associated with lack of access and utilization of epilepsy surgery

Study Details

The goal of this study is to identify the needs and barriers to accessing and undergoing epilepsy surgery for patients with epilepsy and then to pilot an educational program regarding the social determinants of health and how they can influence surgical rates and epilepsy outcomes. For the first part, patients (age 18+) and providers will be asked to complete surveys and participate in focus groups to identify gaps and barriers that limit access to and use of epilepsy surgery. For piloting the education program, patients (age 18+) at the Cleveland Clinic Epilepsy Monitoring Unit will be randomized to intervention or control. Those in the intervention group, in addition to their usual care, will also receive educational materials on social determinants of health and their influence on surgical rates and epilepsy outcomes. Those in the control group will receive their usual care. Both groups will be asked to fill out surveys and questionnaires at the beginning of their stay, at the end of their stay, and if they elect to have surgery, 12 months after surgery.

Key Dates

Start date
Mar 18, 2026
Status verified
Mar 2026
Primary completion
Dec 31, 2028
Completion
Dec 31, 2029

Study Design

Enrollment
310 participants (estimated)
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
SUPPORTIVE_CARE

Arms

  • Other: Part 2a: Patient Survey
    Patients will receive online surveys to collect data to assess barriers to accessing epilepsy surgery
  • Other: Part 2a: Provider Survey
    Epilepsy providers will receive online surveys to collect data to assess barriers patients experience in accessing epilepsy surgery
  • Other: Part 2b: Cleveland Clinic Patient Focus Group
    Cleveland Clinic patients with epilepsy will fill out questionnaires and participate in focus groups to further identify barriers associated with lack of access and utilization of epilepsy surgery
  • Other: Part 2b: Cleveland Clinic Provider Focus Group
    Cleveland Clinic epilepsy providers will fill out questionnaires and participate in focus groups to further identify barriers associated with lack of access and utilization of epilepsy surgery
  • Other: Part 2b: Community Patient Focus Group
    Non-Cleveland Clinic patients with epilepsy will fill out questionnaires and participate in focus groups to further identify barriers associated with lack of access and utilization of epilepsy surgery
  • Other: Part 2b: Community Provider Focus Group
    Non-Cleveland Clinic epilepsy providers will fill out questionnaires and participate in focus groups to further identify barriers associated with lack of access and utilization of epilepsy surgery
  • Experimental: Part 3: Intervention
    Patients will view an educational video on social determinants of health and how these social determinants impact medical care while they are in the Cleveland Clinic Epilepsy Monitoring Unit in addition to their normal care.
  • No Intervention: Part 3: Control
    Patients will have care as usual while they are in the Cleveland Clinic Epilepsy Monitoring Unit

Primary Outcome Measure

Part 2a: Identify primary barriers to accessing and undergoing epilepsy surgery [ Time Frame: At study enrollment ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Cleveland ClinicClevelandOhio44195
Anny Reyes, PhD
[email protected]
216-390-4266

Find similar trials in Cleveland, OH

By condition
Epilepsy
By specialty
NeurologyBrain disorders
By research site
Cleveland Clinic· Cleveland, OH

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