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Management and delivery of special neurological rehab

Can rehabilitation reduce attendance at Accident and Emergency (A&E) and promote wellbeing for people with severe epilepsy? A multicentre non-randomised interventional treatment trial.

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN06469947
Enrollment
170
Registered
2010-05-21
Start date
2009-06-04
Completion date
Unknown
Last updated
2015-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Topic: Neurological, Primary Care Research Network for England

Interventions

The intervention will start with the offer of a clinic appointment with a nurse with special interest in epilepsy after the patient has been discharged following an A&E attendance. The nurse will asse

Sponsors

South London and Maudsley NHS Foundation Trust (SLaM) (UK)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Be aged 18 years or over, either sex 2. Have epilepsy that has been diagnosed and treated with medication 3. Be able to communicate in English sufficiently to complete questionnaires 4. Be resident and registered with a GP in either Southwark or Lambeth PCT

Exclusion criteria

Exclusion criteria: 1. Having no diagnosis; new epilepsy leads to a referral to a neurologist 2. Having already seen a specialist nurse for epilepsy in the prior year 3. Alcohol or other substance misuse 4. Other severe medical illness, such as psychosis or terminal cancer

Design outcomes

Primary

MeasureTime frame
Accident and Emergency re-attendance, measured at baseline, 6 and 12-month follow-up.

Secondary

MeasureTime frame
1. Seizure frequency, measured at baseline and 6 month follow-up 2. Seizure severity, measured at baseline and 6 month follow-up 3. Seizure impact, measured at baseline and 6 month follow-up 4. Psychological distress, measured at baseline, 6 and 12-month follow-up 5. Perceived stigmatisation, measured at baseline and 6 month follow-up 6. Quality of life, measured at baseline, 6 and 12-month follow-up 7. Self efficacy in managing epilepsy, measured at baseline, 6 and 12-month follow-up 8. Medication adherence, measured at baseline, 6 and 12-month follow-up 9. Satisfaction with information about medications, measured at baseline and 6 month follow-up 10. Knowledge of epilepsy, measured at baseline and 6 month follow-up 11. Quality-adjusted life years (QALYs), measured at baseline, 6 and 12-month follow-up

Countries

United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 10, 2026