Cognitive Enhancement Intervention for Creating a Healthy L.I.F.E (Lifestyle Interventions for Epilepsy)

NCT ID: NCT05954182

Last Updated: 2025-07-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

170 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-20

Study Completion Date

2026-06-30

Brief Summary

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The goal of this clinical trial is to test if cognitive interventions in those with diagnosed epilepsy can help lessen cognitive lapses and improve overall brain health.

Participants will participate in weekly, virtual group sessions led by a neuropsychologist for 12 weeks. After the 12-week mark, participants will be asked to practice what they learned for 9 more months. Participants will be asked to complete online questionnaires at certain times during the study. Researchers will compare this intervention group to another group that did not get the intervention to see if the intervention improves brain health. Participation in each of these groups will be randomly assigned. Participation in the study will last for one year.

Detailed Description

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In this prospective, controlled, randomized study, investigators aim to assess the effectiveness of a cognitive intervention in improving daily function (primary outcome) in those with epilepsy. Investigators will also seek to understand how the cognitive intervention may impact objective and subjective cognitive function, quality of life, self-efficacy, locus of control, and mood (secondary outcomes).

The study team will accomplish these objectives by comparing participants that are randomly assigned to the cognitive intervention arm (12 weekly virtual group sessions led by a neuropsychologist followed by 9 months of "self-study" in addition to their standard care) to participants randomly assigned to the control arm (continuation of their standard care during the 12 months of the study). Investigators will measure the effects of the intervention using cognitive assessments, and health and quality of life questionnaires. Investigators will also collect human biospecimens of enrolled participants to assess the biologic impact of the intervention.

Conditions

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Epilepsy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cognitive Intervention

Participants in this group will receive weekly, live, virtual group sessions for 12 weeks

Group Type EXPERIMENTAL

Cognitive Intervention

Intervention Type BEHAVIORAL

This is a virtual, group cognitive intervention. 12 live, weekly sessions will occur during the first 3 months of the study. Groups will be made up of 5-10 participants and will be led by a neuropsychologist. These sessions will include education on the brain and cognitive function as it relates to epilepsy, as well as compensatory strategies for use in daily life. After the 12 sessions, participants will be asked to continue to practice what they learned for the next nine months until their participation ends.

Control

Participants in this group will NOT receive the group sessions

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Cognitive Intervention

This is a virtual, group cognitive intervention. 12 live, weekly sessions will occur during the first 3 months of the study. Groups will be made up of 5-10 participants and will be led by a neuropsychologist. These sessions will include education on the brain and cognitive function as it relates to epilepsy, as well as compensatory strategies for use in daily life. After the 12 sessions, participants will be asked to continue to practice what they learned for the next nine months until their participation ends.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Potential patients will be identified if they have been, or are scheduled to be seen, either in-person or virtually for a clinical visit within the Cleveland Clinic Epilepsy Center
* Adults, aged 18-60 years old, with diagnosed epilepsy
* Subjective cognitive difficulties based on patient self-report or objective cognitive deficits as determined by neuropsychological tests
* Able to independently provide informed consent
* Fluent in English
* Reading abilities at or above 8th grade level as determined by the Wide Range Achievement Test- 4th Edition (WRAT-4), Reading subtest
* Internet access and the ability to participate in online video streaming
* No history of resective or ablative epilepsy surgery
* Willing and able to participate in cognitive intervention

Exclusion Criteria

* Patients with a current diagnosis of non-epileptic or psychogenic seizures
* Any patient that has engaged in any form of cognitive rehabilitation/intervention within the last 6 months
* Patients currently enrolled in another interventional study for epilepsy at the time of enrollment
* Anticipated or scheduled epilepsy surgery within 6 months
* Pending litigation related to the cause of epilepsy unless litigation is related to disability application
* Undergoing intensive medical treatment for serious or life-threatening illness (e.g., chemotherapy, etc.) that, in the opinion of the investigator, would impact study participation
* Serious psychiatric condition that, in the opinion of the investigator, would interfere with participation, such as schizophrenia, active psychosis, active mania, and current suicidal ideation
* Currently pregnant or less than 6 weeks postpartum
* Significant hearing and/or vision loss that, in the opinion of the investigator would preclude them from participating in remote cognitive testing and engaging in the cognitive intervention
* Participants who require an LAR or lack capacity to consent for themselves
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kayela Arrotta

OTHER

Sponsor Role lead

Responsible Party

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Kayela Arrotta

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Kayela Arrotta, PhD

Role: PRINCIPAL_INVESTIGATOR

The Cleveland Clinic

Locations

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Cleveland Clinic

Cleveland, Ohio, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Anthony Lioi, PhD

Role: CONTACT

216-444-5666

Facility Contacts

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Anthony Lioi, PhD

Role: primary

216-444-5666

References

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Motamedi G, Meador K. Epilepsy and cognition. Epilepsy Behav. 2003 Oct;4 Suppl 2:S25-38. doi: 10.1016/j.yebeh.2003.07.004.

Reference Type BACKGROUND
PMID: 14527481 (View on PubMed)

Baxendale S. Cognitive rehabilitation and prehabilitation in people with epilepsy. Epilepsy Behav. 2020 May;106:107027. doi: 10.1016/j.yebeh.2020.107027. Epub 2020 Mar 21.

Reference Type BACKGROUND
PMID: 32208338 (View on PubMed)

Farina E, Raglio A, Giovagnoli AR. Cognitive rehabilitation in epilepsy: An evidence-based review. Epilepsy Res. 2015 Jan;109:210-8. doi: 10.1016/j.eplepsyres.2014.10.017. Epub 2014 Nov 6.

Reference Type BACKGROUND
PMID: 25524861 (View on PubMed)

Other Identifiers

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IRB 22-1005

Identifier Type: -

Identifier Source: org_study_id

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