Correlates of epilepsy self-management competency among people with epilepsy from an epilepsy self-management clinical trial.
Abstract number :
3.074
Submission category :
11. Behavior/Neuropsychology/Language / 11A. Adult
Year :
2025
Submission ID :
235
Source :
www.aesnet.org
Presentation date :
12/8/2025 12:00:00 AM
Published date :
Authors :
Author: Rachel Branning, MD – University Hospitals Cleveland
Lisa Tan, MD – University Hospitals Cleveland
Haitong Yu, BS – Case Western Reserve University
Jessica Black, BS – Case Western Reserve University
Clara Adeniyi, MS – Case Western Reserve University
Nicole Fiorelli, BS – Case Western Reserve University
Maegan Tyrrell, BS – Carver College of Medicine
Farren Briggs, PhD – University of Miami
Gena Ghearing, MD – Mount Sinai
Presenting Author: MARTHA SAJATOVIC, MD – Case Western Reserve University
Rationale: Compared to the general population, people with Epilepsy (PWE) have increased rates of depression and suicidality and poorer quality of life (QOL). Several evidence-based interventions have shown that epilepsy self-management improves QOL. Self-management for people with epilepsy and a history of negative health events (SMART), is a program that was developed specifically for PWE who have poorly controlled seizures to help equip them with skills to take responsibility in the management of their epilepsy. We aimed identify clinical and demographic variables associated with better self-management competency as measured by the epilepsy self-management scale (ESMS). We hypothesized that female gender, high education and income were an independent predictor of greater self-management competency.
Methods: This is a cross-sectional analysis of baseline data in PWE experiencing negative health events enrolled in 6-month clinical trial SMART. We examined each category of self-management including seizure, lifestyle, medication, safety and information management. Lasso Machine learning was used for robust variable selection of predictors of self-management in each subcategory.
Results: Variables associated with greater self-management competency were having a seizure within the past 30 days (p=0.003), single relationship status (p=0.009), higher income (p=0.007), greater self-efficacy (p< 0.001), lower comorbidity index score (p=0.006) and lower functional status (p< 0.001). Having higher self-efficacy was associated improved competency in all subcategories.
Behavior