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This is an open label, randomized, prospective study of the impact on healthcare utilization of a surface Electromyography (sEMG) based seizure monitoring and alerting system for Veterans with seizures with upper extremity motor involvement, that are refractory to three or more antiepileptic drugs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment Group | Experimental | SPEAC System |
|
| Standard of Care | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SPEAC System | Device | Surface Electromyography (sEMG) based seizure monitoring and alerting system |
|
| Measure | Description | Time Frame |
|---|---|---|
| Diagnostic Impact Form Questionnaire | The physician will complete this questionnaire after each 30 days of device use to determine if information acquired will change the physician's assessment of the patient's seizures and their treatment plan. | Up to 5 months |
| Measure | Description | Time Frame |
|---|---|---|
| Personal Impact of Epilepsy Scale (PIES) Survey | The PIES survey creates a composite score that can be used to assess the quality of life of patients with epilepsy, as well as sub-scales for assessing the quality of life in specific areas of life with epilepsy. | 1 year |
| VR-12 Survey |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D000069279 | Drug Resistant Epilepsy |
| ID | Term |
|---|---|
| D004827 | Epilepsy |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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Participating physicians will recruit patients meeting the inclusion and exclusion criteria. Upon completion of screening and enrollment procedures study participants will be randomly assigned to one of two groups using a randomized call-in system: treatment or standard of care.
Demographics will be obtained for both groups during this initial clinic visit. The treatment group will be prescribed the Brain Sentinel® SPEAC System for use in the home environment. Study Participants in the standard of care group will be given standard care.
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This measure has been used in cost-effectiveness analyses and can be used to calculate quality adjusted life years (QALY). |
| 1 year |
| Personal Impact of Epilepsy Scale (PIES) Survey | The PIES survey creates a composite score that can be used to assess the quality of life of patients with epilepsy, as well as sub-scales for assessing the quality of life in specific areas of life with epilepsy. | 5 years |
| VR-12 Survey | This measure has been used in cost-effectiveness analyses and can be used to calculate quality adjusted life years (QALY). | 5 years |
| VA Administrative Data | Healthcare utilization, medication, and cost data will be collected to determine VA administrative data will be used to evaluate health outcomes. | 1 year |
| VA Administrative Data | VA administrative data will be used to evaluate health outcomes. | 5 years |