EMR Outcomes: Anxiety and Depression in Epilepsy

Anxiety and Depression in Epilepsy: Assessing Outcomes Using the Electronic Medical Record (EMR)

The purpose of this research is to find out how people with epilepsy and possible symptoms of anxiety or depression are doing for 6 months after a regular epilepsy clinic visit. Participants in this study will complete questionnaires either by phone or via the patient portal.

This is a study among N=30 individuals with epilepsy and high or borderline anxiety or depression symptoms receiving usual care at the Wake Forest Comprehensive Epilepsy Center. Participants are randomized to one of two outcome assessment methods [Electronic Medical Record (EMR)-based-interventional method vs. telephone-based-standard method] for collecting quality of life, anxiety and depression outcomes at 3 and 6 months, under usual care management.

The primary aim of the study is to assess feasibility of EMR-based outcome assessment by measuring 6-month retention.

Inclusion Criteria:

• Age 18 or older
• Completed electronic questionnaires independently in clinic
• Epilepsy diagnosis (clinician impression or EEG-based)
• Borderline or high anxiety or depression symptoms at baseline
• GAD-7 score > 7 (anxiety)
• NDDI-E score > 13 (depression)

Exclusion Criteria:

• Passive suicidal ideation (NDDI-E item 4 score of 3 or 4)
• Age <18 years