Tools for Anxiety and Depression Screening in Epilepsy

Wake Forest University (WFU)

Status: Completed

Conditions: Epilepsy

Treatments: Behavioral: Screening Questionnaires

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05864612

IRB00086172

R03TR004251 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

A randomized trial to compare patient-completion success of REDCap and Electronic Health Record (EHR)-based anxiety & depression instrument delivery methods. Study hypothesis is that the screening completion proportion will vary across the 4 modalities tested.

Full description

In this randomized study of four modalities, we will compare Twilio text message delivery via REDCap versus (vs.) REDCap email survey links vs. EHR portal questionnaires with reminder message vs. current standard delivery EHR portal questionnaires without reminder. Screening instruments will be delivered by randomized method 7 days prior to scheduled clinic visit and outcomes occur by the time of the scheduled clinic visit. The study setting is the Wake Forest Comprehensive Epilepsy Center, with 2 clinic sites where adult patients are served (Atrium Health Wake Forest Baptist main campus, Atrium Health High Point Medical Center). EHR portal questionnaires without reminder is the current standard care screener delivery method. An exploratory supplement randomizing individuals to text message versus email survey link was later added.

Enrollment: 880 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Visit scheduled 7 days in advance at an adult-focused epilepsy clinic at the study site

Exclusion criteria

• No exclusions

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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880 participants in 4 patient groups

Text Message

Active Comparator group

Description:

Subjects in this arm will be asked to complete standard care screening questionnaires on anxiety and depression, delivered by Twilio text message.

Treatment:

Behavioral: Screening Questionnaires

Customized Email Prompt

Active Comparator group

Description:

Subjects in this arm will be asked to complete standard care screening questionnaires on anxiety and depression, delivered by an email with a REDCap email survey link.

Treatment:

Behavioral: Screening Questionnaires

Generic Electronic Health Record (EHR) portal email

Active Comparator group

Description:

Subjects in this arm will be prompted with customized EHR portal message after login to EHR portal.

Treatment:

Behavioral: Screening Questionnaires

EHR Portal with No Message

Active Comparator group

Description:

Subjects in this arm will not receive a reminder, but previsit questionnaires associated with a visit will be in their EHR portal.

Treatment:

Behavioral: Screening Questionnaires