Ethnicity and health outcomes among people with epilepsy participating in an epilepsy self-management RCT.
Depression
Epilepsy
Ethnicity
Race
Seizures
Treatment outcomes
Journal
Epilepsy & behavior : E&B
ISSN: 1525-5069
Titre abrégé: Epilepsy Behav
Pays: United States
ID NLM: 100892858
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
received:
01
04
2019
revised:
24
07
2019
accepted:
26
07
2019
pubmed:
5
11
2019
medline:
28
7
2020
entrez:
3
11
2019
Statut:
ppublish
Résumé
People with epilepsy (PWE) may experience negative health events (NHEs) such as seizures, emergency room visits, and hospitalizations, with ethnic and racial minorities disproportionately affected. Epilepsy self-management may reduce NHEs; however, few reports examine self-management outcomes in racial minorities. Using data from a longitudinal 6-month randomized controlled trial (RCT) of 120 PWE, this analysis compared African-American and Whites at baseline, 10 weeks and 24 weeks after receiving the "Self-management for people with epilepsy (SMART) and a history of NHEs" self-management program. The primary RCT outcome was number of NHEs. At baseline, compared to Whites, African-Americans had less education (p = 0.02) and greater depressive severity (p = 0.04). Both African-American and Whites generally improved with SMART, and there were no racial differences in NHE counts or other outcomes' responses. Given known racial disparities in epilepsy care, it may be particularly important to reach out to minority PWE with self-management programs.
Identifiants
pubmed: 31677583
pii: S1525-5050(19)30308-7
doi: 10.1016/j.yebeh.2019.106469
pmc: PMC7370540
mid: NIHMS1592227
pii:
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
106469Subventions
Organisme : NCCDPHP CDC HHS
ID : U48 DP005030
Pays : United States
Organisme : ACL HHS
ID : U48DP005030
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR000439
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR002548
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.
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