ORIGINAL RESEARCH article
Front. Neurol.
Sec. Epilepsy
Volume 16 - 2025 | doi: 10.3389/fneur.2025.1617539
This article is part of the Research TopicPrevention of and early intervention for behavioral health disorders in people with epilepsyView all 6 articles
Real World Telehealth Delivery of An Evidence Based Self-Management Education Program for People with Epilepsy and Cognitive Comorbidity
Provisionally accepted
Elaine Kiriakopoulos1,2,3*
Sarah Kaden3
Lisa P Sackett3
Maureen T. Quigley3Trina Dawson3Laura Demuro3Kathryn E Giordano3Jessica DeNaples3Meredith E. Olenec3Stephanie Jennings3Ambereen Burhanuddin3
Joanne Harris3
Suzanne Lenz3Robert Ross-Shannon2Todd Mackenzie1,2
Barbara Jobst1,3- 1Geisel School of Medicine, Dartmouth College, Hanover, United States
- 2The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Lebanon, New Hampshire, United States
- 3Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, United States
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Introduction Cognitive dysfunction is prevalent in epilepsy, and is associated with decreased quality of life. HOme Based Self-management and COgnitive Training CHanges lives (HOBSCOTCH) is an evidence-based self-management program designed for people with epilepsy and comorbid subjective cognitive dysfunction. This project examines the delivery of HOBSCOTCH outside of the research setting as it translates from science to service. Methods People with epilepsy and subjective cognitive dysfunction (n=205) enrolled in the HOBSCOTCH program over an 11-month period (3/11/24-2/12/25) and completed pre-and postself-report assessments in which demographics, perceived cognition (Everyday Memory Questionnaire-Revised), quality of life (Quality of Life in Epilepsy-10), shared decision-making (CollaboRATE), and program satisfaction were measured. Results After completion of the 8-week HOBSCOTCH education program with a Cognitive Coach, participant quality of life and subjective cognition both significantly improved (p<.001). Program satisfaction was high, as was shared decision-making. Discussion HOBSCOTCH Cognitive Coaches deliver a participant-driven one-on-one education program by telehealth, which empowers people with epilepsy to manage their disease and related cognitive symptoms to improve quality of life. Ensuring this low risk behavioral intervention addressing cognitive challenges and quality of life is broadly available is paramount to improving meaningful supports for people with epilepsy.
Keywords: Epilepsy Self-management, Quality of Life, Cognitive Function, translation, Cognitive coaching, telehealth delivery
Received: 24 Apr 2025; Accepted: 19 Jun 2025.
Copyright: © 2025 Kiriakopoulos, Kaden, Sackett, Quigley, Dawson, Demuro, Giordano, DeNaples, Olenec, Jennings, Burhanuddin, Harris, Lenz, Ross-Shannon, Mackenzie and Jobst. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Elaine Kiriakopoulos, Geisel School of Medicine, Dartmouth College, Hanover, United States
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