Bridging the Childhood Epilepsy Treatment Gap in Africa
N/A
Completed
NCT04290975
| Condition | Epilepsy |
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| Phase | N/A |
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| Sponsor | Vanderbilt University Medical Center |
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| Status | Completed |
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| Enrollment | 1,672 participants |
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| Interventions | Task-shifting epilepsy care to epilepsy-trained community health workers (CHWs), Enhanced usual care for epilepsy (EUC) |
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| Start date | Jun 16, 2020 |
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| Completion date | May 31, 2024 |
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| Results posted | Feb 20, 2026 |
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Summary
About half of the world's children with epilepsy do not receive treatment - known as the epilepsy treatment gap - with significantly higher rates (67%-90%) in low- and middle-income countries (LMICs). We will conduct the first cluster-randomized clinical trial (cRCT) to determine the efficacy, implementation, and cost-effectiveness of a novel intervention shifting childhood epilepsy care to epilepsy-trained community health extension workers in an effort to close the epilepsy treatment gap. This research will provide information to help extend epilepsy treatment to children in LMICs and worldwide who suffer from untreated seizures.
Percentage Seizure-free for 6 Months, or Longer, Measured at 24 Months After Enrollment
Outcome measured 18 months to 24 months after enrollment · Participants
| Task-shifted Epilepsy Care Arm (TSC) | 371 Participants |
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| Enhanced Usual Epilepsy Care Arm (EUC) | 299 Participants |
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| p-value | 0.11 |
| Odds Ratio (OR) | 1.37 (95% CI 0.93–2.02) |
Open in BENITIONS
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