HOBSCOTCH Program for Epilepsy
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores a home-based program called HOBSCOTCH, designed to help young people with epilepsy improve their thinking, memory, and overall quality of life. The study aims to determine if this program can enhance daily life for young adults and teens with epilepsy and reduce stress for their parents. Participants will attend weekly virtual sessions with a coach and maintain a daily diary using a smartphone app. It suits teens and young adults with epilepsy who have noticed issues with memory or attention and have access to a phone and the internet. As an unphased trial, this study offers a unique opportunity to contribute to research that could enhance daily living for young people with epilepsy.
What prior data suggests that the HOBSCOTCH program is safe for young adults and youth with epilepsy?
Studies have shown that the HOBSCOTCH program is safe and well-tolerated for people with epilepsy. Research indicates it improves memory and attention without causing harm. Specifically, one study found that participants who completed the HOBSCOTCH program experienced a 12.4-point improvement in their quality of life scores. Reports have not linked any side effects or negative outcomes to the program, which focuses on education, self-monitoring, and problem-solving to better manage epilepsy. This suggests that HOBSCOTCH is a safe option for enhancing cognitive function and quality of life in people with epilepsy.12345
Why are researchers excited about this trial?
Researchers are excited about the HOBSCOTCH program for epilepsy because it offers a personalized, cognitive behavioral approach that is not commonly found in traditional treatments like medications or surgical interventions. Unlike these standard options, which primarily focus on managing seizures through pharmaceutical means, HOBSCOTCH aims to improve the quality of life for young people with epilepsy by enhancing cognitive functions and emotional well-being. This program is delivered through a series of one-on-one sessions, either by webcam or phone, making it flexible and accessible for participants. By addressing the cognitive and emotional challenges associated with epilepsy, the HOBSCOTCH program could complement existing treatments and offer a more holistic approach to managing the condition.
What evidence suggests that the HOBSCOTCH program is effective for improving cognitive function and quality of life in young adults and youth with epilepsy?
Studies have shown that HOBSCOTCH, a self-management program for epilepsy, can improve thinking skills and quality of life. One study found that participants in the program experienced a 12.4-point increase in their quality-of-life scores compared to those who did not participate. The program targets individuals with epilepsy who face memory and attention challenges. Although the improvements in thinking skills and quality of life are significant, they may not persist beyond six months. In this trial, participants will receive the HOBSCOTCH program to manage memory and thinking challenges, aiming to help them regain control over their lives.13456
Who Is on the Research Team?
Elaine T. Kiriakopoulos, MD, MPH, MSc
Principal Investigator
Dartmouth-Hitchcock/Geisel School of Medicine-Dartmouth
Are You a Good Fit for This Trial?
This trial is for youth ages 13-17 with epilepsy (with a parent/guardian) and young adults ages 18-29 with epilepsy. Participants should have some issues with thinking or memory but must be able to use a computer or smartphone for virtual sessions.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Pre-HOBSCOTCH Session
Participants attend a pre-HOBSCOTCH session via webcam or phone
Educational Session
Participants attend an educational session via webcam
HOBSCOTCH Intervention
Participants attend 6 weekly HOBSCOTCH intervention sessions via webcam or phone
Wrap-up and Maintenance Planning
Participants attend a wrap-up and maintenance planning session
Follow-up
Participants complete surveys and questionnaires at 3 months and 6 months post-intervention
What Are the Treatments Tested in This Trial?
Interventions
- HOBSCOTCH/HOBSCOTCH-YOUTH
Trial Overview
The study tests HOBSCOTCH, a home-based coaching program delivered online or by phone, aiming to improve thinking, memory, and quality of life in young people with epilepsy. Youth join the program with their parent; all complete surveys before and after the program.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
Participants will receive the HOBSCOTCH (ages 18-29) or HOBSCOTCH-YOUTH (ages 13 -17) program consisting of 1:1 sessions delivered once per week including: * 1 pre-HOBSCOTCH Session (on webcam or by phone); * 1 educational session (on webcam); * 6 HOBSCOTCH intervention sessions (webcam or by phone); * 1 wrap-up and maintenance planning session.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Dartmouth-Hitchcock Medical Center
Lead Sponsor
Epilepsy Wellness Advocates
Collaborator
Citations
Effectiveness of a Self-Management Program to Improve ...
The positive effects of HOBSCOTCH were not maintained beyond 6 months compared with controls. Our the study was limited in its ability to characterize ...
Replication of an evidence-based epilepsy self ...
HOBSCOTCH increased cognition and improved quality of life in people with epilepsy. •. The HOBSCOTCH program continues to be an effective epilepsy self- ...
HOBSCOTCH: REGISTER Webinar 2026
HOBSCOTCH is an evidence-based self-management program designed to address memory and attention problems in adults with epilepsy.
4.
neurologylive.com
neurologylive.com/view/hobscotch-self-management-program-improves-quality-life-epilepsyHOBSCOTCH Self-Management Program Improves Quality ...
HOBSTOTCH intervention experienced a 12.4-point improvement in quality-of-life scores compared with controls (P <.001),
5.
epilepsyallianceamerica.org
epilepsyallianceamerica.org/programs-services/managing-epilepsy-well-network-mew/hobscotch/HOBSCOTCH
HOBSCOTCH was developed to help individuals with epilepsy adapt and work through various difficulties, including thinking or memory problems.
HOBSCOTCH Success Story
HOBSCOTCH (home based self-management and cognitive training changes lives) is part of the Managing Epilepsy Well Network and is a program ...
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