Epilepsy Emergency Department High Utilizer Program (NCT07663240) | Clinical Trial Compass
By InvitationNot Applicable
Epilepsy Emergency Department High Utilizer Program
United States15 participantsStarted 2026-05-01
Plain-language summary
We believe that there are many reasons that people with epilepsy get their health care through the emergency department (ED) instead of through primary care or neurology. Our goal is to create program that will address these reasons. The creation of this program will be informed by use of the Grady electronic health records (EHR). We will use the EHR to describe people with epilepsy coming the Grady ED at a high frequency. We create a profile of these patients by examining their demographics and social determinants of health information in their EHR (Aim 1). We will then use that information to create a culturally and medically appropriate program for people with epilepsy (Aim 2). Next, we will test the new program, the Epilepsy Emergency Department High Utilizer Program (Aim 3). We believe this program may improve three things. It will first improve access to care by epilepsy and mental health doctors, and reduce ED visits. It may also help people to manage their triggers, track seizures, and take their medicines on time. And last, we believe it may improve seizure frequency and quality of life for people that are underserved in health care. With the lessons learned from the new program, we will explore ways to sustain the program at Grady and expand it to other health care facilities (Aim 4).
Who can participate
Age range
18 Years
Sex
FEMALE
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Adult women aged 18 years or older
* Confirmed diagnosis of epilepsy documented in the electronic health record (EHR)
* Enrolled in the Grady Health System Transition of Care (TOC) ED High Utilizer Program
* History of three or more seizure-related emergency department visits within the past 12 months
* Self-identify as Black or Hispanic
* Reside in the Atlanta metropolitan area with intent to remain for at least 12 months
* Have access to a working phone for follow-up communication
Exclusion Criteria:
* No confirmed epilepsy diagnosis (e.g., non-epileptic seizures)
* Younger than 18 years of age
* Not identified as a high ED utilizer for seizure-related care
* Unable to provide informed consent due to cognitive impairment or psychiatric instability
* Regularly taking anti-epileptic medications with established adherence
* Scheduled neurology follow-up within 14 days of discharge or consistent primary care follow-up
* Complex medical conditions that would limit participation in outpatient follow-up
* Non-English speaking
* Pregnant
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Emergency Department Utilization
Timeframe: Baseline to 9-12 months post-enrollment