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Evidence-Base

The HOBSCOTCH program was first evaluated as part of a feasibility study conducted at the Dartmouth-Hitchcock Epilepsy Center.  This study suggested that a self-management intervention is feasible and can be effectively delivered over the telephone.   

Caller TA, Secore KL, Ferguson RJ, Roth RM, Alexandre FP, Henegan PL, Harrington JJ, & Jobst JC. (2015).Design and feasibility of a memory intervention with focus on self-management for cognitive impairment in epilepsy. Epilepsy & Behavior 44: 192-194.

The program was then evaluated in a randomized controlled trial which demonstrated that HOBSCOTCH improved quality of life as measured by the QOLIE-31 and also improved objective memory on a short neuropsychological battery. 

Caller TA, Secore KL, Ferguson RJ, Roth RM, Secore KL, Alexandre FP, Zhao W, Tosteson T,Henegan PL, Birney K & Jobst JC.(in press). A cognitive-behavioral intervention (HOBSCOTCH) improves quality of life and attention in epilepsy: a pilot study. Epilepsy & Behavior

A second randomized controlled trial is currently underway that will evaluate the feasibility and efficacy of HOBSCOTCH in a larger region in New England and whether HOBSCOTCH can be replicated and distributed to a larger patient population.  In addition, a purely virtual version of HOBSCOTCH has been developed and is currently being evaluated.

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