Home Based Self-management and Cognitive Training Changes lives (HOBSCOTCH) for Aura
This study is evaluating whether a virtual cognitive self-management program can help individuals with multiple sclerosis.
See full descriptionAbout the trial for Aura
Treatment Groups
This trial involves 2 different treatments. Home Based Self-management And Cognitive Training Changes Lives (HOBSCOTCH) is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
About The Treatment
Eligibility
This trial is for patients born any sex aged 18 and older. There are 7 eligibility criteria to participate in this trial as listed below.
Approximate Timelines
Measurement Requirements
This trial is evaluating whether Home Based Self-management and Cognitive Training Changes lives (HOBSCOTCH) will improve 2 primary outcomes and 7 secondary outcomes in patients with Aura. Measurement will happen over the course of Ongoing through entire study baseline - 12 months.
Who is running the study
Principal InvestigatorPatient Q & A Section
How many people get aura a year in the United States?
The most frequently reported symptoms of aura in patients with unipolar depression are visual symptoms and flushing. Patients with unipolar depression without aura seldom report aura and if they do, they do not meet DSM-IV or ICD-10 criteria for the diagnosis.
What is aura?
An aura, which can be defined as an atypical sensory, visual, or cognitive experience, is a transient phenomenon occurring in relation to a major neurological event, typically an aura preceding a transient ischemic attack. It is a common symptom of stroke.\n
What are the signs of aura?
The most common sensory symptom of aura is pressure or burning sensation in the back of the head, neck, and trunk, especially if the aura is localized. The other common physical symptom is facial numbness.
What causes aura?
The occurrence of aura is a relatively infrequent but non-uniform occurrence with a variable number of symptoms in each individual patient. The occurrence of aura is not related to a particular cause. The term aura is not appropriate as it is only partially informative.
Can aura be cured?
Although there is no cure for AVBs, the prognosis of patients with AVBs is not particularly poor. The optimal management of AVBs is not yet well defined in scientific literature. As far as the natural history of AVBs is concerned, the majority of patients are free from any complications or side effects or have good results for quality of life. These cases may be better managed than those with other types of AVBs, with less disruption to daily life, less time on hospitalisation, and less cost.
What are common treatments for aura?
There is little evidence to support one particular treatment, but research from recent years has been ongoing. The use of antiepileptic medication has been questioned, but there are preliminary data that show they may be useful. In contrast, some recent studies show that the use of antihypertensive medication before a seizure event may be useful. Trials of antiepileptic and antihypertensive drugs are ongoing.
How does home based self-management and cognitive training changes lives (hobscotch) work?
A self-management and cognitive training program can have substantial impact on individuals with heart failure and HF patients can be educated to manage CHF self-management and lifestyle behavior without a formal course.
What is the average age someone gets aura?
In the past, there was general agreement that typical age for the onset of aura might be at around 65 to 70. However, because of the large variability we were not able to conclude that aura is rarely observed in people younger than age 65. On the other hand, the findings also lend weak support to people aged 80 and 90 being more likely to suffer auras than those aged 65 and 70.
Does home based self-management and cognitive training changes lives (hobscotch) improve quality of life for those with aura?
The AHA intervention appeared to offer clinically and statistically significant improvements in quality of life. More sustained effects were expected through a further 10 week follow up.
Have there been any new discoveries for treating aura?
The aura of the migraine has been known to have many causes; however, they all have a similar result, as this proves to be a trigger for the migraine headaches. The causes of aura have been linked to the activation of some areas of the brain like the temporal lobe and the posterior section of the hypothalamus of the brain. [Migraine-related headaches may be related to migraine pain or tenderness in the back of the head in women and a dull head pain that becomes worse as the day progresses in men, and is sometimes described as being like a "tight rubber band".(http://en.dafod.net/brain_images/201407/201407_migrain-1_migraine.
Who should consider clinical trials for aura?
We propose to use trial registration in the aura literature. It should be compulsory in trials of medication for primary prevention, especially those with positive results: (i) as a prerequisite to publication; (ii) as a means of communication to the patients when a trial is stopped prematurely, as is often the case in clinical trials; and (iii) to prevent false-positive discoveries from being published later than is warranted.
What are the common side effects of home based self-management and cognitive training changes lives (hobscotch)?
Many adults found using home-based self-management to be a rewarding and helpful experience. The benefits of both program programs had no adverse effects, were generally well tolerated, and were perceived as being relevant to everyday life.