Use of Cognitive Aid Methods in the Management of Status Epilepticus
İmpact of Cognitive Aid Methods on Clinical Decision-making in the Management of Status Epilepticus in the Emergency Department: A Simulation-based Study
1 other identifier
interventional
76
0 countries
N/A
Brief Summary
This study aims to evaluate whether cognitive aids improve the management performance of sixth-year Emergency Medicine interns during simulated status epilepticus scenarios. It will also examine whether the format of the cognitive aid (paper-based or digital) influences technical and non-technical performance during crisis management. The main questions it aims to answer are: Do cognitive aids improve adherence to evidence-based status epilepticus management during simulation? Do cognitive aids reduce time to initiation of critical treatments? Is there a difference between paper-based and digital cognitive aids in terms of performance, cognitive workload, and stress levels? Researchers will compare paper-based cognitive aids, digital cognitive aids, and standard management without cognitive aids in standardized simulation scenarios. Participants will: Attend a standardized didactic session on status epilepticus management Participate in a high-fidelity simulation scenario approximately one month after the educational session Use either a paper-based cognitive aid, a digital cognitive aid, or no cognitive aid during the simulation scenario Complete post-simulation assessments evaluating stress levels, cognitive workload, and participant satisfaction Participate in structured debriefing sessions following the simulation exercise Study Groups Intervention Group A A cognitive aid (status epilepticus management checklist/algorithm in paper format) will be provided during the simulated scenario. Intervention Group B A cognitive aid (status epilepticus management checklist/algorithm in digital format) will be provided during the simulated scenario. Control Group No cognitive aid will be provided. Participants will manage the patient using only their existing knowledge and clinical reasoning skills. Study Procedure
- 1.Pre-Simulation Preparation All participants will receive a standardized didactic lecture on status epilepticus management delivered by a faculty member from the Department of Emergency Medicine.
- 2.Simulation Scenarios Participants will manage standardized status epilepticus scenarios requiring timely and appropriate interventions, including: benzodiazepine administration, escalation to second-line therapy, glucose assessment and correction, airway management when indicated.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started May 2026
Shorter than P25 for not_applicable
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 4, 2026
CompletedFirst Posted
Study publicly available on registry
May 22, 2026
CompletedStudy Start
First participant enrolled
May 25, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
June 25, 2026
Study Completion
Last participant's last visit for all outcomes
July 10, 2026
May 22, 2026
May 1, 2026
1 month
May 4, 2026
May 17, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Technical performance of participants in status epilepticus management
1\. Technical Performance Score in Status Epilepticus Management The checklist will evaluate completion and accuracy of critical management steps, including first-line treatment administration, escalation to second-line therapy, glucose assessment, and airway management. Unit of Measure:Checklist score (points) Score Range:0-100 Interpretation:Higher scores indicate better technical performance.
from the beginning of the simulation session to the end
Non-Technical Skill Performance Assessed by the Ottawa Global Rating Scale
Non-Technical Skill Performance Assessed by the Ottawa Global Rating Scale Unit of Measure: Ottawa Global Rating Scale score Score Range: 1-7 for each domain Interpretation: Higher scores indicate better non-technical performance.
from the beginning of the simulation session to the end
Study Arms (3)
Paper Cognitive aids
EXPERIMENTALIntervention Group A: A cognitive aid (status epilepticus management checklist/algorithm in paper format) will be provided during the simulated scenario.
Digital cognitive aid
EXPERIMENTALIntervention Group B: A cognitive aid (status epilepticus management checklist/algorithm in digital format) will be provided during the simulated scenario.
Control Group
EXPERIMENTALNo cognitive aid will be provided. Participants will manage the patient using only their existing knowledge and clinical reasoning skills
Interventions
Students assigned in the paper cognitive aids group will manage status epilepticus using paper cognitive aids
Students assigned in the digital cognitive aids group will manage status epilepticus using digital cognitive aids
Students assigned in the No cognitive aids group will manage status epilepticus using their existing knowledge
Eligibility Criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
May 4, 2026
First Posted
May 22, 2026
Study Start (Estimated)
May 25, 2026
Primary Completion (Estimated)
June 25, 2026
Study Completion (Estimated)
July 10, 2026
Last Updated
May 22, 2026
Record last verified: 2026-05