Development of a rapid screener to elicit patient preferences for antiseizure medication discontinuation.

ABSTRACT:

Objective

While guidelines encourage individualized discussions of the risks and benefits of antiseizure medication (ASM) withdrawal after a period of seizure-freedom, no formal methods exist for assessing patient preferences. We report the initial development of a rapid patient preferences screener.

Methods

We conducted a mixed-methods study of adults who were ≥1 year seizure-free and seen for epilepsy across three institutions. We reviewed existing questionnaires and adapted three questions measuring core constructs influencing ASM decisions - views about ASMs, driving restrictions, and seizures. We added one additional "global" question, for 4 total questions. Participants rated question clarity and utility from 1 (low) to 7 (high).

Results

Of 32 participants, the

SUBMITTER: Terman SW 

PROVIDER: S-EPMC12777515 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature