Training medical students to improve the management of people with epilepsy

Noronha, Ana Lúcia A.; Fernándes, Paula Teíxeira; Andrade, Maria da Graça Garcia; Santiago, Sílvia Maria; Sander, Josemir W.; Li, Li Min

doi:10.1590/s0004-282x2007001000004

Cited by 18 publications

(11 citation statements)

References 7 publications

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“…In a study involving exclusively medical students and including activities with more detail and for a longer period (8 hours) than used in the present study, greater improvements in knowledge, attitude and perception about epilepsy were observed 18 .…”

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confidence: 48%

“…A few studies exist assessing interventions aimed at improving the enlightenment of medical students 18 and of students from other courses in the health area 11 , with respect to epilepsy. Considering the importance of future health professionals in divulging information about epilepsy, the present study was carried out aimed at assessing possible changes in the knowledge and attitudes of university students in the health area studying in a private university in the State of São Paulo, Brazil, with respect to epilepsy, after an intervention involving the presentation of specifi c audio-visual material and a discussion about the bio-psychosocial aspects of epilepsy.…”

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confidence: 99%

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Knowledge and attitudes toward epilepsy amongst students in the health area: intervention aimed at enlightenment

Fonseca

Vieira

2007

Arq. Neuro-Psiquiatr.

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-It is known that there is a lack of knowledge about epilepsy amongst the population in general, with consequent prejudice and discrimination towards epileptic patients. Considering the importance of health professionals in the diffusion of knowledge about this neurological condition, the objective of the present study was to evaluate modifications in the knowledge and attitudes of students in the health area with respect to epilepsy, after an intervention including the presentation of specific audio-visual material and a discussion on the basic aspects of epilepsy. Simple self-administered questionnaires were applied to one hundred and sixteen health area students before and after the session of enlightenment. After the session there was significant (p<0.05) improvement in answers to different questions about etiology, epidemiology, education, work, and attitude during the seizure. The results suggest the need to include a routine low complexity educational activity in the curriculum of various courses in the health area.KEY WORDS: epilepsy, knowledge, attitudes, stigma, prejudice. Conhecimentos e atitudes sobre epilepsia entre universitários da área de saúde: uma intervenção com esclarecimentosRESUMO -É sabido que na população em geral há falta de conhecimentos básicos referentes à epilepsia e, conseqüentemente, preconceitos, discriminação e estigma. Considerando a importância dos profissionais da saúde na difusão de conhecimentos sobre essa doença, o objetivo deste estudo foi avaliar em universitários da área da saúde, as modificações de conhecimentos e atitudes em relação à epilepsia, após uma intervenção constituída de apresentação de material áudio-visual específico e discussão de aspectos básicos da epilepsia. Cento e dezesseis estudantes responderam a um questionário sobre aspectos biopsicossociais da epilepsia, antes e após a intervenção educativa. Houve, após essa intervenção, melhora significativa (p<0,05) no nível de respostas adequadas relacionadas a questões sobre etiologia, epidemiologia, associação com doença psiquiátrica, educação, casamento, trabalho e cuidados durante uma crise epiléptica. Os resultados favoráveis obtidos sugerem a necessidade de inclusão rotineira, de atividades educativas de baixa complexidade, nos currículos dos vários cursos da área da saúde. PALAVRAS-CHAVE: epilepsia, estigma, aspectos psicossociais, conhecimento, atitudes. Souza 205/122 -13013-910 Campinas SP -Brasil. E-mail: gmtedrus@uol.com.br Stigma and discrimination generally cause more suffering to epileptics than the actual fi ts 1 . Although the causes of stigma are complex, a lack of knowledge about epilepsy has been considered to be an important determinant factor in the negative attitudes towards people with this clinical condition 2 . A lack of knowledge about epilepsy has been shown in a large part of the populations throughout the World, as also prejudice and stigma [1][2][3][4][5][6][7][8][9][10][11][12][13] . Epileptics are sometimes victims of discriminatory attitudes, and unnecessary, if no...

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confidence: 48%

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confidence: 99%

Knowledge and attitudes toward epilepsy amongst students in the health area: intervention aimed at enlightenment

Fonseca

Vieira

2007

Arq. Neuro-Psiquiatr.

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“…There were 33 case series in which there was no control arm or only historical controls as listed in Table . Thirty‐one of the studies highlighted favourable findings (evaluation) with case‐based teaching, team and gaming adaptations to learning.…”

Section: Resultsmentioning

confidence: 99%

Educational interventions in neurology: a comprehensive systematic review

McColgan

McKeown

Selai

et al. 2013

Euro J of Neurology

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A fear of neurology and neural sciences (neurophobia) may have clinical consequences. There is therefore a need to formulate an evidence-based approach to neurology education. A comprehensive systematic review of educational interventions in neurology was performed. BEI, Cochrane Library, Dialog Datastar, EBSCO Biomedical, EBSCO Psychology & Behavioral Sciences, EMBASE, ERIC, First Search, MDConsult, Medline, Proquest Medical Library and Web of Knowledge databases were searched for all published studies assessing interventions in neurology education among undergraduate students, junior medical doctors and residents up to and including July 2012. Two independent literature searches were performed for relevant studies, which were then classified for level of evidence using the Centre of Evidence-based Medicine criteria and four levels of Kirkpatrick educational outcomes. One systematic review, 16 randomized controlled trials (RCTs), nine non-randomized cohort/follow-up studies, 33 case series or historically controlled studies and three mechanism-based reasoning studies were identified. Educational interventions showed favourable evaluation or assessment outcomes in 15 of 16 (94%) RCTs. Very few studies measured subsequent clinical behaviour (two studies) and patient outcomes (one study). There is very little high quality evidence of demonstrably effective neurology education. However, RCTs are emerging, albeit without meeting comprehensive educational criteria. An improving evidence base in the quality of neurology education will be important to reduce neurophobia.

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“…Targeted quality teaching has been shown to improve medical student's knowledge and confidence in managing epilepsy . We created an accessible interactive E‐learning resource on the approach to managing the first afebrile seizure.…”

Section: Discussionmentioning

confidence: 99%