The Effect of Comprehensive Video-Assisted Epilepsy Education on Drug Adherence and Self-Care in People with Epilepsy

Abstract

<jats:title>Abstract</jats:title><jats:p> Background Epilepsy is a chronic neurological disorder which needs proper drug adherence and follow-up care to control the recurrent seizure events as one of the most common reasons for “breakthrough” seizures is nonadherence to antiepileptic drugs. In addition to usual therapeutic management, patients are encouraged to involve in epilepsy self-management by understanding the nature of the disease and its control measures to prevent the complications.</jats:p><jats:p> Methods A single group experimental design (pretest–posttest) was conducted to evaluate the effect of comprehensive video-assisted teaching program on self-care efficacy and level of knowledge of patients with epilepsy. Data was collected by direct interview with Epilepsy Self-Management Scale and epilepsy knowledge questionnaire. A video-assisted teaching covering all aspects of epilepsy was given on the day of pretest. At the interval of 3 months, the level of drug adherence, self-care, and knowledge level were assessed.</jats:p><jats:p> Results Majority of the study participants (47.1%) belonged to the age group between 19 and 30 years, 54.3% participants were male, majority of them (70%) had tonic-clonic seizure, and 40% of them reported the onset of seizures as above 20 years. Eighty-seven percent of participants had no family history of seizures or epilepsy. Note that 38.6% of the participants had at least one seizure episode/month. Majority of the caregivers were either parents (41.4%) or spouse (48.6%). The study revealed that, following video-assisted teaching, the proportion of participants with adequate knowledge has increased from 14 to 64.3%. Similarly, the percentage of participants who had good drug adherence increased from 52 to 65% and no participant had poor drug adherence. Participants who had high level of self-care increased from 71.4 to 88.6%.</jats:p><jats:p> Conclusion To overcome the poor drug adherence-related complications, people with epilepsy are to be personally educated adequately to increase the factual information about the condition and their self-care practices.</jats:p>

Effect of implementing epilepsy educational guidelines on nurses’ performance and patients’ outcomes

“…This finding is consistent with Lee et al [16] In addition, there is a significant positive correlation between patient knowledge and ESMS before, after, and follow-up implementation of educational guidelines. This result is consistent with Jothi et al [25] Regarding the correlation between nurse and patient knowledge, the results of this study show a mild positive correlation between them in the follow-up phase, which is consistent with Pfäfflin et al [29] Finally, it can be concluded that the nursing guide designed for nurses working with epilepsy patients has achieved its goal by improving nurses' knowledge and practice in the care of epilepsy patients, in addition to improving the knowledge of patients in the study group and the ESMS.…”

“…In the posttest, almost twothirds of the study group improved to good, and it became one-third during the follow-up. This finding is consistent with Jothi et al, [25] who reported that about two-thirds of participants have sufficient knowledge, and more than one-third of participants have medium knowledge. No participants have insufficient knowledge about epilepsy education.…”

Video-based versus educational booklet training on self-care performance of patients with cataract

“…The result of the present study is consistent with that of Jothi et al,in which the effects of video-assisted teaching on knowledge and self-care efficacy of epileptic patientswere evaluated and revealedthat this method could affect patients' knowledge and self-efficacy. 15 In addition, Maliheh et al indicated that video-based training could improve pregnant women's self-efficacy. 16 Cornoiu et al also compared the effects of animation, educational pamphlets, and face-to-face training methods on patients' knowledge of knee arthroscopy.…”

“…The study population consisted of cataract patients referring to Shiraz Binagostar Ophthalmology Clinic for some preoperative examination one day prior to surgery during July 2019-March 2020. Based on the results of a similar previous study 15 in which the effect size was 0.72 and considering a type I error rate of 0.05, power of 0.80 (using the following formula), the minimum sample size was estimated 31 in each group. However, considering the probability of dropout as 0.3, we evaluated 45 in each group as the final sample size in our study.…”

Quality of life, adherence and knowledge of epileptic patients and the impact of a pharmacist‐led educational intervention: A review

“…Patients are urged to participate in epilepsy self-management in addition to standard therapeutic therapy by learning about the condition's causes and effective preventative actions. [25].…”