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Published on: September 27, 2020
Self-management education for adults with epilepsy
E J Shaw1, T Stokes, J Camosso-Stefinovic
1University of Leicester, Department of Health Sciences, Leicester General Hospital, Gwendolen Road, Leicester, UK, LE5 4PW. ejs24@le.ac.uk
The Cochrane Database of Systematic Reviews
|April 20, 2007
Summary
Self-management education may improve seizure control and knowledge in adults with epilepsy. However, more research is needed to confirm effectiveness in a general epilepsy population.
Area of Science:
- Neurology
- Public Health
- Health Education
Background:
- Self-management education is recognized for enhancing quality of life in chronic illness.
- Potential benefits of self-management education for epilepsy include improved seizure control and other health outcomes.
Purpose of the Study:
- To systematically review the research literature on the effectiveness of self-management education for adults with epilepsy.
Main Methods:
- Searched multiple databases (MEDLINE, EMBASE, CINAHL, PsycINFO) and the Cochrane Epilepsy Group's Register up to April 2005, with searches re-run in February 2007.
- Included randomized trials of self-management education programs for adults with epilepsy.
- Assessed study quality and extracted data independently by at least two authors.
Main Results:
- Two randomized trials involving 483 adults with epilepsy were evaluated; neither was high quality.
- Both trials indicated improvements in seizure frequency and knowledge, but a summary effect for seizure frequency could not be calculated due to insufficient data.
Conclusions:
- Self-management education programs utilizing psychosocial methods may enhance epilepsy knowledge, behavioral outcomes, and reduce seizure frequency.
- The generalizability of these findings to a broader adult epilepsy population is uncertain due to the specific seizure types in the included trials.
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