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WITHDRAWN: Self-management education for children with epilepsy
Tim Stokes1, Elizabeth J Shaw, Janette Camosso-Stefinovic
1Centre for Clinical Practice, National Institute for Health and Clinical Excellence (NICE), Peter House, Oxford Street, Manchester, UK, M1 5AN.
The Cochrane Database of Systematic Reviews
|October 8, 2010
Summary
Self-management education may improve seizure control and knowledge in children with epilepsy. However, more high-quality research is needed to confirm its effectiveness and optimal components.
Area of Science:
- Pediatric Neurology
- Chronic Illness Management
- Health Education
Background:
- Self-management education (SME) is recognized for enhancing the quality of life in pediatric chronic illness populations.
- SME is hypothesized to positively impact seizure control and overall health outcomes for children and young people with epilepsy.
Purpose of the Study:
- To systematically review existing research on the efficacy of self-management education in improving health outcomes for pediatric epilepsy patients.
- To synthesize evidence regarding the impact of SME on seizure frequency, knowledge, and behavioral aspects in young individuals with epilepsy.
Main Methods:
- A comprehensive literature search was conducted across major databases including Cochrane Epilepsy Group, MEDLINE, EMBASE, CINAHL, and PsycINFO up to February 2007.
- Inclusion criteria focused on randomized controlled trials evaluating self-management education programs for children and young people diagnosed with epilepsy.
- Study quality assessment and data extraction were performed independently by at least two review authors.
Main Results:
- Only one randomized trial, involving 167 children, met the inclusion criteria, assessing a child-centered self-management training model for asthma and epilepsy.
- The identified trial was not of high methodological quality, limiting precise determination of the intervention's effect.
- Preliminary findings indicated potential improvements in seizure frequency, knowledge, and behavioral outcomes.
Conclusions:
- Child-centered self-management education programs show promise in enhancing epilepsy-related knowledge, improving certain behaviors, and potentially reducing seizure frequency in pediatric populations.
- The current evidence base is insufficient to definitively establish the overall effectiveness of SME or to identify its critical program components for children with epilepsy.
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