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Self-Management Intervention for Adults with Epilepsy: A Systematic Review
1College of Nursing, Ewha Womans University, Seoul, Korea.
Journal of Epilepsy Research
|June 25, 2026
Summary
This review of randomized controlled trials (RCTs) on epilepsy self-management interventions found that longer, hybrid approaches combining in-person education with ongoing support improve patient outcomes. Optimal interventions last six months with regular sessions.
Area of Science:
- Neurology
- Evidence-Based Medicine
- Health Psychology
Background:
- Epilepsy self-management is crucial for improving patient quality of life and reducing healthcare burden.
- Existing self-management interventions for adults with epilepsy vary widely in content, delivery, and effectiveness.
- A systematic review is needed to synthesize evidence from recent randomized controlled trials (RCTs) on epilepsy self-management.
Purpose of the Study:
- To systematically review RCTs on self-management interventions for adult epilepsy patients.
- To analyze the characteristics and effectiveness of these interventions.
- To propose evidence-based strategies for clinical application.
Main Methods:
- A comprehensive literature search was performed across five major databases (CINAHL, Cochrane Library, Embase, PubMed, Web of Science).
- Included RCTs were published between January 2019 and October 2024.
- Eight eligible studies were analyzed based on intervention details and outcomes like quality of life, self-management ability, and self-efficacy.
Main Results:
- Three studies (37.5%) reported significant improvements in quality of life.
- Three studies (37.5%) showed enhanced self-management ability.
- Two studies (25.0%) demonstrated increased self-efficacy.
- Interventions lasting over six months with biweekly or weekly sessions yielded better results.
- Face-to-face education and telephone support were effective; digital interventions were more successful with interactive features.
Conclusions:
- A hybrid approach, combining initial face-to-face education with continuous telephone or digital support, appears optimal for adult epilepsy self-management.
- Intervention duration of six months with regular sessions (biweekly/weekly) is recommended.
- Interactive components are essential for the effectiveness of digital self-management tools in epilepsy.
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