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Lived experiences of young people with epilepsy in a resource-constraint setting: Contemporary findings from Cape
Akwasi Appiah1, Kwasi Agyen-Mensah2, Akua Afriyie Karikari3
1School of Medical Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, Ghana.
Insights
Young people with epilepsy face significant challenges accessing care and managing their condition in resource-limited areas. However, adaptive coping strategies, strong support systems, and faith help them navigate these difficulties and pursue future goals.
Area of Science:
- Neurology
- Psychology
- Public Health
Background:
- Epilepsy is a chronic neurological disorder impacting millions globally, particularly young individuals.
- Resource-limited settings present unique challenges including healthcare access, medication availability, and social stigma for young people with epilepsy (YPWE).
Purpose of the Study:
- To explore the lived experiences of young people with epilepsy in Ghana.
- To understand their emotional responses to diagnosis, healthcare access, coping mechanisms, support networks, and future aspirations.
Main Methods:
- A qualitative study utilizing in-depth, semi-structured interviews with 20 young people aged 12-25.
- Thematic analysis was performed using Braun and Clarke's six-step method.
Main Results:
- Six key themes emerged: emotional reactions to diagnosis (shock, fear, anxiety), challenges in accessing healthcare and medications (availability, cost, queues), significant psychosocial impact (education, social life, self-esteem), adaptive coping strategies (lifestyle changes, faith, recreation), reliance on social support systems (family, friends), and aspirations for education and careers.
- YPWE in resource-constrained settings encounter multifaceted challenges.
- Adaptive coping strategies, supportive relationships, and faith-based resilience help mitigate these challenges.
Conclusions:
- Interventions should prioritize improving access to epilepsy medications and healthcare services.
- Reducing stigma and strengthening psychosocial support are crucial for empowering YPWE.
- Efforts should focus on enabling young people with epilepsy to achieve their educational and career aspirations.
Abstract:
Epilepsy is a chronic neurological condition that affects millions of young people globally, often leading to physical, cognitive, psychological, and social challenges. In resource-constraint settings, access to healthcare and medications, stigma, and psychosocial burdens can further exacerbate the impact of the condition. This study explored the lived experiences of young people with epilepsy (YPWE) who attend the Cape Coast Teaching Hospital, Ghana, focusing on emotional reactions to diagnosis, access to healthcare, coping strategies, support systems, and future aspirations. A qualitative study approach was employed. Twenty young people aged 12-25 years participated in in-depth, semi-structured interviews. Thematic data analysis was conducted using Braun and Clarke's six-step method to identify patterns and themes from the participants' narratives. Six themes emerged: (1) diagnosis and emotional reactions, where participants expressed shock, fear, sadness, and initial anxiety following diagnosis; (2) access to medications and healthcare services, highlighting challenges such as medication availability, affordability, long queues, and financial constraints; (3) psychosocial impact, encompassing disruption to education, social activities, work, and occasional feelings of low self-esteem; (4) coping strategies, including lifestyle modifications, faith-based practices, and engaging in recreational activities; (5) support systems like reliance on friends and family during aura, and (6) future aspirations illustrating the participants' hopes for education and career advancement. Impliedly, YPWE in resource-constrained settings face multifaceted challenges. Adaptive coping strategies, supportive relationships and faith-based resilience ameliorate these challenges. Interventions should focus on improving access to medications and healthcare services, reducing stigma, strengthening psychosocial support, and empowering young people to achieve their aspirations.
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