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Epilepsy self-management: a test of a theoretical model
C DiIorio1, M Hennessy, B Manteuffel
1Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Nursing Research
|July 1, 1996
Summary
Social support and self-efficacy positively influence medication management in epilepsy patients. Anxiety impacts self-management, highlighting key factors for improving adherence in individuals with epilepsy.
Area of Science:
- Neurology
- Psychology
- Public Health
Background:
- Epilepsy management requires consistent medication adherence.
- Social cognitive theory provides a framework for understanding health behaviors.
- Individuals with epilepsy often face challenges in managing their treatment.
Purpose of the Study:
- To examine predictors of medication management in epilepsy.
- To test a model based on social cognitive theory for medication management under scarcity.
- To identify the roles of social support, self-efficacy, outcome expectancy, and anxiety.
Main Methods:
- A survey was administered to 450 individuals in job training programs for epilepsy.
- 195 completed questionnaires were analyzed.
- Structural equation modeling was used to test the proposed model.
Main Results:
- Assistance from social support was positively linked to regimen-specific support.
- Self-efficacy significantly predicted outcome expectancy and anxiety.
- Anxiety was a significant predictor of self-management.
Conclusions:
- Social support, self-efficacy, and anxiety are key factors in epilepsy medication management.
- The findings support the application of social cognitive theory in understanding treatment adherence.
- Interventions should consider enhancing social support and self-efficacy while managing anxiety.