A telephone-based self-management program for people with epilepsy

DiIorio, Colleen; Reisinger, Elizabeth L.; Yeager, Katherine A.; McCarty, Frances

doi:10.1016/j.yebeh.2008.10.016

Cited by 37 publications

(22 citation statements)

References 18 publications

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“…In one study on improving medication adherence in patients with epilepsy, Dilorio et al [26] provided 5 MI sessions, of which the first session was face to face and the following four sessions were administered by telephone. Patients reported improved adherence over the course of the study.…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled multimodal behavioral intervention trial for improving antiepileptic drug adherence

Pakpour

Gholami

Esmaeili

et al. 2015

Epilepsy & Behavior

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Purpose: Medication nonadherence is one of the most important reasons for treatment failure in patients with epilepsy. The present study investigated the effectiveness of a multicomponent intervention to improve adherence to antiepileptic drug (AED) medication in patients with epilepsy. Methods: In a prospective, randomized multicenter trial, three sessions of face-to-face motivational interviewing (MI) in combination with complementary behavior change techniques were compared with standard care. Motivational interviewing prompted change talk and self-motivated statements from the patients, planning their own medication intake regimen and also identifying and overcoming barriers that may prevent adherence. Participants were provided with calendars to self-monitor their medication taking behavior. A family member and the health-care team were invited to attend the last session of MI in order to improve the collaboration and communication between patients, their caregiver or family member, and their health-care provider. At baseline and 6-month follow-up, psychosocial variables and medical adherence were assessed. Results: In total, 275 participants were included in the study. Compared with the active control group, patients in the intervention group reported significantly higher medication adherence, as well as stronger intention and perceptions of control for taking medication regularly. The intervention group also reported higher levels of action planning, coping planning, self-monitoring, and lower medication concerns. Conclusions: This study shows that MI can be effective in clinical practice to improve medication adherence in patients with epilepsy. It also provides evidence that combining volitional interventions, including action planning, coping planning, and self-monitoring with motivational interviewing can promote the effectiveness of the medical treatments for epilepsy by improving adherence.

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Section: Introductionmentioning

confidence: 99%

A randomized controlled multimodal behavioral intervention trial for improving antiepileptic drug adherence

Pakpour

Gholami

Esmaeili

et al. 2015

Epilepsy & Behavior

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“…Telefon uyumlu öz yö-netim programları, stres ve uyku yönetimini de içeren web tabanlı WebEase adlı programın gelişmesine yol açmıştır. [17] WebEase online epilepsi öz yönetim programını uygulayan bireylerde ilaç uyumu, stres ve uyku kalitesinde düzelmeler saptanmıştır. [22] Bu ve benzeri programlar, hastaların ulaşım engellerini ortadan kaldırdığı gibi maliyetleri de düşüktür.…”

Section: Kaynaklarunclassified

“…Stresi azaltmak için seçilen temel stratejiler, aile desteği ve meditasyon ile rahatlama gibi yöntemlerdir. [17] Başarılı epilepsi öz yönetimi ile de bireylerin okul/iş hayatı ve sosyal refahı sağlanmış olup, daha normal bir hayat sür-meleri sağlanır. Epilepsili hastaların, ehliyet sahibi olmaktan iş istihdamlarına, eğitim almaktan sosyal sigorta güvencesi altına girmelerine kadar sorun yaşama korkuları vardır.…”

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Epilepsy and Self-Management

Adadıoğlu¹,

Oğuz²

2016

Epilepsi

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SummaryEpilepsy is a chronic disease. A high quality of life can be achieved when seizures are controlled, requiring important behavioral and psychosocial adjustments. Treatment and care involves self-management as well as medical intervention, including adherence to healthy behavior and other means of controlling seizure, in order to ensure a high quality of life. Effective self-management programs should take an educational approach that encourages self-sufficiency, focuses on the establishment of environmental support, determines consistent strategies for care, and instructs patients in self-evaluation. Self-management is more effective when patients are trained and self-sufficient, requiring the participation of expert nurses as educators. The objective of the present article was to draw attention to the importance of self-management in patients living with epilepsy.Keywords: Epilepsy; nursing; self-sufficiency; self-management. ÖzetEpilepsi, nöbetleri kontrol altında tutarak, yüksek bir yaşam kalitesi hedeflenen bunun için de önemli davranışsal ve psikososyal ayarlamalar gerektiren kronik bir hastalıktır. Epilepsi hastalarının tedavi ve bakımı yalnızca tıbbi müdahale değil aynı zamanda kişilerin durumlarının yönetimini de içerir. Epilepsi hastalarında öz yönetim, bireysel nöbet kontrolünü teşvik ve refahını artırmak için yapabileceğiniz sağlıklı davranışlara ve aktivitelere uyumu ifade eder. İyi bir öz yönetim programı, öğretim yaklaşımı oluşturmak, çeşitli stratejiler kurmak, bu stratejilerin tutarlı kullanımını vurgulamak, hastanın kendini değerlendirmesini sağlamak, kendi kendine yetebilmeyi öğretmek, kendini güçlendirmek için yollar belirlemek gibi öz yeterlilik desteğinin yanı sıra çevresel desteği de içermelidir. Öz yönetim; öz yeterliliğin artırılması ve hasta eğiti-mi ile güçlü hale gelmektedir. Bunun için de, eğitim veren uzman hemşirelerin olması çok önemlidir. Bu makalenin amacı, epilepsili hastaların hastalıkları ile yaşarken, hastalık yönetimine dikkat çekmektir.

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“…The review also highlighted methodological limitations increasing the risk of bias, and limitations in reporting that reduce transparency. Five studies were conducted in the United States [14,[18][19][20][21] and one was conducted in the United Kingdom [15]. Four studies were pre-1990 [14,[18][19][20], and therefore may not adequately reflect current clinical practice, and one considered a sample of only 22 patients [21].…”

Section: Study Selectionmentioning

confidence: 99%

Economic evaluation of a behavior-modifying intervention to enhance antiepileptic drug adherence

Plumpton

Brown

Reuber

et al. 2015

Epilepsy & Behavior

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Between 35% and 50% of patients with epilepsy are reported not to be fully adherent to their medication schedule. We aimed to conduct an economic evaluation of strategies for improving adherence to antiepileptic drugs. Based on the findings of a systematic review, we identified an implementation-intention intervention (specifying when, where and how to act) which was tested in a trial that closely resembled current clinical management of patients with epilepsy, and which measured adherence with an objective and least biased method. Using patient-level data, trial patients were matched to those recruited to the Standard And New Antiepileptic Drugs trial, according to their clinical characteristics and adherence. Generalised linear models were used to adjust cost and utility in order to estimate the incremental cost per quality-adjusted life-year (QALY) gained from the perspective of the National Health Service in the UK. The mean cost of the intervention group, £1,340 (95% CI £1,132, £1,688) was marginally lower than that of the control group representing standard care £1,352 (95% CI £1,132, £1,727). QALYs in the intervention group were higher than the control, 0.75 (95% CI 0.70, 0.79), compared with 0.74 (95% CI 0.68, 0.79), U"T that the intervention is cost effective at a threshold of £20,000 per QALY is 94%. Our analysis lends support to the cost-effectiveness of a self-directed, implementation-intention intervention for improving adherence to antiepileptic drugs. However, as with any modeling dependent on limited data on efficacy, there is considerable uncertainty surrounding the clinical effectiveness of the intervention which would require a substantive trial for a more definitive conclusion.

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A telephone-based self-management program for people with epilepsy

Cited by 37 publications

References 18 publications

A randomized controlled multimodal behavioral intervention trial for improving antiepileptic drug adherence

A randomized controlled multimodal behavioral intervention trial for improving antiepileptic drug adherence

Epilepsy and Self-Management

Economic evaluation of a behavior-modifying intervention to enhance antiepileptic drug adherence

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