ZMILE, a multicomponent self-management intervention for adults with epilepsy: Rationale and description of the intervention

Abstract

Objective: In this paper, we aim to provide a comprehensive description of the multicomponent self-management intervention for adults with epilepsy, ZMILE. Rationale or theory: Acquiring self-management skills has been shown to play a vital role in enabling patients with epilepsy overcoming (health-related) struggles in daily life and coping with limitations their condition poses on them. ZMILE is a course consisting of education (to increase concordance to treatment), goal-setting (proactive coping), and self-monitoring. Resources needed: The course is guided by two nurse practitioners and each patient is allowed to bring one family member or friend. Self-monitoring plays an important role and can be done through e-Health tools or written diaries. Processes involved: During and after the course, patients are required to work toward a personally defined goal using a five-step approach by means of pro-active coping. Moreover, patients are expected to use self-monitoring tools to reflect on their own behavior and identify ways to optimize medication intake when required. Quantification: ZMILE is provided in an outpatient setting over five weekly group sessions and one booster session. From the start, patients are encouraged to set individual goals. Each group session will have a different theme but part of every session is reflecting on personal goals and to learn from eachother. Conclusions: The ZMILE-intervention has been evaluated and may be a promising intervention in terms of effectiveness and feasibility for adults with epilepsy, relatives, and professionals. We present the adapted version which can be implemented in clinical practice.

Self-Care Behavior among Patients with Epilepsy in Sohag University Hospital

“…Moreover 6) revealed that there was a highly significant relation between level of patient education and their knowledge regarding epilepsy management and self-care behavior. Table (7) showed that there was a positive strong relation between patient knowledge regarding epilepsy management and patient epilepsy knowledge as measured by EKS (r= 0.548), a positive strong relation between patient knowledge and self-care behavior as measured by ESMS (r=0.611) and a positive strong relation between patient epilepsy knowledge and their self-care behavior (r=0.625) at P ≤ 0.001.…”

Health education intervention and its impact on patients with unilateral vestibular dysfunction: An information-motivation-behavioral model approach

“…Boosting motivation entails empowering the patient and emphasizing the advantages associated with behavior change. Behavior skills involve imparting practical skills and strategies to the patients to expedite behavior change[ 9 , 10 ]. As an all-encompassing framework, the IMB model presents a targeted strategy for health education styled to the needs of unilateral vestibular dysfunction (UVH) patients.…”