Cited by 32Epilepsy research and treatmentNursing care and researchCancer survivorship and care

The effect of self-management training on health-related quality of life in patients with epilepsy

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Yadegary, Mohammad Ali, Maemodan, Farhad Golipour, Nayeri, Nahid Dehghan, Ghanjekhanlo, Azam·2015·Epilepsy & Behavior

Abstract

Purpose Epilepsy is the most common chronic neurological disease after headache. Health-related quality of life in patients with epilepsy is disturbed by psychosocial factors, seizures, and treatment side effects. This study was conducted to determine the effect of a self-management training program on quality of life in patients with epilepsy.Methods In this controlled clinical trial, 60 patients with epilepsy going to Zanjan Neurology Clinic were examined. The samples were selected using convenience sampling and divided randomly into the case group (30 people) and control group (30 people) using the table of random numbers. Four training sessions on the nature of epilepsy and self-managementwere run for the case group. All the patients completed an inventory for quality of life twice: before and one month after the intervention. The data were analyzed using the chi-square test, independent t-test, and paired t-test.Results There was no statistically significant difference between the two groups before the intervention in terms of personal specifications and scores and dimensions of the quality of life. One month after the intervention, a statistically significant difference was observed between the two groups in terms of the scores and dimensions of quality of life that indicated improved quality of life in the case group (P<0.001).Conclusion The self-management training program improved the quality of life in patients with epilepsy. The present findings highlight that psychosocial variables can have incremental significance over biomedical variables in the health-related quality of life of patients with epilepsy.

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Crossref · 10.1016/j.yebeh.2015.04.051

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  • An unclear risk for attrition bias was assigned to 1 study (4%) that did not provide data on the attrition rate.

    “An unclear risk was assigned to 1 study (4%) that did not provide data on the attrition rate. 47”

    From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [47]

    The Methods section says all participants in both groups completed the study, contrary to the claim that this study provided no attrition information. The paper does not address the citing review’s count of one study (4%) or its risk-of-bias rating; no page number is available in our copy. (LLM, conf=0.87)

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  • QOLIE-31/31-P/-89 was used in 17 studies (71%), of which 12 (70%) were considered for meta-analyses due to satisfactory methodological homogeneity.

    “It was used in 17 studies (71%), of which 12 (70%) were considered for meta-analyses due to satisfactory methodological homogeneity. 26,27,29,30,33,36,37,41,46,47,49,50”

    From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [47]

    The Methods section identifies this paper as a clinical trial that used QOLIE-31-P, supporting its citation as an example of a study using that instrument. This individual trial does not report the totals of 17 and 12 studies or whether studies were selected for meta-analysis because of methodological homogeneity. (LLM, conf=0.84)

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  • The potential impact of the 3 studies (25%) that did not provide data that would have allowed the study to be included in data synthesis is probably small, especially because 2 (67%) studies also reported significantly higher QoL in the treatment group when comparing postintervention outcomes of treatment and control groups.

    “The potential impact of the 3 studies (25%) 37,41,47 that did not provide data that would have allowed the study to be included in data synthesis is probably small, especially because 2 (67%) studies 37,47 also reported significantly higher QoL in the treatment group when comparing postintervention outcomes of treatment and control groups.”

    From Cochrane systematic review and meta-analysis of the impact of psychological treatments for people with epilepsy on health-related quality of life (2018) · cites this paper as [47]

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  • Seizure-related parameters (eg, minimum seizure frequency) constituted an inclusion criterion in 6 studies (25%).

    “Seizure-related parameters (eg, minimum seizure frequency) constituted an inclusion criterion in 6 studies (25%; see Table 1). 33 -37,47”
  • Of the 12 studies being considered for meta-analysis, 3 studies (25%) were eventually excluded due to the lack of raw QOLIE-89 data (n = 2) or QOLIE-31-P data (n = 1), which prevented the conversion of the results into the cross-study summary QOLIE-31 scores used for the meta-analysis.

    “Of the 12 studies being considered for meta-analysis, 3 studies (25%) were eventually excluded due to the lack of raw QOLIE-89 data (n = 2) 37,41 or QOLIE-31-P data (n = 1), 47 which prevented the conversion of the results into the cross-study summary QOLIE-31 scores used for the meta-analysis.*”

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Research works printed but not linked: 1

  1. Montazeri A, Togha M, Vahdaninia M, Ebrahimi F. Psychometry of the Persian version of the inventory for quality of life in adult patients with epilepsy. Payesh 2010;4:417-24.

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Authors
Yadegary, M. A., Maemodan, F. G., Nayeri, N. D., & Ghanjekhanlo, A.
Affiliations
  • Tehran University of Medical Sciences (IR)
  • Zanjan University of Medical Sciences (IR)
Corresponding author
  • Yadegary, Mohammad Ali
  • Maemodan, Farhad Golipour
  • Nayeri, Nahid Dehghan
  • Ghanjekhanlo, Azam
Venue
Epilepsy & Behavior
Publisher
Elsevier BV
Published
2015-09
Volume
50
Pages
108-112
ISSN
1525-5050 (ISSN-L)
OpenAlex
W2118260283
Cited by
32
References
36
Citations by year
2025: 2 · 2023: 4 · 2022: 4 · 2021: 2 · 2020: 4 · 2019: 7 · 2018: 5 · 2017: 1 · 2016: 2 · 2015: 1
FWCI
2.45
Type
journal article
Language
en
Open access
Locations
  • Epilepsy & Behavior (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Zanjan University of Medical Sciences
  • University of Zanjan
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords
epilepsy, self-management education, health-related quality of life, psychosocial factors, patient education, seizure control, treatment side effects
MeSH terms
Adolescent, Adult, Aged, Chronic Disease, Epilepsy, Female, Humans, Iran, Male, Middle Aged, Patient Education as Topic, Quality of Life, Self Care, Treatment Outcome, Disease Management, Young Adult

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