About this trial
Evaluating changes in knowledge, attitude, and practices (KAP) related to epilepsy and its treatment as a result of an educational intervention among adolescents with epilepsy to determine if improved KAP about epilepsy results in improved medication adherence and less perceived stigma.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adolescents with a diagnosis of epilepsy attending a clinic at one of the study sites.
Ages 12-18 years
Ability and willingness to provide informed assent and guardian consent to participate in the study.
English, Runyankole or Luganda language proficiency.
Disqualifiers
Unable or unwilling to provide informed consent or assent to participate in the study.
Developmental/cognitive challenges that hinder participation in the intervention or completion of surveys.
Trial design
Crossover
Treatments tested in this trial
Health Literacy Educational Session- Comparator
Other interventionDuring the pre-to-post-test interval for the Knowledge, Attitudes, and Practices (KAP) measure, participants in this arm will take a break and have lunch.
Health Literacy Educational Session
BehavioralThe Intervention is a 90 minute small group (n=6-10) session with an expert epilepsy provider reviewing fundamental information about epilepsy being a treatable neurologic condition, with topics including epidemiology, causation facts and myths, treatment and the importance of consistent medication, stigma, barriers to care and well-being. These topics will be covered in the first 45 minutes, leaving the second 45 minutes for Q\&A with the expert. This session provides the basic health information relevant to people with epilepsy, communication of which is often sacrificed in overcrowded clinics found in low resource settings.
Treatment groups
Trial outcomes
Primary outcomes
Epilepsy Knowledge, Attitudes, and Practices (KAP)
The primary outcome measure is a 31-item Knowledge, Attitudes, and Practices (KAP) about epilepsy survey. The questionnaire was adapted from Krishnaiah and colleagues (2016), and measures basic knowledge about and attitudes toward epilepsy. Epilepsy Knowledge \& Attitudes (KAP) has a reporting scale: 0-31 (higher better).
Secondary outcomes
Kilifi Stigma Scale
This 15-item survey was developed and validated in Kilifi, Kenya to measure stigma, and has been used extensively in epilepsy survey research in East Africa. The reporting scale for the Kilifi Stigma Scale: 0-30 (higher worse)
Voils Medication Adherence Items
Three items from Voils Medication Adherence (2012) measure will be used to estimate reported medication adherence. The reporting scale for Voil's Medication Adherence: 3-15 (higher worse).
Sponsors and contacts
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Duke University
Lead sponsor
Mbarara Regional Referral Hospital
Collaborator
Butabika National Referral Mental Hospital
Collaborator
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