The effect of epilepsy education on seizure intervention, knowledge, and stigma levels among high school students: A randomized controlled study

Abstract

Background & Objective: Misinformation and misconceptions regarding epilepsy in society contribute to the increasing stigma surrounding the condition and its patients. This study aimed to examine the impact of education provided to high school students about epilepsy on their awareness of seizure intervention, knowledge level, and stigma associated with the condition.

Method: This study, designed as a randomized controlled experimental study with pre-test and post-test measurements, collected data between February and May 2024. To gather data, the Student Information Form, the Epilepsy Knowledge Scale, the Epilepsy Stigma Scale, and the Numerical Rating Scale were utilized. A total of 256 high school students participated in the experimental group, while 201 students were included in the control group.

Results: The mean total score on the Epilepsy Knowledge Scale in the experimental group increased, indicating a significant improvement compared to the control group (p<0.001, Cohens d=1.57, effect size 0.61). A significant decrease was found in all sub-dimensions and total scores of the Epilepsy Stigma Scale in the experimental group. (p<0.001, Cohens d= -0.92, effect size -0.41). Both groups’ level of competence in seizure intervention was similar before the training (p=0.531); however, a significant increase was noted in the experimental group post-education (p=0.002, Cohens d= 1.74, effect size 0.65).

Conclusion: Education given to high school students about epilepsy increases their knowledge and seizure intervention competence and reduces the level of stigma. In light of these findings, it is recommended that educational initiatives aimed at reducing stigma against individuals with epilepsy be widely implemented across the community.