Knowledge, Attitude, and Practice of Parents of Children with Epilepsy
Knowledge and Practice of Parents of Children with Epilepsy
DOI:
https://doi.org/10.54393/pjhs.v6i12.3537Keywords:
Attitude, Epilepsy, Knowledge, Practice, SeizuresAbstract
Epilepsy is considered to be present when 2 or more unprovoked seizures occur in a time frame of longer than 24 hours. Objectives: To determine the knowledge, attitude, and practice of parents of children with epilepsy. Methods: This descriptive cross-sectional study was conducted at the Outpatient Department of Pediatric Neurology, National Institute of Child Health, Karachi, Pakistan, from January to June 2025. A total of 262 parents of children aged 1–12 years with epilepsy for ≥6 months were enrolled through non-probability consecutive sampling. A structured 15-item KAP questionnaire (7 knowledge, 5 attitudes, 3 practice) was developed, validated by experts, pilot tested on 20 parents, and showed good reliability (Cronbach’s alpha 0.81). Scores ≥12/15 were classified as good KAP. Analysis was performed using SPSS version 26.0, with chi-square applied post-stratification, taking p<0.05 as significant. Results: In 262 parents, the mean age was 34.6 ± 7.8 years; 117 (44.7%) were fathers, and 145 (55.3%) were mothers. Good knowledge was noted in 209 (79.8%), favorable attitude in 142 (54.2%), and good practice in 122 (46.6%). Overall, a good KAP was observed in 138 (52.7%). Good KAP was associated with urban residence (p=0.006), higher education (p<0.001), and healthcare professionals as information source (p=0.002), but not with gender, age, or income. Conclusions: Most parents had adequate knowledge about epilepsy, while attitudes and practices were comparatively less satisfactory. Better knowledge, attitude, and practice were observed among parents with higher education, those living in urban areas, and those who received information from healthcare professionals.
References
Minardi C, Minacapelli R, Valastro P, Vasile F, Pitino S, Pavone P et al. Epilepsy in Children: From Diagnosis to Treatment with Focus on Emergency. Journal of Clinical Medicine. 2019 Jan; 8(1): 39. doi: 10.3390/jcm8010039.
Fisher RS, Acevedo C, Arzimanoglou A, Bogacz A, Cross JH, Elger CE et al. ILAE Official Report: A Practical Clinical Definition of Epilepsy. Epilepsia. 2014 Apr; 55(4): 475-82. doi: 10.1111/epi.12550.
Feigin VL, Vos T, Nair BS, Hay SI, Abate YH, Abd Al Magied AH et al. Global, Regional, and National Burden of Epilepsy, 1990–2021: A Systematic Analysis for the Global Burden of Disease Study 2021. The Lancet Public Health. 2025 Mar; 10(3): e203-27.
Huang Y, Li Q, Yang Q, Huang Z, Gao H, Xu Y et al. Early Prediction of Refractory Epilepsy in Children Under Artificial Intelligence Neural Network. Frontiers In Neurorobotics. 2021 Jun; 15: 690220. doi: 10.3389/fnbot.2021.690220.
Hagemann A, Pfäfflin M, Nussbeck FW, May TW. The Efficacy of an Educational Program for Parents of Children with Epilepsy (FAMOSES): Results of A Controlled Multicenter Evaluation Study. Epilepsy and Behavior. 2016 Nov; 64: 143-51. doi: 10.1016/j.yebeh.2016.09.027.
Dessalegen HM, Gedlu E, Moges A. Knowledge, Attitude and Practices of Parents and Guardians of Children with Epilepsy at Pediatric Neurology Clinic in A Tertiary Hospital in Ethiopia. Ethiopian Medical Journal. 2021 Jun; 59(03).
Kinkar A, Alqarni D, Alghamdi A, Wali S, Alghamdi N, Saloom S et al. Parental Knowledge, Attitudes, and Behaviors Toward Their Epileptic Children at King Abdulaziz University Hospital: Cross-Sectional Study. Interactive Journal of Medical Research. 2020 Jan; 9(1): e12697. doi: 10.2196/12697.
Masri A, Aburahma S, Khasawneh A, Qudah AA, Nafi O, Al Momani M et al. Parental Knowledge and Attitudes Towards Epilepsy–A Study from Jordan. Seizure. 2017 Dec; 53: 75-80. doi: 10.1016/j.seizure.2017.11.006.
Osman MI, Bazie EA, Alamin AM. Knowledge, Attitude, and Practice of Caregivers among Epileptic Pediatric Patients in Jaafer Ibn Auf Hospital-Khartoum-Sudan. Journal of Pediatric and Neonatal. 2021; 3(2): 1-4. doi: 10.33425/2689-1085.1024.
Yang H, Chi Y, Zhu Z, Huang K, Xiang L, Xiao B et al. Attitudes Toward Epilepsy among Parents of Children with Epilepsy in Southern China. Frontiers in Neurology. 2021 Feb; 11: 602000. doi: 10.3389/fneur.2020.602000.
Al Zubaidi MA, Alsudairy NM, Alzubaidi BA, Alsadi K, Abulela AA, AlQurashi SM. Assessment of Knowledge and Attitude and Practice of Parents Towards Epilepsy among Children in Jeddah City. The Egyptian Journal of Hospital Medicine. 2017 Oct; 69(6): 2685-9. doi: 10.12816/0042249.
Hassan A AS, Yahya M AS, Tariq A AA, Hussamaldin Tariq A A. Assessment of Knowledge and Attitude and Practice of Parents Towards Epilepsy among Children in Abha City. The Egyptian Journal of Hospital Medicine. 2018 Jul; 72(3): 4060-3. doi: 10.21608/ejhm.2018.9116.
Sample Size Calculator. https://goodcalculators.com/sample-size-calculator/.
Manju VM, Joshi P, Gulati S. A Study to Assess the Knowledge and Attitude of Parents of Children with Epilepsy. Indian Journal of Child Health. 2015 Jun; 2(2): 76-9. doi: 10.32677/IJCH.2015.v02.i02.009.
Parveen T, Usmani SY, Nisa SU, Taj N. Impact of Maternal Obesity on Pregnancy Outcomes: A Hospital-Based Study: Impact of Maternal Obesity on Pregnancy Outcomes. Pakistan Journal of Health Sciences. 2025 Oct: 55-60. doi: 10.54393/pjhs.v6i10.3407.
Javed I, Sultana S, Anjum Zm FG, Shafique S, Iqbal F. Knowledge, Attitude and Practices of Parents and Guardians of Epileptic Children towards Epilepsy in a Tertiary Care Hospital in Pakistan. Pakistan Pediatric Journal. 2024; 48(1): 26-32.
Elsakka EE, El Said HG, Aly SM, Ibrahim EA, Abd Elmaksoud MS. Knowledge, Skills, and Attitudes Towards Children with Epilepsy among Egyptian Parents: A Comparative Cross-Sectional Study. Epilepsy Research. 2021 May; 172: 106573. doi: 10.1016/j.eplepsyres.2021.106573.
Frank-Briggs AI and Alikor EA. Knowledge and Attitudes of Parents Toward Children with Epilepsy. Annals of African Medicine. 2011; 10(3). doi: 10.4103/1596-3519.84706.
AlQaisi SA, Lami FH, Ali EM. Parental Knowledge, Attitudes, and Practices toward their Epileptic Children, Baghdad, Iraq, 2022. Journal of the Faculty of Medicine Baghdad. 2023; 65(4): 341-7. doi: 10.32007/jfacmedbagdad.2112.
Zainy LE, Atteyah DM, Aldisi WM, Abdulkarim HA, Alhelo RF, Alhelali HA et al. Parents’ Knowledge and Attitudes Toward Children with Epilepsy. Neurosciences Journal. 2013 Oct; 18(4): 345-8.
Negussie AS, Dehan MF, Mekonnen SA, Zelleke TG. Knowledge, Attitudes, and Practices of Caregivers with Children Diagnosed with Epilepsy Attending a Pediatric Outpatient Clinic: A Descriptive, Cross-Sectional, Questionnaire-Based Study in Addis Ababa, Ethiopia. BioMed Central Neurology. 2024 Jul; 24(1): 252. doi: 10.1186/s12883-024-03766-1.
Sinha R, Soneji D, Tewari VV, Singh S, Ojha PK, Patra A et al. Assessment of Knowledge, Attitude and Practice (KAP) of Parents/Caregivers Towards Epilepsy in Children–A Cross-Sectional Observational Study. Heliyon. 2023 Sep; 9(9). doi: 10.1016/j.heliyon.2023.e19849.
Gotlieb EG, Blank L, Willis AW, Agarwal P, Jette N. Health Equity Integrated Epilepsy Care and Research: A Narrative Review. Epilepsia. 2023 Nov; 64(11): 2878-90. doi: 10.1111/epi.17728.
Rantanen K, Mäntylä J, Kettunen E, Saunajoki A, Eriksson K. Academic Competence and Special Educational Needs as Outcomes of Early Onset Epilepsy: A Population-Based Prospective Follow-Up Study. Epilepsy and Behavior Reports. 2025 Apr: 100777. doi: 10.1016/j.ebr.2025.100777.
Chidambar R, Shanbhag S, Avabratha KS, Haladi SP. Knowledge, Attitude, and Practices among Parents of Children with Seizures. Archives of Medicine and Health Sciences. 2025 May: 10-4103. doi: 10.4103/amhs.amhs_168_24.
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