Department of Neurology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou Province, China.
Nursing College of Zunyi Medical University, Zunyi City, Guizhou Province, China.
PLoS One. 2024 Nov 25;19(11):e0305547. doi: 10.1371/journal.pone.0305547. eCollection 2024.
Self-management applications are cost-effective and scalable for epilepsy treatment. However, there is a limited long-term quantitative evidence regarding their effectiveness. The Transtheoretical Model (TTM) offers a psychological framework that tailors self-management plans to the individual's stage of behavioral change. This approach aims to address utilization needs, reduce information overload, minimize the adverse effects of self-management, and enhance the overall effectiveness of interventions for individuals with epilepsy.
This will be a randomized, double-blind, the clinical trial involving two groups of adults diagnosed with epilepsy. In addition to treatment as usual (TAU), the intervention group will receive an intervention program constructed from TTM combined with self-management as part of the treatment plan. The control group will receive TAU only. Prior to the intervention, the participants will undergo an initial assessment to determine their current stage of behavioral change to facilitate the implementation of targeted behavior support strategies. Additionally, participants will receive weekly 30-minute educational videos on epilepsy. The goal is to enroll 160 adults who have been diagnosed with epilepsy for at least six months and are receiving medication. Data collection will encompass an assessment of C-ESMS, HADS, QOLIE-31, and LSSS. These parameters will be evaluated at baseline, as well as during follow-up periods at 1, 3, and 6 months post-intervention.
Existing self-management interventions for people with epilepsy primarily focus on knowledge and psychological factors. Discrepancies in research design, intervention plans, and patient characteristics have contributed to inconsistent outcomes in previous studies. This study seeks to advance the field by integrating the TTM with empirically supported self-management practices. The delineation of behavioral change stages within the TTM framework is expected to form a structured intervention protocol. This study will inform standardized, evidence-based epilepsy care practices.
自我管理应用程序在癫痫治疗方面具有成本效益和可扩展性。然而，关于其有效性的长期定量证据有限。跨理论模型（TTM）提供了一个心理框架，可以根据个人的行为改变阶段来定制自我管理计划。这种方法旨在满足利用需求，减少信息过载，最大限度地减少自我管理的不良反应，并提高针对癫痫患者的干预措施的整体效果。
这将是一项随机、双盲临床试验，涉及两组成年人，他们被诊断患有癫痫。除了常规治疗（TAU）之外，干预组还将接受 TTM 与自我管理相结合的干预计划，作为治疗计划的一部分。对照组将仅接受 TAU。在干预之前，参与者将进行初步评估，以确定他们当前的行为改变阶段，以促进实施有针对性的行为支持策略。此外，参与者将每周接受 30 分钟的癫痫教育视频。目标是招募 160 名至少被诊断患有癫痫六个月且正在接受药物治疗的成年人。数据收集将包括 C-ESMS、HADS、QOLIE-31 和 LSSS 的评估。这些参数将在基线时以及干预后 1、3 和 6 个月的随访期间进行评估。
现有的针对癫痫患者的自我管理干预措施主要侧重于知识和心理因素。研究设计、干预计划和患者特征的差异导致了先前研究结果的不一致。本研究旨在通过将 TTM 与经验支持的自我管理实践相结合来推进该领域。在 TTM 框架内划分行为改变阶段预计将形成一个结构化的干预方案。这项研究将为标准化、基于证据的癫痫护理实践提供信息。
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