Effects of an Epilepsy Control Program via the Line Application on Health Literacy and Health Behavior in Patients with Epilepsy
Main Article Content
Abstract
This quasi-experimental research with a one-group pretest-posttest design aimed to assess the effects of an education program for adequate control of seizure recurrence via the LINE application on health literacy and health behavior. The conceptual framework to guide the study was based on Nutbeam’s health literacy concept and relevant literature. The participants were 18 patients with epilepsy who attended the outpatient neurological clinic at Rayong Hospital. All received an education program entitled “Epilepsy Control Program.” This program consisted of an education learning package about epilepsy and a skill-training program to
develop health literacy and health behaviors, distributed to the participants via the LINE application. The duration for accessing this program was six weeks. The instruments for data collection consisted of questionnaires to elicit personal data, health data, health literacy, and health behavior. Data collection on health literacy and health behavior was performed three times: at baseline, immediately after the program (or the sixth week from baseline), and the fourth week after the program ended (the tenth week). Descriptive statistics and one-way repeated measures ANOVA were used for data analysis. Findings revealed that the participants'
scores on health literacy and health behavior, measured immediately after the program and at the fourth week after the program ended, were higher than those at the enrollment time. This study demonstrated that the Epilepsy Control Program through the LINE application was an effective tool for promoting health literacy and health behavior in patients with epilepsy.However, this study might have limitations in concluding that the results occur from the program only because of no control group. Nevertheless, it is expected that integration of this educational program according to the individual’s context would be beneficial in decreasing the risks of
seizure recurrence.
Keywords: Epilepsy control program, Health literacy, Health behavior, Patients with epilepsy
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
References
Mac TL, Tran DS, Quet F, Odermatt P, Preux, PM, Tan,CT. Epidemiology, aetiology, and clinical management of epilepsy in Asia: a systematic review. Lancet Neurol.2007;6(6):533-43.
World Health Organization (WHO). Epilepsy [cited 2018 July 13]. Available from: http://www.who.int/newroom/factsheets/detail/epilepsy
Pradit C. Depression in people with epilepsy receiving treatment in outpatient department of Suan Prung Hospital.[thesis]. Chiang Mai University; 2005. (in Thai)
Phabphal K, Geater A, Limapichat K, Sathirapanya P,Setthawatcharawanich S. Risk factors of recurrent seizure,co-morbidities, and mortality in new onset seizure in elderly. Seizure. 2013;22(7):577-80.
Lertsinudom S, Chantlang K, Thiamkao S, Chaiyakham A. Study on the causes of drug non-cooperation among patients with epilepsy. Isan Journal of Internal Medicine.2008;7(1):37-45. (in Thai)
Moran NF, Poole K, Bell G, Solomon J, Kendall S,McCarthy M, et al. Epilepsy in the United Kingdom:seizure frequency and severity, antiepileptic drugs utilization, and impact on life in 1652 people with epilepsy. Seizure. 2004;13(6),425-33.
Bell GS, Gaitazis A, Bell CL, Johnson AL, Sander JW.Suicide in people with epilepsy: how great is the risk?.Epilepsia. 2009;50(8):1933-42.
Brandit C, Nozadze M, Heuchert N, Rattka M, Loscher W. Disease-modifying effects of phenobarbital and the NKCC1 inhibitor bumetanide in the pilocarpine model of temporal lobe epilepsy. J Neurosci. 2010;30(25):8602-12.
Binhocent W. The results of using tools for self-learning on the knowledge and practice of epilepsy patients.[Master’s thesis], Mahidol University; 1993. (in Thai)
Thipwong A, Numphun, J. The associations between health literacy related to obesity and health behavior:eating and exercise in over nutritional children. Journal of Public Health Nursing. 2014;28(2):1-11.(in Thai)
Dewalt DA, Berkman ND, Sheridan S, Lohr KN, Pignone MP. Literacy and health outcomes. J Gen Intern Med.2004;19(12):1228-39.
Hongkrajok H. Influence of discernment on health perception of self-efficacy and communication between patient and health personnel on self-care behavior of primary hypertensive patients. [Master’s thesis], Faculty of Nursing, Burapha University. 2016;35-50. (in Thai)
Elliot JO, Shneker BF. A health literacy assessment of epilepsy. Seizure.2009;18(6): 434–9.
Barnett SG, Kaske B. Impact of a health literacy presentation during an Introductory pharmacypractice experience. Currents in Pharmacy Teaching and Learning 2012;4(1):39-45.
von Wagner C, Steptoe A, Wolf MS, Wardle J. Health literacy and health actions: a review and a framework from health psychology. Health Educ Behav. 2009;36(5):860-77.
Johnston MV, Diab M, Kim SS. Health literacy, morbidity,and quality of life among individuals with spinal cord injury. The Journal of Spinal Cord Med. 2005;28(3):230-240.
Waewasak T. Adoption of innovation that influences application buying behavior for consumers' smartphones in Bangkok. [Master’s thesis], Faculty of Business Administration, Graduate School Srinakharinwirot University; 2013. (in Thai)
Phuttapanyo S. Effectiveness of health behavior development program on health intelligence,weight loss behavior, and the weight of over-nutrition personnel in Roi-Et Hospital. Muang District, Roi Et Province. Nursing and Education Journal. 2016;9(4):42-58. (in Thai)
Health Education Division, Department of Health Service Support Ministry of Public Health. Development guidelines
for health. 2014;12(6):44-59. (in Thai)
Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008;67(12):2072-2078.
Mackert M, Mabry-Flynn A, Champlin S, Donovan EE,Pounders K. Health literacy and health information technology adoption: The potential for a new digital divide.Journal of Medical Internet Research. 2016;18(10):e264.doi: 10.2196/jmir.6349
Rootman I, Ronson B. Literacy and health research in Canada: where have we been and where should we go?.Can J Public Health. 2005; 96(Suppl 2):S62-S77.
Choeisuwan V. Health literacy concept and application for nursing practice. Royal Thai Navy Medical Journal.2017;44(3):183-97. (in Thai)
Chuaihum C, Jitpanya C. Relationships among knowledge self-efficacy adverse drug reactions stigma depression and
medication adherence in patients with epilepsy. Journal of the Police Nurses, 2013;5(2):107-119. (in Thai)
Kaewkungwal J, Singhasivanon P. Textbook of clinical research. In Pittisuttithum P. (ed.), 1st ed. Bangkok:Amarin Printing & Publishing; 2011. (in Thai)
Kanfer, FH. Self-management methods. In Kanfer FH,Goldstein AP. (eds.), Helping people change: textbook of methods (2nd ed, pp. 334-89). New York: Pergamon Press; 1980.
Brotherstone H, Miles A, Robb K, Atkin W, Wardle J.The impact of illustration on public understanding of the aim of cancer screening. Patient Educ Couns. 2006;63(3):484-94.
Rootman I. Health literacy and health promotion [Internet].Ontario Health Promotion E-Bulletin. 2002;3(6):145-57.
U.S. Department of Education. National assessment of adult literacy (NAAL) status among older adult. JAMA Intern Med. 2003;165(17):1946-52.
Berkman ND, Sheridan SL, Donahue KE, Halpern DJ,Viera A, Crotty K, et al. Health Literacy interventions and outcomes: an updated systematic review. Evid Rep Technol Assess (Full Rep). 2011;(199):1-941. PMID:23126607; PMCID: PMC4781058.
Chantarintrakorn A. Relationship between health literacy and dengue hemorrhagic fever prevention and control behaviors of public health volunteers in Suanluang sub district municipality, Krathum Baen District, Samut Sakhon Province. [Thesis]. Kasetsart University; 2014.(in Thai)
Darvishpour J, Omidi S, Farmanbar R. The relationship between health literacy and hypertension treatment control and follow-up. Caspian J Health Res. 2016;12(21):1-8.
Sornkasetrin A, Janattra R, Kwanchum R, Ruangduang L. Results of the program modify health behaviors according to the guidelines of 3O.2S. of regular public health volunteers. Mueang District, Surat Thani. The Southern College Network Journal of Nursing and Public
Health. 2017;4(1):253-64. (in Thai)
Asawavichienjinda T, Sitthi-Amorn C, Tanyanont W.Prevalence of epilepsy in rural Thailand: a populationbased study. J Med Assoc Thai. 2002;85(10):1066-73
Aaberg KM, Gunnes N, Bakken IJ, Søraas CL, Berntsen A, Magnus P, et al. Incidence and prevalence of childhood epilepsy: A nationwide cohort study. Pediatrics.2017;139(5):e20163908.
Thiengtham W, Phao-Wattana A, Pongsomboon O.Prevention program primary hypertension for the at-risk population in the community Nakhon Pathom Province.Journal of Nursing Science Chulalongkorn University.2010;22(1-3):11-28. (in Thai)