International Journal of Clinical Pharmacy

, Volume 35, Issue 5, pp 829–834

The impact of pharmacist’s counseling on pediatric patients’ caregiver’s knowledge on epilepsy and its treatment in a tertiary hospital

  • Chunliang Chen
  • Dorothy Sze Huay Lee
  • Szu Liang Hie
Research Article

Abstract

Background Epilepsy is a chronic condition requiring compliance to long treatment regimes. Knowledge on epilepsy can affect compliance to treatment. Pediatric epileptic patients need caregivers for their care; however, prior research showed that caregivers had inadequate knowledge in epilepsy. In view of this, outpatient pharmacist epilepsy service was set up in collaboration with neurologists to bridge knowledge gaps. Objective To determine if caregiver education provided by outpatient pharmacists is associated with improved knowledge in epilepsy and its management. Setting Pediatric outpatient clinic at a pediatric and women’s health hospital. Methods A cross-sectional pre- to post-intervention study using scores of caregiver knowledge of epilepsy as the primary outcome was conducted. The intervention was one counseling session by pharmacists. A knowledge questionnaire (A) was administered to the caregiver to obtain baseline information before the session and readministered by telephone (C) 2 weeks post-session. Additionally, a perception questionnaire (B) was administered immediately after the session. Main outcome measure Knowledge scores pre and post pharmacist counseling. Results Twenty-seven completed questionnaire sets (A, B and C) were collected from 55 caregivers who received the intervention (response rate = 49 %) between September 2010 and May 2011. Average post-counseling knowledge scores was significantly higher than pre-counseling scores (14.7 vs. 10.4, p = 0.000) (score range −21 to 21). Caregivers’ confidence to administer antiepileptic drugs to the child increased significantly from 3.60 to 3.94 post-counseling (p = 0.002, score range 0–5). Mean total satisfaction score was 36.00 (score range 5–40). Conclusion A specialized counseling session given by pharmacists increased caregiver’s knowledge about epilepsy and medication adherence. The session was well received by caregivers. Pharmacists should continue to be involved in the care of epileptic patients.

Keywords

Ambulatory Epilepsy Knowledge Pediatric Pharmacist Singapore 

Supplementary material

11096_2013_9817_MOESM1_ESM.doc (36 kb)
Supplementary material 1 (DOC 36 kb)

References

  1. 1.
    McAuley JW, Miller MA, Klatte E, Shneker BF. Patients with epilepsy’s perception on community pharmacist’s current and potential role in their care. Epilepsy Behav. 2009;14:141–5.PubMedCrossRefGoogle Scholar
  2. 2.
    Lewis C, Scott D, Pantell R, Wolf M. Parent satisfaction with children’s medical care: development, field test, and validation of a questionnaire. Med Care. 1986;24(3):209–15.PubMedCrossRefGoogle Scholar
  3. 3.
    Garnett W. Antiepileptic drug treatment: outcomes and adherence. Pharmacotherapy. 2000;20(8):1991S–9S.Google Scholar
  4. 4.
    Sabaté E. Adherence to long-term therapies: evidence for action. Geneva: World Health Organization; 2003:87–93. Chapter 11, Epilepsy; [cited 2013 Feb 19]; Available from: http://apps.who.int/iris/bitstream/10665/42682/1/9241545992.pdf.
  5. 5.
    Beech L. Knowledge of epilepsy among relatives of the epilepsy sufferer. Seizure. 1992;1:133–5.PubMedCrossRefGoogle Scholar
  6. 6.
    Singhal PK, Raisch DW, Gupchup GV. The impact of pharmaceutical services in community and ambulatory care settings: evidence and recommendations for future research. Ann Pharmacother. 1993;33:1336–55.CrossRefGoogle Scholar
  7. 7.
    Murray M. Continuity of health care and the pharmacists: let’s keep it simple. Ann Pharmacother. 2009;43:745–7.CrossRefGoogle Scholar
  8. 8.
    Ellitt GR, Brien JAE, Aslani P, Chen TF. Quality patient care and pharmacists’ role in it’s continuity-a systematic review. Ann Pharmacother. 2009;43:677–90.PubMedCrossRefGoogle Scholar
  9. 9.
    Elliott J, Shneker B. Patient, caregiver, and healthcare practitioner knowledge of, beliefs about, and attitudes toward epilepsy. Epilepsy Behav. 2008;12:547–56.PubMedCrossRefGoogle Scholar
  10. 10.
    Chan D, Phuah H, Ng Y, Choong C, Lim K, Goh W. Pediatric epilepsy and first afebrile seizure in Singapore: epidemiology and investigation yield at presentation. J Child Neurol. 2010;25(10):1–7.CrossRefGoogle Scholar
  11. 11.
    Liu L, Yiu C, Yen D, Chou M, Lin M. Medication education for patients with epilepsy in Taiwan. Seizure. 2003;12:473–8.PubMedCrossRefGoogle Scholar
  12. 12.
    Larson L, Rovers J, MacKeigan L. Patient satisfaction with pharmaceutical care: update of a validated instrument. J Am Pharm Assoc. 2002;42(1):44–9.CrossRefGoogle Scholar
  13. 13.
    Galleti F, Sturniolo MG. Counseling children and parents about epilepsy. Patient Educ Couns. 2004;55:422–5.CrossRefGoogle Scholar
  14. 14.
    Saengsuwan J, Laohasiriwong W, Boonyaleepan S, Sawanyawisuth K, Tiamkao S. Integrated epilepsy research group. Knowledge, attitudes, and care techniques of caregivers of PWE in northeastern Thailand. Epilepsy Behav. 2013;27:257–63.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Chunliang Chen
    • 1
  • Dorothy Sze Huay Lee
    • 1
  • Szu Liang Hie
    • 1
  1. 1.Department of PharmacyKandang Kerbau Women’s and Children’s HospitalSingaporeSingapore

Personalised recommendations