A randomised controlled trial of an SMS-based mobile epilepsy education system

Lua, Pei Lin (2013) A randomised controlled trial of an SMS-based mobile epilepsy education system. Journal of Telemedicine and Telecare, 19 (1). pp. 23-28. ISSN 1357-633X

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Abstract

We evaluated an epilepsy education programme based on text messaging (SMS). Epilepsy outpatients from three hospitals in Malaysia were randomised into two groups: intervention and control. Patients in the control group were supplied with printed epilepsy educational material while those in the intervention group also received text messages from the Mobile Epilepsy Educational System (MEES). A total of 136 paiients completed the study (mean age 31 years; 9'1 % Malay; 51% with an illness duration of more than 5 yean). A betweengroup analysis showed that the awareness, knowledge and attitudes (AKA) about epilepsy did not significantly differ between the groups at baseline (P > 0.05). The intervention patients reported betterAKA levels during follow-up compared to the control patients (P < 0.05). A within-group analysis showed that in intervention patients, there were significant improvements in all AKA domains with larger effect sizes(P < 0.01)while control patients also exhibited significant improvement in most domains except for Awareness but with smaller effect sizes. After controlling for possible confounding variables (age, gendel educational qualification, monthly income and baseline mean for each domain), the interyention group still reported significantly higher AKA than the control group particularly in Awareness (P < 0.00'1 )and Total AKA (P = 0.003). There was also significantly better medication adherence and clinic attendance in the intervention group (P < 0.05). The results suggest that the addition of the MEES to conventionail epilepsy education is effective in improving AKA.

Item Type: Article
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Faculty / Institute: Faculty Of Health Sciences
Depositing User: PROF PEI LIN LUA
Date Deposited: 08 May 2014 08:04
Last Modified: 27 Apr 2015 08:39
URI: http://erep.unisza.edu.my/id/eprint/312

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