Effect of a self-instructional module on the child rearing knowledge and practice of women with epilepsy
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Date
2014
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SEIZURE-EUROPEAN JOURNAL OF EPILEPSY
Abstract
Women with epilepsy (WWE) have poorer knowledge and skill in child rearing than women without epilepsy. Purpose: To evaluate the effect of a self-instructional module (SIM) on the child rearing knowledge (CRK) and practice (CRP) of WWE and developmental outcome of their babies. Methods: One hundred women in first trimester of pregnancy that were enrolled in to the Kerala Registry of Epilepsy and Pregnancy and consenting to participate were given a self instructional module (SIM) or a comparator booklet by random concealed allocation. Their child rearing knowledge (CRK) was assessed by a standardized protocol at entry (first trimester) and at 3-4 months postpartum. Their child rearing practice (CRP) was evaluated in third postpartum month. The developmental outcome of babies was assessed at 1 year of age as per registry protocol. Results: Eighty eight women completed this 1 year study. The CRK score was significantly higher (p = .034) for the intervention group (32.91 +/- 5) when compared to the comparator group (30.61 +/- 5) However, a corresponding improvement in CRP score was not observed for the former. Developmental outcome of 68 babies showed a positive weak correlation between CRP and developmental quotient both mental and motor. The intervention group demonstrated significant increase in their CRK. Nevertheless the results did not indicate a significant improvement in the CRP. Conclusion: The SIM improved the CRK of WWE. Nevertheless, the child rearing practices did not show corresponding improvement. (C) 2014 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
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Keywords
Neurosciences & Neurology
Citation
23 ,6;424-428