The effectiveness of epilepsy educational intervention using computer game-based epilepsy educational program (Epigame) among Malaysian children with epilepsy: A prospective cohort study

Fong CY 1 , Low P 2 , Ng KH 3 , Heng HS 4 , Chong ASL 5 , Ong LC 6 Show all authors , Yusof YLM 7 , Adnan A 6 , Li L 8 , Lim WK 8

Affiliations 

  • 1 Division of Paediatric Neurology, Department of Paediatrics, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia. Electronic address: cyfong@ummc.edu.my
  • 2 Division of Paediatric Neurology, Department of Paediatrics, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia; Paediatric Department, Sabah Women and Children Hospital, Sabah, Malaysia
  • 3 School of Computer Science, University of Nottingham Malaysia Campus, Semenyih, Selangor, Malaysia
  • 4 Paediatric Department, Sabah Women and Children Hospital, Sabah, Malaysia
  • 5 Clinical Research Centre, Sabah Women and Children Hospital, Ministry of Health, Sabah, Malaysia
  • 6 Division of Paediatric Neurology, Department of Paediatrics, University Malaya Medical Centre, Kuala Lumpur, Malaysia
  • 7 Division of Paediatric Neurology, Department of Paediatrics, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia; Paediatric Unit, Faculty of Medicine, Universiti Teknologi Mara, Selangor Darul Ehsan, Malaysia
  • 8 Division of Paediatric Neurology, Department of Paediatrics, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia
Epilepsy Behav, 2023 Dec;149:109536.
PMID: 38008017 DOI: 10.1016/j.yebeh.2023.109536

Abstract

BACKGROUND: A computer game-based epilepsy educational programme (Epigame) can potentially improve the awareness, knowledge and attitude (AKA) and quality of life (QOL) of children with epilepsy (CWE). Our study among Malaysian CWE aimed to assess the: i) baseline level of epilepsy AKA and potential characteristics associated with poor levels of AKA, ii) effectiveness of Epigame in improving AKA and QOL of CWE.

METHOD: Prospective cohort study on CWE age 7-18 years old with no comorbidities. Epilepsy education was delivered using Epigame. CWE completed AKA questionnaire before (time point 1 [TP1]), immediately after (TP2), 3 months (TP3) after provision of Epigame. Child self-report Health-Related Quality of Life Measurement for Children with Epilepsy (CHEQOL-25) questionnaire was completed at TP1 and TP3.

RESULTS: Total of 106 CWE participated in this study (mean age of 13.3 years). Baseline (TP1) AKA was rated "very low to moderate" for awareness domain in 95.3 %, "very low to moderate" for knowledge domain in 67 %, "negative to indifferent" for attitude domain in 54.7 %, and "very poor to moderate' for total AKA score domain in 84 %. "Positive to very positive" for child attitude domain was significantly associated with parents with "positive to very positive" for attitude domain (OR 10.6, 95 % CI 3.23-34.66). "Good to excellent" for total child AKA domain was significantly associated with parents with "Good to excellent" for total AKA domain (OR 5.2, 95 % CI 1.16-15.02) and with 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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