Wpływ programów edukacyjnych i zachowaniowych dla dzieci z epilepsją oraz ich rodzin na kontrolę choroby, jakość życia i wyniki psychospołeczne: przegląd systematyczny i meta-analiza
The impact of educational and behavioral self-management interventions for children diagnosed with epilepsy and their families on disease management, quality of life, and psychosocial outcomes: a systematic review and meta-analysis
W skrócie
Badanie przeanalizowało dziesięć naukowych prac dotyczących programów edukacyjnych dla dzieci z epilepsją i ich rodziców. Wyniki pokazały, że edukacja znacznie poprawia wiedzę o epilepsji, jakość życia rodziców oraz umiejętności zarządzania chorobą, natomiast jej wpływ na zmniejszenie napadów nie był statystycznie potwierdzony. Naukowcy zaproponowali, aby programy edukacyjne stały się standardową częścią leczenia epilepsji, ponieważ wspierają zarówno rodziców jak i dzieci w radzeniu sobie z chorobą.
Oryginalny abstract (angielski)
The primary aim of this systematic review and meta-analysis is to evaluate the impact of educational programs for children with epilepsy and/or their parents on disease management. A comprehensive literature search was performed across eight electronic databases from inception to January 20, 2026, to identify studies evaluating educational interventions for children with epilepsy and/or their parents or caregivers. Following screening and eligibility assessment, ten studies were included in the final systematic review and meta-analysis. Study selection, data extraction, and risk of bias assessment were independently performed by two reviewers using standardized tools. Meta-analyses were conducted using RevMan software, applying fixed- or random-effects models based on heterogeneity, and the certainty of evidence was assessed using the GRADE approach. This meta-analysis included ten randomized controlled trials evaluating educational programs for children with epilepsy and/or their parents. In the analysis of seizure frequency, educational programs showed an effect in reducing the likelihood of seizures, but the result was not statistically significant (OR = 0.62; 95% CI: 0.37-1.03; p = 0.07; I = 0%). Educational programs significantly improved parental quality of life (SMD = 0.71; 95% CI: 0.15-1.27; p = 0.01; I = 69%). Strong trends were found towards decreased parental anxiety (SMD = - 0.82; 95% CI: -1.68-0.04; p = 0.06; I = 93%) and increased self-efficacy (SMD = 2.63; 95% CI: -0.18-5.44; p = 0.07; I = 98%), but these findings did not reach statistical significance. Knowledge level regarding epilepsy significantly increased with educational programs (SMD = 1.29; 95% CI: 0.56-2.02; p = 0.0005; I = 87%). Epilepsy management significantly improved with educational programs (MD = 0.48; 95% CI: 0.21-0.76; p = 0.0005; I = 0%). This meta-analysis demonstrates consistent and significant benefits of educational programs on epilepsy management, knowledge level, and parental quality of life. While the effects on seizure frequency, parental anxiety, and self-efficacy were not statistically conclusive, the observed effect trends point to clinically positive potential. It supports the inclusion of education-based interventions as a complementary and empowering component in epilepsy care.