Czynniki związane z umiejętnościami samoopieki u osób z epilepsją - wyniki badania klinicznego nad samozarządzaniem epilepsją

INTRODUCTION: Epilepsy is a chronic illness that requires ongoing self-management. Our study aimed to identify clinical and demographic variables associated with self-management competency as measured by the epilepsy self-management scale (ESMS). We hypothesized that female gender, higher level of education, and higher income were independently correlated with greater self-management competency. METHODS: This cross-sectional analysis of baseline data in PWE (N = 160) experiencing negative health events enrolled in the 6-month clinical trial SMART examined categories of self-management including seizure, lifestyle, medication, safety, and information management. The least absolute shrinkage and selection operator (LASSO), regression was used for variable selection. To exclude false positives, the Benjamini-Hochberg procedure was employed, to control the False discovery rate (FDR) q-values < 0.05. RESULTS: Variables correlated with greater total self-management competency were having a seizure within the past 30 days (p = 0.008), greater self-efficacy (p < 0.001), lower comorbidity (p = 0.008), and lower functional status (p < 0.001). Higher self-efficacy was associated with improved self-management competency across each self-management subdomain. CONCLUSION: Our analysis found that self-efficacy was associated with total self-management competency as well as competency in lifestyle, medication, information, safety, and seizure management. Future research may focus on methods to increase self-efficacy.