The reasons for the epilepsy treatment gap in Kilifi, Kenya: using formative research to identify interventions to improve adherence to antiepileptic drugs.
The reasons for the epilepsy treatment gap in Kilifi, Kenya: using formative research to identify interventions to improve adherence to antiepileptic drugs.
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DOI：
10.1016/j.yebeh.2012.07.009
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发表时间：
2012-12
期刊：
影响因子：
--
通讯作者：
Hartley SD
中科院分区：
文献类型：
--
作者：
Carter JA;Molyneux CS;Mbuba CK;Jenkins J;Newton CR;Hartley SD
在资源贫乏的国家，许多癫痫患者（PWE）得不到适当的治疗，这种现象被称为癫痫治疗缺口（ETG）。我们进行了一项定性研究，以探讨这种差距的原因，并确定可能的干预措施，在肯尼亚基利菲。PWE及其护理人员进行了焦点小组讨论（FGD）。对PWE、其照顾者、传统治疗师、社区卫生工作者和领导人、护士和医生进行了个别访谈。此外，还举办了一系列讲习班，并确定了导致癫痫治疗失败的四个因素：1）缺乏对癫痫的病因、治疗和预后的了解; 2）无法获得抗癫痫药物; 3）对癫痫起源的迷信造成的误解; 4）对医疗服务提供者的沟通技巧不满。这些数据表明了可能的干预措施：1）对PWE及其护理人员的教育和支持; 2）对卫生服务提供者的沟通技能培训; 3）改善药物供应。许多癫痫患者没有得到适当的治疗;癫痫治疗缺口（ETG）。* 定性研究，探讨ETG的原因，并确定肯尼亚可行的干预措施。可通过制定多方面的干预措施来解决这一问题。
Many people with epilepsy (PWE) in resource‐poor countries do not receive appropriate treatment, a phenomenon referred to as the epilepsy treatment gap (ETG). We conducted a qualitative study to explore the reasons for this gap and to identify possible interventions in Kilifi, Kenya. Focus group discussions (FGDs) were carried out of PWE and their caregivers. Individual interviews were conducted of PWE, their caregivers, traditional healers, community health workers and leaders, nurses and doctors. In addition, a series of workshops was conducted, and four factors contributing to the ETG were identified: 1) lack of knowledge about the causes, treatment and prognosis of epilepsy; 2) inaccessibility to antiepileptic drugs; 3) misconceptions about epilepsy derived from superstitions about its origin; 4) and dissatisfaction with the communication skills of health providers. These data indicated possible interventions: 1) education and support for PWE and their caregivers; 2) communication skills training for health providers; 3) and improved drug provision. ► Many with epilepsy do not receive appropriate treatment; epilepsy treatment gap (ETG). ► Qualitative study exploring reasons for ETG and identifying viable interventions in Kenya. ► ETG can be addressed through development of multifaceted interventions.
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