Cochrane · systematic review · CD006245

Care delivery and self‐management strategies for children with epilepsy

Fleeman, N, Bradley, PM, Panebianco, M, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

EpilepsyAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 62.5%Moderate 3 · 37.5%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Care delivery and self‐management strategies compared to usual care for children/adolescents with epilepsy and/or their parents

Population: children/adolescents with epilepsy and/or their parents
8 questions
OutcomeEffectEvidenceStatus / GRADE
Number of seizures at 12 months
Care delivery and self‐management strategies vs usual care
no estimate extracted1 study · 167 participantsModerate
Downgraded: imprecision
Seizure severity (frequency and duration of seizures) at 3 months
Care delivery and self‐management strategies vs usual care
OR 1.78 [0.98, 3.26]1 study · 214 participantsLow
Downgraded: imprecision
Seizure control rate at 12 monthsÂ
Care delivery and self‐management strategies vs usual care
OR 2.57 [1.01, 6.53]1 study · 120 participantsLow
Downgraded: imprecision
Seizure cure rate at 12 monthsÂ
Care delivery and self‐management strategies vs usual care
OR 2.25 [1.08, 4.68]1 study · 120 participantsLow
Downgraded: imprecision
Drug adherence (MMAS‐8) at 3 monthsÂ
Care delivery and self‐management strategies vs usual care
OR 3.96 [2.03, 7.76]2 studies · 274 participantsModerate
Downgraded: risk of bias
Epilepsy Knowledge Test for Children (EKTC) at 3 monthsÂ
Care delivery and self‐management strategies vs usual care
no estimate extracted1 study · 92 participantsModerate
Downgraded: imprecision
Seizure Self‐Efficacy Scale for Children (SSES‐C) at 3 months Â
Care delivery and self‐management strategies vs usual care
no estimate extracted2 studies · 168 participantsLow
Downgraded: risk of bias
Self‐perception of epilepsy on quality of life (PedsQL) at 3 monthsÂ
Care delivery and self‐management strategies vs usual care
no estimate extracted1 study · 76 participantsLow
Downgraded: imprecision