Evidence map›Paper›PMID 30731293›Full record

ArticleEpilepsy & behavior : E&B2019

Epilepsy and traditional healers in the Republic of Guinea: A mixed methods study.

Pria Anand, Guelngar Carlos Othon, Foksouna Sakadi, Nana Rahamatou Tassiou, Abdoul Bachir Djibo Hamani, Aissatou Kenda Bah, Beindé Tertus Allaramadji, Djenabou Negue Barry, Andre Vogel, Fodé Abass Cisse and 2 more

Abstract read
In one paragraph

Article in Epilepsy & behavior : E&B, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Article
  3. Epilepsy in low- to middle-income countries.Current opinion in neurology · 2025
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. E = mcEpilepsia open · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Traditional medicine use in Timor-Leste.BMC complementary medicine and therapies · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 3 countries.

Pria AnandDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA. Electronic address: panand3@mgh.harvard.edu.
Guelngar Carlos OthonDepartment of Neurology, Ignace Deen Teaching Hospital, Conakry, Guinea.
Foksouna SakadiDepartment of Neurology, Ignace Deen Teaching Hospital, Conakry, Guinea; Department of Clinical Neurophysiology, Ibn Sina Hospital Center, Rabat, Morocco.
Nana Rahamatou TassiouDepartment of Neurology, Ignace Deen Teaching Hospital, Conakry, Guinea.
Abdoul Bachir Djibo HamaniDepartment of Neurology, Ignace Deen Teaching Hospital, Conakry, Guinea.
Aissatou Kenda BahDepartment of Neurology, Ignace Deen Teaching Hospital, Conakry, Guinea.
Beindé Tertus AllaramadjiDepartment of Neurology, Ignace Deen Teaching Hospital, Conakry, Guinea.
Djenabou Negue BarryDepartment of Neurology, Ignace Deen Teaching Hospital, Conakry, Guinea.
Andre VogelDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Fodé Abass CisseDepartment of Neurology, Ignace Deen Teaching Hospital, Conakry, Guinea.
Farrah Jasmine MateenDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Guinea Epilepsy Project
Ignace Deen Hospital · GNMassachusetts General Hospital · USCentre Hospitalier Ibn Sina · MA

Funding

CLINICAL UTILITY OF A SMARTPHONE-BASED EEG SYSTEM FOR PEOPLE WITH EPILEPSY IN BHUTANR21NS098886 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI MATEEN, FARRAH JASMINE · 2017 to 2018
$396k
NINDS NIH HHS R21 NS098886
6 · The paper itself

Abstract

purposeThe purpose of this study was to characterize the reasons, extent, and impact of traditional medicine use among people with epilepsy (PWE) in the Republic of Guinea.

methodsGuinea is a low-income country in sub-Saharan Africa (SSA) with limited healthcare resources. People with epilepsy and their caregivers were seen at a public referral hospital in Conakry, the capital city, where they completed semi-structured interviews with physicians regarding their beliefs about epilepsy, medical care, and engagement with traditional healers.

resultsOf 132 participants (49% children, 44% female, 55% with a university-educated head of household), 79% had seen a traditional healer, and 71% saw a traditional healer before seeing a medical provider for their epilepsy. Participants were treated by a traditional healer for a mean of 39 months before seeing a medical provider. By contrast, 58% of participants reported taking antiepileptic drugs (AEDs) regularly; 46% reported having undergone a head computed tomography (CT) scan; 58% reported having had an electroencephalogram, and 4% reported having had a brain magnetic resonance imaging (MRI) scan.

conclusionsTraditional healers in Guinea provide frontline care for PWE in Guinea with considerable delays in AED initiation, even among a cohort of PWE actively seeking medical care. Engaging with these healers is critical for both influencing community perceptions and appropriately managing epilepsy throughout the country.

Indexed as

CaregiversAdolescentAdultAnticonvulsantsChildChild, PreschoolCohort StudiesElectroencephalographyEpilepsyFemaleGuineaHumansMaleMedicine, African TraditionalReferral and ConsultationYoung AdultAnticonvulsantsAfricaEpilepsyGlobal healthHealthcare deliveryTraditional medicine

Identifiers

PMID30731293
PMCPMC6433505
OpenAlexW2914553228

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.