ArticleBMC nursing2025
Advancing transition readiness and health outcomes in adolescents with epilepsy: the role of evidence-based self-management interventions in nursing practice.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSelf-management interventions are crucial for adolescents with epilepsy (AWEs) to control seizures during their transition to adulthood. However, many AWEs face challenges in sustaining effective self-management, and evidence-based practices tailored to this population remain underexplored. This study developed and evaluated a self-management intervention plan to enhance transition readiness for AWEs.
methodsThe setting is the neurological center of a Grade-III children's hospital in Southwest China. From March 2023 to February 2024, 92 AWEs and their families participated, along with 31 hospital staff members. A historical comparison design evaluated the intervention's effects on AWEs, while a self-controlled design assessed impacts on healthcare providers and the system environment. The intervention was developed using the Knowledge-To-Action framework and intervention mapping theory, guided by a logical model and a matrix of change goals. Through expert consensus, 53 strategies were formed using evidence-based behavior change methods. Key outcomes included behavior and physical health of AWEs, compliance among healthcare providers, and system-level improvements.
resultsPost-intervention, significant improvements were observed across all assessed areas, including self-management, transition readiness, and electroencephalogram results, except for number of seizures and doctor-patient communication. Compliance with self-management behaviors among AWEs and family caregivers increased by 21.43%, healthcare providers' practice compliance improved by 34.08%, and clinical audit results at the system level rose by 58.83%. Notable system-level changes included improved resource allocation and care standardization.
conclusionsThis intervention is a promising approach to improving health outcomes in AWEs and fostering self-management behaviors among patients and caregivers, while enhancing healthcare providers' practice and service capacity. The framework offers valuable guidance for integrating self-management support into transition ecosystems, with implications for both clinical practice and nursing education.
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