Attitudes Toward Rational Drug Use and Medication Self-Management Among Parents of Children with Epilepsy

Article Type:
Research/Original Article (دارای رتبه معتبر)

Epileptic seizures are controlled with antiepileptic drugs (AEDs). The purpose of using AEDs is to prevent seizures by maintaining the effective dose of one or more AEDs. Using a medication according to its prescription involving dosage and dosing times is expressed as medication adherence.


This study was performed to assess medication self-management and attitudes toward rational drug use among parents of children with epilepsy.


A descriptive and cross-sectional design was used in this study. The data were collected using a data collection form, the Parental Attitude Scale for Rational Drug Use (PASRDU), and the Turkish Pediatric Epilepsy Medication Self-Management Questionnaire (PEMSQ-TR).


The mean scores of participants (n = 192) on the PASRDU were 156.02 (standard deviation [SD] = 9.86), 133.02 (SD = 7.74), and 23 (SD = 7.58) on the total scale, accurate and conscious use subdimension, and effective and safe use subdimension, respectively. The mean scores of participants on the PEMSQ-TR were 81.38 (SD = 7.13), 42.4 (SD = 6.32), 24.3 (SD = 1.6), 11.36 (SD = 4.35), and 3.32 (SD = 1.94) on the total scale, information about epilepsy and treatment subdimension, adherence to treatment and clinic appointments subdimension, treatment-related obstacles subdimension, and treatment and social life subdimension, respectively. Parents’ educational status (F = 0.01, P < 0.05), child’s age at first seizure (U = 0.026, P < 0.05), frequency of seizure (U = 0.043, P < 0.05), age of the child (χ2 = 0.002, P < 0.05), and parents’ age (F = 0.036, P < 0.05) had a significant effect on the total and subscale scores of the PASRDU and PEMSQ-TR.


This study showed that although parents of children with epilepsy had positive attitudes toward rational drug use, their epilepsy medication self-management was relatively poor. The improvement of the understanding of medication self-management can ultimately increase adherence, which will affect the clinical outcomes and quality of life in children with epilepsy.

Jundishapur Journal of Chronic Disease Care, Volume:12 Issue: 1, Jan 2023
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