The Temple Star Transitional Model of Care for epilepsy; the outcome of a quality improvement project

Epilepsy Behav. 2018 Feb:79:4-8. doi: 10.1016/j.yebeh.2017.10.043. Epub 2017 Dec 7.

Abstract

Objective: The aim and objective of this study was to assess the knowledge and views of parents on transitional and adolescent care in young adults with epilepsy, and to develop a transitional and adolescent program for epilepsy.

Methods: Data were collected from questionnaires completed by parents during focus groups exploring transitional care and inherent issues for young adults, aged 12-18years, with epilepsy. The questionnaire assessed the current knowledge and views of parents of children with epilepsy on transitional care, and following a presentation on "Transition in Epilepsy" (including themes such as self-advocacy, independent healthcare behavior, sexual health, psychosocial support, educational and vocational planning, health and lifestyle issues) assessed feedback on the proposed model of care in transitional and adolescent care.

Results: Data were collected from 34 parents; the majority of parents, 74% (n=25), wish their children to be transitioned and transferred over to the adult epilepsy sites at the age of 18years. Over 82% (n=28) of parents believe the concept of transition should be introduced between the ages of 12-16years.

Conclusion: This quality improvement initiative identified the need for transitional care to begin at an early age. This study engaged parents in a process to improve adolescent and transitional care for adolescents with epilepsy. This study also highlights the importance of introducing a detailed preparatory phase for a transitional and adolescent care in epilepsy.

Keywords: Adolescence; Epilepsy; Parental engagement; Transitional and adolescent care.

MeSH terms

  • Adolescent
  • Adult
  • Attitude of Health Personnel
  • Child
  • Delivery of Health Care / methods*
  • Epilepsy / drug therapy*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Health Services Accessibility
  • Humans
  • Male
  • Parents / psychology
  • Patient Satisfaction
  • Quality Improvement*
  • Quality of Health Care / standards*
  • Surveys and Questionnaires
  • Transition to Adult Care / organization & administration
  • Transition to Adult Care / standards*
  • Young Adult