Le Marne et al. [12] |
-Education about learning and understanding epilepsy, seizures, medications, lifestyle, daily conditions that trigger seizures, and traveling with epilepsy (information about epilepsy).
-Seizure content (seizure diary, warning, trigger, type), clinical features of patients with epilepsy, medications and reminders, another epileptic treatment.
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-Knowledge acquisition
-Psychological factors (attitude toward disease and seizure self-efficacy)
-Clinical parameters (medication adherence, seizure burden)
-User engagement and opinion
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-AKEQ knowledge questionnaire
-The SSES-C questionnaire is used to assess psychosocial outcomes in children and adolescents with epilepsy.
-EpApp application
-The Mobile Application Rating Scale for User engagement and opinion.
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-Knowledge increased following the EpApp intervention (p < 0.005).
-There was no statistically significant improvement in seizure load (p = 0.229) or psychosocial characteristics.
-Significantly less reminder medicine was needed (p < 0.05)
-App design, content, functionality, and utility metrics were all extremely favorable (agreed/strongly agreed with statement).
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Rajbhandari et al. [13] |
-A smartphone application with features related to diagnosing epilepsy, epilepsy awareness, medication, safety, drug-related side-effects, effectiveness in seizure control, and satisfaction.
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-112 patients with app scores suggesting epileptic seizures were identified and managed in 18 months, of whom 15 had provoked seizures (seizures were eliminated in 33% of cases and reduced in 57% of cases).
-Medication side effects affected 5% of the population (by EFWs) and 4% in neurologist follow-up.
-96% thought that the service (EFWs using a smartphone application) was more convenient than visiting a hospital or a private doctor.
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Simblett et al. [14] |
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-The mHealth application could anticipate seizures (predicting provoked seizures).
-The mHealth application improved self-management.
-Mobile health applications that can prevent seizures and raise awareness, enable better activity planning and improve safety were critical facilitators of engagement.
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Si et al. [15] |
-A medication schedule, online educational forums, and blogs, rapid online reporting of seizures, online consultations (messaging or video call), and online questionnaires.
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-Between baseline and the 6-month evaluation, self-management of epilepsy increased considerably in the app group (from 121.7 ± 12.1 to 144.4 ± 10.0; p < 0.001).
-The app had a higher seizure-free rate at the 6-month follow-up than the control group (28% vs. 12%).
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Mirpuri et al. [16] |
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-Medication adherence
-Self-efficacy
-Seizure
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-MGLs questionnaires
-ESMS questionnaires
-Seizure frequency
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-The mobile application interventional group increased medication adherence by more than 60% (p = 0.0001).
-The mobile application group’s mean self-efficacy score increased from 269.5 to 289.75 (p = 0.0001).
-There were no significant differences in seizure frequency between or among groups (p = 0.425) for those who completed the follow-up interviews.
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Choi et al. [17] |
-Seizure frequency records
-Seizure triggering factors
-Comorbidity screenings
-Profiles of adverse events resulting from antiepileptic drugs
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-General epilepsy knowledge assessment
-Seizure record from the application
-Adverse reactions reported on application and during clinic visits
-Seizure triggering factors from application
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-Compared to rare/non-users, in-app users exhibited significantly improved epilepsy knowledge scores (p < 0.001).
-Seizure self-efficacy (p = 0.038)
-23 respondents reported 59 adverse reactions to the application, with a general adverse reaction of fatigue. Only 21 respondents reported 24 adverse reactions during clinic visits.
-The most frequently reported triggering factor by patients causing seizures was sleep deprivation.
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