Awareness About Epilepsy Among Schoolteachers in the Northern Border Region, Saudi Arabia

Shehab Ahmed Alenazi; Shmoukh Mushref M Alruwaili; Nuof Khalid J Alanazi; Dana Ahmed Albalawi; Nouf Faris Alanazi; Dimah Mulfi Alanazi; Ekramy Elmorsy

doi:10.18502/dmj.v8i2.19009

المؤلفون

Shehab Ahmed Alenazi Pediatrics Department, Faculty of Medicine, Northern Border University, Arar
Shmoukh Mushref M Alruwaili Faculty of Medicine, Northern Border University, Arar
Nuof Khalid J Alanazi Faculty of Medicine, Northern Border University, Arar
Dana Ahmed Albalawi Faculty of Medicine, Northern Border University, Arar
Nouf Faris Alanazi Faculty of Medicine, Northern Border University, Arar
Dimah Mulfi Alanazi Faculty of Medicine, Northern Border University, Arar
Ekramy Elmorsy Pathology Department, Faculty of Medicine, Northern Border University, Arar https://orcid.org/0000-0002-7444-2499

DOI:

https://doi.org/10.18502/dmj.v8i2.19009

الكلمات المفتاحية:

epilepsy، awareness، epileptic fits، first aid

الملخص

Introduction: Epilepsy is a worldwide neurological problem. First aid management is essential to control the fits and minimize the complications. This study aims to evaluate the awareness of epilepsy among schoolteachers in the Northern Border Region, Saudi Arabia.

Methods: A cross-sectional study was conducted using a validated questionnaire in Arabic to assess awareness about epilepsy among schoolteachers in the Northern Border Region, Saudi Arabia. Descriptive and contingency statistics were used to assess the data collected.

Results: The study enrolled 366 teachers after they gave their consent. The majority were females (56%) and qualified by a bachelor’s degree. (82%). Knowledge questions showed an overall average knowledge score of 3.4 ± 1.3 (ranging from 1-6). 212 participants (57.9%) had satisfactory knowledge scores (>3). The highest scores were given in questions about the etiology of epilepsy (93.7% correct responses), while the lowest level of correct answers was observed in the question about indications of hospitalization (24% correct responses). Place of work, years of experience, and positive family history of epilepsy or witnessing seized children significantly affect the knowledge scores (p-value = 0.008, 0.03, and <0.000, respectively) with, significantly, more knowledge among younger-aged teachers and teachers working in primary schools.

Conclusion: Overall knowledge about epilepsy among schoolteachers is improving, but there is a need for more awareness activities and first aid training, which includes activities such as graduating schoolteachers from university programs.

المراجع

[1] Al Rajeh S, Awada A, Bademosi O, Ogunniyi A. The prevalence of epilepsy and other seizure disorders in an Arab population: A community-based study. Seizure. 2001 Sep;10(6):410–414. DOI: https://doi.org/10.1053/seiz.2001.0602

[2] DeToledo JC, Lowe MR, Gonzalez J, Haddad H. Risk of aspiration pneumonia after an epileptic seizure: A retrospective analysis of 1634 adult patients. Epilepsy Behav. 2004 Aug;5(4):593–595. DOI: https://doi.org/10.1016/j.yebeh.2004.03.009

[3] Al Rumayyan A, Alharthi A, Al-Rowaili M, Al-Mehmadi S, Altwaijri W, Alrifai T, et al. The prevalence of active epilepsy in the Kingdom of Saudi Arabia: A cross-sectional study. Neuroepidemiology. 2023;57(2):78–89. DOI: https://doi.org/10.1159/000522442

[4] Ostendorf AP, Gedela S. Effect of epilepsy on families, communities, and society. Semin Pediatr Neurol. 2017 Nov;24(4):340–347. DOI: https://doi.org/10.1016/j.spen.2017.10.007

[5] Smithson WH, Hukins D, Buelow JM, Allgar V, Dickson J. Adherence to medicines and selfmanagement of epilepsy: A community-based study. Epilepsy Behav. 2013 Jan;26(1):109–113. DOI: https://doi.org/10.1016/j.yebeh.2012.10.021

[6] Altowayan R, Aloqaily H, Almutairi A, Almassri R, Alharbi B, Alsallum G, et al. Level of awareness and attitudes toward epilepsy in Qassim, Saudi Arabia: A cross-sectional study. Epilepsy Behav. 2019 Jan;90:66–69. DOI: https://doi.org/10.1016/j.yebeh.2018.10.044

[7] Neyaz HA, Aboauf HA, Alhejaili ME, Alrehaili MN. Knowledge and attitudes towards epilepsy in Saudi families. J Taibah Univ Med Sci. 2016 Aug;12(1):89–95. DOI: https://doi.org/10.1016/j.jtumed.2016.06.007

[8] Cofano SC, Ojukwu D, Mozumdar N, Raza Z, Saigal S, Musku S, et al. Assessing knowledge of symptoms and first-aid care of epilepsy in Grenada, West Indies. Epilepsy Behav. 2017 May;70 Pt A:232–237. DOI: https://doi.org/10.1016/j.yebeh.2017.03.003

[9] Zhao T, Gao Y, Zhu X, Wang N, Chen Y, Zhang J, et al. Awareness, attitudes toward epilepsy, and first aid knowledge of seizures of hospital staff in Henan, China. Epilepsy Behav. 2017 Sep;74:144–148. DOI: https://doi.org/10.1016/j.yebeh.2017.06.026

[10] Alkhotani AM, Almalki WM, Alkhotani AM, Turkistani MA. Makkah female teachers’ knowledge of seizure first aid. Epilepsy Behav. 2019 Sep;98 Pt A:10–13. DOI: https://doi.org/10.1016/j.yebeh.2019.05.047

[11] Kartal A, Akyιldιz A. Public awareness, knowledge, and practice relating to epilepsy among adults in Konya. Epilepsy Behav. 2016 Jun;59:137–41. DOI: https://doi.org/10.1016/j.yebeh.2016.02.006

[12] Roberts RM, Farhana HS. Effectiveness of a first aid information video in reducing epilepsy-related stigma. Epilepsy Behav. 2010 Aug;18(4):474–480. DOI: https://doi.org/10.1016/j.yebeh.2010.06.004

[13] Kolahi AA, Abbasi-Kangevari M, Bakhshaei P, Mahvelati-Shamsabadi F, Tonekaboni SH, Farsar AR. Knowledge, attitudes, and practices among mothers of children with epilepsy: A study in a teaching hospital. Epilepsy Behav. 2017 Apr;69:147–152. DOI: https://doi.org/10.1016/j.yebeh.2016.10.018

[14] AlMuslim N, Aldawood M, Almulhim I, Alhaddad R, AlQahtani A, Almubarak A. Knowledge of epilepsy and seizure first aid among teachers in Eastern Province, Saudi Arabia. Cureus. 2023 Jan;15(1):e33418. DOI: https://doi.org/10.7759/cureus.33418

[15] Alqahtani JM. Knowledge and practice of schoolteachers towards students with epilepsy in Khamis Mushate, Southern Saudi Arabia. J Family Community Med. 2015;22(3):163–168. DOI: https://doi.org/10.4103/2230-8229.163034

[16] Al-Harbi AF, Alsaid LA, Parameaswari PJ. Primary school female teachers’ knowledge, attitude, and practice toward students with epilepsy in Riyadh, Saudi Arabia. J Family Med Prim Care. 2018;7(2):331– 336. DOI: https://doi.org/10.4103/jfmpc.jfmpc_58_18

[17] Kanjo M, Najjar A, Bokhari AY, Alqarni GA, Darwesh EA, Alqarni GS. Knowledge of Epilepsy and seizure first aid among teachers in Jeddah, Saudi Arabia. Epilepsy Behav Rep. 2021 Aug;16:100475. DOI: https://doi.org/10.1016/j.ebr.2021.100475

[18] Al-Dosary AS, AlGhamdi FM, Almutairi BF, Alquwaiz IA, Alsomali AM, Algarni SA, et al. Public awareness of first-aid management of seizures in Saudi Arabia. Epilepsy Behav. 2022 Apr;129:108634. DOI: https://doi.org/10.1016/j.yebeh.2022.108634

[19] Ojinnaka NC. Teachers’ perception of epilepsy in Nigeria: A community-based study. Seizure. 2002 Sep;11(6):386–91. DOI: https://doi.org/10.1053/seiz.2001.0664

[20] Obeid T, Abulaban A, Al-Ghatani F, Al-Malki AR, Al-Ghamdi A. Possession by ‘Jinn’ as a cause of epilepsy (Saraa): A study from Saudi Arabia. Seizure. 2012 May;21(4):245–249. DOI: https://doi.org/10.1016/j.seizure.2012.01.001

[21] Alaqeel A, Sabbagh AJ. Epilepsy; what do Saudi’s living in Riyadh know? Seizure. 2013 Apr;22(3):205– 209. DOI: https://doi.org/10.1016/j.seizure.2012.12.010

[22] Abulhamail AS, Al-Sulami FE, Alnouri MA, Mahrous NM, Joharji DG, Albogami MM, et al. Primary school teacher’s knowledge and attitudes toward children with epilepsy. Seizure. 2014 Apr;23(4):280–283. DOI: https://doi.org/10.1016/j.seizure.2013.12.010

[23] Schaeffer RL, Mendenhall W, Ott L. Elementary Survey Sampling. 4th ed. Belmont (California): Duxbury Press; 1990.

[24] Lh AR, Am Y, Wd AS, As AR, Aa S, Ym A, et al. Saudi teachers’ knowledge and practices related to management of students with epilepsy. Med J Cairo Univ. 2019;87(3):763–768. DOI: https://doi.org/10.21608/mjcu.2019.52534

[25] Alamri S, Alghamdi A, Al Quait A. What Saudi teachers know about epilepsy: A cross-sectional study of Tabuk City. Epilepsy Behav. 2018 Dec;89:169–172. DOI: https://doi.org/10.1016/j.yebeh.2018.10.024

[26] Alkhamra H, Tannous A, Hadidi M, Alkhateeb J. Knowledge and attitudes toward epilepsy among school teachers and counselors in Jordan. Epilepsy Behav. 2012 Aug;24(4):430–434. DOI: https://doi.org/10.1016/j.yebeh.2012.05.004

[27] Tayeb HO. Epilepsy stigma in Saudi Arabia: The roles of mind-body dualism, supernatural beliefs, and religiosity. Epilepsy Behav. 2019 Jun;95:175–180. DOI: https://doi.org/10.1016/j.yebeh.2019.04.022

[28] Guerrini R. Epilepsy in children. Lancet. 2006 Feb;367(9509):499–524. DOI: https://doi.org/10.1016/S0140-6736(06)68182-8