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. 2021 Nov 18:66:645598.
doi: 10.3389/ijph.2021.645598. eCollection 2021.

Long-Term Impact of Single Epilepsy Training on Knowledge, Attitude and Practices: Comparison of Trained and Untrained Rwandan Community Health Workers

Peter Dedeken  1   2   3 , Stephen N Muhumuza  4   5 , Fidele Sebera  1   6   7 , Josiane Umwiringirwa  6 , Leopold Bitunguhari  4 , Hans Tierens  8 , Dirk E Teuwen  1   3 , Paul A J M Boon  1
Affiliations

Long-Term Impact of Single Epilepsy Training on Knowledge, Attitude and Practices: Comparison of Trained and Untrained Rwandan Community Health Workers

Peter Dedeken et al. Int J Public Health. .

Erratum in

Abstract

Objectives: To close the epilepsy treatment gap and reduce related stigma, eradication of misconceptions is importantIn 2014, Community Health Workers (CHWs) from Musanze (Northern Rwanda) were trained on different aspects of epilepsy. This study compared knowledge, attitude and practices (KAPs) towards epilepsy of trained CHWs 3 years after training, to untrained CHWs from Rwamagana (Eastern Rwanda). Methods: An epilepsy KAP questionnaire was administered to 96 trained and 103 untrained CHWs. Demographic and intergroup KAP differences were analysed by response frequencies. A multivariate analyses was performed based on desired and undesired response categories. Results: Epilepsy awareness was high in both groups, with better knowledge levels in trained CHWs. Negative attitudes were lowest in trained CHWs, yet 17% still reported misconceptions. Multivariate analysis demonstrated the impact of the training, irrespective of age, gender and educational level. Knowing someone with epilepsy significantly induced more desired attitudes. Conclusion: Despite demographic differences between trained and untrained CHWs, a single epilepsy training resulted in significant improvement of desired KAPs after 3 years. Nation-wide CHW training programs with focus on training-resistant items, e.g., attitudes, are recommended.

Keywords: attitude; community health workers; epilepsy; knowledge; practices; training.

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Conflict of interest statement

DT was an employee of UCB Pharma at the time of study conduct. PD received consultancy fees from UCB Pharma and Novartis. PB received speaker and consultancy fees from UCB Pharma, LivaNova, and Medtronic, and research grants from the same companies through his institution. HT is an employee of Dataroots NV and received compensation for performing the statistical analysis. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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