Journals / Bilecik Şeyh Edebali Üniversitesi Sağlık Bilimleri Fakültesi Dergisi / 2026 / Volume: 4 Issue: 1

The Effect of Educational Interventions on Teachers' Knowledge and Attitudes Towards Epilepsy: A Systematic Review and Meta-Analysis

Öğretmenlerin Epilepsiye Yönelik Bilgi ve Tutumlarına Eğitimsel Müdahalelerin Etkisi: Sistematik Derleme ve Meta Analiz

Fulya Merve Kos(BİLECİK ŞEYH EDEBALİ ÜNİVERSİTESİ)0000-0002-3264-4586
Murat Bektaş(DOKUZ EYLUL UNIVERSITY, FACULTY OF NURSING)0000-0003-3327-8204
Dijle Ayar(ALANYA ALAADDIN KEYKUBAT UNIVERSITY)0000-0001-5196-2355
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Publication Date
2026-01-01
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Overall effect size, heterogeneity tests, publication bias and sensitivity analyses were performed with the random effects model.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This study was conducted to evaluate the effect of educational interventions on teachers' knowledge and attitudes towards epilepsy.
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Key Findings & Data:A comprehensive literature search was conducted between January 2000 and July 2024 (Cochrane, Pubmed, Science Direct, Web of science, EBSCOHost, Embase/Elsevier ve Google Scholar).
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Conclusion & Impact:Overall effect size, heterogeneity tests, publication bias and sensitivity analyses were performed with the random effects model.
🔬Design:Modeling & Simulation
📍Scope:2000 Verileri
⚙️Variables:teacher · epilepsy · knowledge

Abstract

This study was conducted to evaluate the effect of educational interventions on teachers' knowledge and attitudes towards epilepsy. A comprehensive literature search was conducted between January 2000 and July 2024 (Cochrane, Pubmed, Science Direct, Web of science, EBSCOHost, Embase/Elsevier ve Google Scholar). Word combinations of “teacher”, “epilepsy”, “knowledge”, “attitude” and “educational interventions” were used in the search process. Overall effect size, heterogeneity tests, publication bias and sensitivity analyses were performed with the random effects model. Comprehensive Meta- Analysis software (CMA 3.0) was used for data analysis. According to the homogeneity test results, Q, I2 and Tau values for knowledge were 205.797- 98.056 and 2.331, p<0.01, respectively, and for attitude were 36.001 - 91.667 and 0.193, p<0.01, respectively. According to the results, considering the average effect sizes within 95% CI, it was seen that the educational interventions applied to teachers had a positive and high effect size on teachers' knowledge and attitudes towards epilepsy (p<0.05). There is strong evidence that educational interventions for teachers increase teachers' knowledge and positively change their attitudes towards epilepsy.

Özet

Bu çalışma öğretmenlere uygulanan eğitimsel müdahalelerin öğretmenlerin epilepsiye yönelik bilgi ve tutumlarına etkisini değerlendirmek amacıyla yapılmıştır. Çalışma için Ocak 2000 ile Temmuz 2024 tarihleri arasında kapsamlı bir literatür taraması yapılmıştır (Cochrane, Pubmed, Science Direct, Web of science, EBSCOHost, Embase/Elsevier ve Google Scholar). Arama sürecinde “öğretmen”, “epilepsi”, “bilgi”, “tutum” ve “eğitim müdahaleleri” kelime kombinasyonları kullanılmıştır. Genel etki büyüklüğü, heterojenlik testleri, yayın yanlılığı ve duyarlılık analizleri rastgele etkiler modeli ile gerçekleştirilmiştir. Veri analizi için Comprehensive Meta-Analysis software (CMA 3.0) kullanılmıştır. Homojenlik testi sonuçlarına göre bilgi için Q, I2 ve Tau değerleri sırasıyla 205,797- 98,056 ve 2,331, p<0.01, tutum için ise sırasıyla 36,001- 91,667 ve 0,193, p<0.01 olarak hesaplanmıştır. Yayın yanlılığı testi sonucu her iki değişken için de yayın yanlılığının olmadığı belirlenmiştir. Sonuçlara göre, %95 GA içindeki ortalama etki büyüklükleri dikkate alındığında öğretmenlere uygulanan eğitimsel müdahalelerin öğretmenlerin epilepsiye yönelik bilgi ve tutumlarına pozitif ve yüksek düzeyde bir etki büyüklüğüne sahip olduğu belirlenmiştir (p<0,05). Öğretmenlere yönelik uygulanan eğitimsel müdahalelerin öğretmenlerin epilepsiye yönelik bilgisini arttırdığına ve tutumunu olumlu yönde değiştirdiğine dair güçlü kanıtlar bulunmaktadır.

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Cite This Article

Kos, F. M., Bektaş, M., Ayar, D. (2026). The Effect of Educational Interventions on Teachers' Knowledge and Attitudes Towards Epilepsy: A Systematic Review and Meta-Analysis. Bilecik Şeyh Edebali Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, Volume: 4 Issue: 1. https://doi.org/10.61535/bseusbfd.1548404

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References (52)

  1. Abou, Khaled, K. J., Ibrahim, M. I., & Moussa, R. F. (2020). Impact of epilepsy training on school teachers and counselors: An intervention study in Lebanon. Epilepsy & behavior reports, 14, 100-365. https://doi.org/10.1016/j.ebr.2020.100365
  2. Al-Hashemi, E., Ashkanani, A., Al-Qattan, H., Mahmoud, A., Al-Kabbani, M., Al-Juhaidli, A.,. Al-Hashemi, Z. (2016). Knowledge about Epilepsy and Attitudes toward Students with Epilepsy among Middle and High School Teachers in Kuwait. International Journal of Pediatrics, 5138952. https://doi.org/10.1155/2016/5138952
  3. Alkhotani, A.M. (2022). Teachers and Epilepsy in Saudi Arabia: Gaps in Knowledge and Potential Roles, International Journal of General Medicine, (15), 795-801. https://doi.org/10.2147/IJGM.S349302
  4. AlMuslim, N., Aldawood, M., Almulhim, I., Alhaddad, R., AlQahtani, A., & Almubarak, A. (2023). Knowledge of Epilepsy and Seizure First Aid Among Teachers in Eastern Province, Saudi Arabia. Cureus 15(1), e33418. https://doi.org/10.7759/cureus.33418
  5. Aydın, K., & Yıldız, H. (2007). Teachers' perceptions in Central Turkey concerning epilepsy and asthma and the short-term effect of a brief education on the perception of epilepsy. Epilepsy&Behavior, 10(2), 286-290. https://doi.org/10.1016/j.yebeh.2006.09.012
  6. Bakioğlu, A., & Özcan, Ş. (2016) Meta-analiz. Ankara: Nobel Akademi Yayıncılık; 2016.
  7. Balakrishna, P. N., Souza, A., & Thomas, N. (2016). Effectiveness of Video Assisted Teaching Programme on Epilepsy in Children among the Primary School Teachers in the Selected Schools of Udupi District. International Journal of Nursing Education, 8(3), 126-129. https://doi.org/10.5958/0974- 9357.2016.00103.3
  8. Bekiroğlu, N., Özkan R., Gürses C., Arpacı B., & Dervent A. (2004). A study on awareness and attitude of teachers on epilepsy in Istanbul. Seizure, 13(7), 517-22. https://doi.org/10.1016/j.seizure.2003.12.007
  9. Behre, T., Yihun, B., Abebe, E., & Abera, H. (2017). Knowledge, attitude, and practice about epilepsy among teachers at Ethio- National School, Addis Ababa, Ethiopia. Epilepsy&Behavior, (70), 150-3. https://doi.org/10.1016/j.yebeh.2017.02.009
  10. Borenstein, M. (2022). Comprehensive meta‐analysis software. Systematic reviews in health research: meta‐analysis in context, 535-548. https://doi.org/10.1002/9781119099369.ch27
  11. Buccheri, T., & Quattropani, M.C. (2015). Perception of, attitude toward and knowledge of epilepsy among teachers and high school and college students in Sicily. Epilepsy&Behavior, (53), 43-50. https://doi.org/10.1016/j.yebeh.2015.09.033
  12. Buršíková-Brabcová, D., Kohout, J., Bílková, Z., & Jošt, J. (2023). Knowledge of and attitudes towards epilepsy among homeroom teachers of children with epilepsy in the Czech Republic. Epilepsy&behavior, 144, 109284. https://doi.org/10.1016/j.yebeh.2023.109284
  13. Cooper, H. (2016). Research synthesis and meta-analysis: A step-bystep approach. Thousand Oaks, Kaliforniya: Sage Publications.
  14. Cumming, G. (2012). Understanding the New Statistics. Routledge, Taylor and Francis Group, New York. Deeks, J. J., Higgins, J. P., Altman, D. G., & Cochrane Statistical Methods Group. (2019). Analysing data and undertaking meta‐analyses. Cochrane handbook for systematic reviews of interventions, 241-284. https://doi.org/10.1002/9781119536604.ch10
  15. Dinçer, S. (2014). Eğitim bilimlerinde uygulamalı meta-analiz. Ankara: Pegem A Yayıncılık.
  16. Dumeier, H. K., Neininger, M. P., Bernhard, M. K., Merkenschlager, A., Kiess, W., Bertsche T., & Bertsche A. (2017). Providing teachers with education on epilepsy increased their willingness to handle acute seizures in children from 1-10 years of age. Acta Paediatr, 106(11), 1811-6. https://doi.org/10.1111/apa.13938
  17. Ellis, P. D. (2012). The Essential Guide to Effect Sizes (5th edition). Cambridge University Press, Cambridge-UK, 2012.
  18. Elmazny, A., Alzayani, S., Shehata, M. H., & Magdy, R. (2023). Knowledge, awareness, and attitudes towards epilepsy among elementary schoolteachers in the Kingdom of Bahrain. European journal of paediatric neurology. Journal of the European Paediatric Neurology Society, 47, 13-17. https://doi.org/10.1016/j.ejpn.2023.08.001
  19. Eltibi, R., & Shawahna R., (2022). Knowledge and attitudes of physical educators toward epilepsy and students with epilepsy: A cross-sectional study from Palestine. Epilepsy&behavior: 126, 108460. https://doi.org/10.1016/j.yebeh.2021.108460
  20. Eze, C. N., Ebuehi, O.M., Brigo, F., Otte, W.M, & Igwe, S.C. (2015). Effect of health education on trainee teachers' knowledge, attitudes, and first aid management of epilepsy: an interventional study. Seizure, 33, 46-53. https://doi.org/10.1016/j.seizure.2015.10.014
  21. Farouk, S. (2017). Effect of Nursing Intervention on Improving Intellectual Education Teachers' Performance toward Students with Epilepsy. Nur Primary Care. 1(5), 1-10. https://doi.org/10.33425/2639-9474.1032
  22. Fernandes, P. T., Noronha, A. L., Araújo, U., Cabral, P., Pataro R., Boer H., Prilipko, L.,. Li, L. (2007). Teachers perception about epilepsy. Arq Neuropsiquiatr, 65, 28-34. https://doi.org/10.1590/s0004-282x2007001000005
  23. Fong, C. Y., Foo, J. C., Nie Kong, A., Rithauddin, A. M., Adnan, A., Lin, P., & Hui Ng, K. (2018). Improving awareness, knowledge and attitude of epilepsy using an Interactive Animated Epilepsy Education Programme (IAEEP) among Malaysian teachers and students. NeurologyAsia, 23(4).
  24. Girma, B., Nigussie, J., Tamir, T., & Bekele, E. (2022). Public knowledge toward Epilepsy and its determinants in Ethiopia: A systematic review and meta-analysis. Epilepsy&Behavior, 133, 108764. https://doi.org/10.1016/j.yebeh.2022.108764
  25. Goel, S., Singh, N., Lal, V., & Singh, A. (2014). Evaluating the impact of comprehensive epilepsy education programme for school teachers in Chandigarh city, India. Seizure, 23(1), 41. https://doi.org/10.1016/j.seizure.2013.09.010
  26. Higgins, J.P., Thompson, S.G., Deeks, J.J., & Altman, D.G. (2003). Measuring inconsistency in meta analyses. BMJ; 327, 557- 60. https://doi.org/10.1136/bmj.327.7414.557
  27. Idrıssi, A., Lamkaddem, A., Boujraf, S., & Souirti, Z. (2020). Awareness and attitudes toward persons with epilepsy among teachers: A Moroccan study. Epilepsy&Behavior, 102, January. https://doi.org/10.1016/j.yebeh.2019.106633
  28. Jain, V., Sharma, R., & Singh, S. (2012). Doing meta-analysis in research: a systematic approach. Indian J Dermatol VenereolLeprol, 78, 242-50. https://doi.org/10.4103/0378-6323.95438
  29. Johnson, E. C., Atkinson, P., Muggeridge, A., Cross, J. H., & Reilly, C. (2023). Knowledge about, and Attitudes towards epilepsy among school staff: A UK-based survey. Epilepsy research, 192, 107116. https://doi.org/10.1016/j.eplepsyres.2023.107116
  30. Jones, C., Atkinson, P., Helen Cross, J., & Reilly, C. (2018). Knowledge of and attitudes towards epilepsy among teachers: A systematic review. Epilepsy&Behavior, 87, 59-68. https://doi.org/10.1016/j.yebeh.2018.06.044
  31. Kampra, M., Tzerakis, N.G., Losidis, S., Katsarou, E., Voudris, K., Mastroyianni, S.,. Gatzonis S. (2016). Teachers’ knowledge about epilepsy in Greece: Information sources and attitudes towards children with epilepsy during school time. Epilepsy&Behavior, 60, 218-24. https://doi.org/10.1016/j.yebeh.2016.04.004
  32. Karabulut, N., & Abi, Öz. (2022). Primary school teachers’ health literacy levels, knowledge, and attitudes toward childhood Epilepsy. Epilepsy&Behavior, (127) https://doi.org/10.1016/j.yebeh.2021.108511
  33. Khanal, K., Maharjan, R., Pokharel, B., & Sanjel, S. (2015). School Teachers’ Knowledge about Epilepsy in Kathmandu Metropolitan City. Kathmandu Univ Med J;13(4):316-22. https://doi.org/10.3126/kumj.v13i4.16830
  34. Kumari, V., & Patlia, M. (2024). Knowledge and Attitude of Schoolteachers on Epilepsy: Gaps & Interventions. Available at SSRN 4851989. https://dx.doi.org/10.2139/ssrn.4851989
  35. Makhado, T. G., Sepeng, N. V., & Makhado, L. (2024). A systematic review of the effectiveness of epilepsy education programs on knowledge, attitudes, and skills among primary school learners. Frontiers in Neurology, 15, 1356920. https://doi.org/10.3389/fneur.2024.1356920
  36. Mecarelli, O., Messina, P, Capovilla, G., Michelucci, R., Romeo, A., & Beghi, E. (2015). An educational campaign about epilepsy among Italian primary school teachers. 2. The results of a focused training program. Epilepsy&Behavior, (42), 93-7. https://doi.org/10.1016/j.yebeh.2014.07.022
  37. Moher, D., Liberati, A., Tetzlaff, J., & Altman, D.G. (2009). The PRISMA Group. Preferred reporting items for systematic reviews and metaanalyses: The PRISMA Statement. PLOS Medicine, 6, e1000097. https://doi.org/10.1371/journal.pmed.1000097
  38. Murthy, M. K. S., Rajaram, P., Mudiyanuru, K. S., Palaniappan, M., Govindappa, L., & Dasgupta, M. (2019). Potential for Increased Epilepsy Awareness: Impact of Health Education Program in Schools for Teachers and Children. Journal of neurosciences in rural practice, 11(1), 119-124. https://doi.org/10.1055/s-00393399479
  39. Özpulat, F, & Sivri, B. (2013). Knowledge, attitudes and behaviors of the teachers teaching at primary schools about epilepsy. Epilepsi, 19(2), 71-8. https://doi.org/10.5505/epilepsi.2013.68542
  40. Renzetti, T., Calabrese, C., Pietrafusa, N., Pannacci, I., Rainò, R., Giuffrida, A.,. Vigevano, F. (2020). Management of epileptic seizures in school-age children: Educational project dedicated to school staff. Epilepsy&Behavior, 105, 106951. https://doi.org/10.1016/j.yebeh.2020.106951
  41. Sansa, E., Fray, S., Jamoussi, H., Chebbi, S., Mahmoud M., Ali N., & Fredj M., (2021). Knowledge and attitudes toward epilepsy among teachers in Tunisia. Epilepsy& Behavior. (123), https://doi.org/10.1016/j.yebeh.2021.108260
  42. Savarese, G., Carpinelli, L., D’Elia, D., & Coppola, G. (2015). Teachers of various school grades and representations of epilepsy: problems, relational aspects and perspectives of life quality. Italian Journal of Pediatrics, 41, 70. https://doi.org/10.1186/s13052-015-0177-8
  43. Sulena, S., Singh, G., Tyagi, D., Bansal, N., Padda, P., Garg, R.,. Kumar, N. (2023). Epilepsy Smart Schools: Educational intervention improves knowledge, attitude, and practices regarding epilepsy among school teachers. Epilepsy&Behavior, 141, 109-138. https://doi.org/10.1016/j.yebeh.2023.109138
  44. The Joanna Briggs Institute (JBI) (2020). Critical Appraisal tools for use in JBI Quasi- Experimental Studies. Last Accessed Date: 14.07.2024. Available from: https://jbi.global/critical-appraisal-tools
  45. Üçer, H., Sucaklı, M. H., Çelik, M., & Keten H. S. (2016). Primary school teachers' knowledge, attitudes and behaviors about childhood epilepsy. Cukurova Medıcal Journal, 41(3), 491-497. https://doi.org/10.17826/cukmedj.237491
  46. World Health Organization (WHO) (2023). Epilepsy. Available at https://www.who.int/news-room/fact-sheets/detail/epilepsy [Date of Access: 18.04.2024].
  47. Yang L.,Lu Q., Tang W., Ji J., Tang P., Jiang J., Li D., & Quan Y. (2021). Teachers’ experiences of managing children with epilepsy in school: A qualitative study. Epilepsy&Behavior, 121, 108039. Volume 121, Part A, August 2021. https://doi.org/10.1016/j.yebeh.2021.108039
  48. Al-Hashemi, E., Ashkanani, A., Al-Qattan, H., Mahmoud, A., Al-Kabbani, M., Al-Juhaidli, A.,. Al-Hashemi, Z. (2016). Knowledge about Epilepsy and Attitudes toward Students with Epilepsy among Middle and High School Teachers in Kuwait. International Journal of Pediatrics, 5138952. https://doi.org/10.1155/2016/5138952
  49. Fernandes, P. T., Noronha, A. L., Araújo, U., Cabral, P., Pataro R., Boer H., Prilipko, L.,. Li, L. (2007). Teachers perception about epilepsy. Arq Neuropsiquiatr, 65, 28-34. https://doi.org/10.1590/s0004-282x2007001000005
  50. Kampra, M., Tzerakis, N.G., Losidis, S., Katsarou, E., Voudris, K., Mastroyianni, S.,. Gatzonis S. (2016). Teachers’ knowledge about epilepsy in Greece: Information sources and attitudes towards children with epilepsy during school time. Epilepsy&Behavior, 60, 218-24. https://doi.org/10.1016/j.yebeh.2016.04.004
  51. Renzetti, T., Calabrese, C., Pietrafusa, N., Pannacci, I., Rainò, R., Giuffrida, A.,. Vigevano, F. (2020). Management of epileptic seizures in school-age children: Educational project dedicated to school staff. Epilepsy&Behavior, 105, 106951. https://doi.org/10.1016/j.yebeh.2020.106951
  52. Sulena, S., Singh, G., Tyagi, D., Bansal, N., Padda, P., Garg, R.,. Kumar, N. (2023). Epilepsy Smart Schools: Educational intervention improves knowledge, attitude, and practices regarding epilepsy among school teachers. Epilepsy&Behavior, 141, 109-138. https://doi.org/10.1016/j.yebeh.2023.109138