From fear to confidence: A comparative study of video-based education and routine counseling on caregivers’ knowledge, attitudes, and practices regarding febrile seizures in children in Pathum Thani Hospital
Keywords:
Febrile seizures, Anxiety, Caregivers, Knowledge, Attitudes and practices (KAP)Abstract
Background: Febrile seizures are frequently observed in children between 6 months and 5 years of age.
While they are generally harmless and sponfaneously resolved on their own, the condition often generates considerable anxiety among caregivers because of misconceptions. Delivering clear and accurate information can improve caregivers’ knowledge, attitudes, and practices (KAP).
Objective: To compare the effectiveness of video-based education with standard hospital-based education in improving caregivers’ KAP regarding febrile seizures in children.
Methods: This experimental study included 96 caregivers of children aged 6 months to 5 years diagnosed with febrile seizures and admitted to Pathum Thani Hospital between September 1, 2024, and July 31, 2025. Caregivers were allocated into two groups: The intervention group (n = 45) received video-based education, and the control group (n = 51) received standard hospital-based health education KAP were assessed using a structured questionnaire administered before and after the intervention.
Results: At baseline, there were no statistically significant differences in KAP scores between the intervention and control groups except frequencies of febrile seizures. Caregivers in the video-based education group demonstrated significantly greater improvements compared with the control group, including higher knowledge scores (23.5-fold increase, p value 0.004), more positive attitudes (74-fold increase, p value < 0.0001), and more appropriate practices (13.4-fold increase, p value 0.003).
Conclusion: Video-based education proved an effective strategy to improve caregivers’ knowledge, promoting positive attitudes and enhancing appropriate practices in the management of febrile seizure among children.
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References
Randel A. AAP updates guidelines for evaluating simple febrile seizures in children. Am Fam Physician. 2011;83:1348–50.
Commission on epidemiology and prognosis, international league against epilepsy. Guidelines for epidemiologic studies on epilepsy. Epilepsia. 1993;34:592-6.
Tsubai T. Epidemiology of febrile and afebrile convulsions in children in Japan. Neurology. 1984;34:175–81.
Hackett R, Hackett L, Bhakta P. Febrile seizures in a south Indian district: Incidence and associations. Dev Med Child Neurol. 1997;39:380–4.
Srinivasa S, Syeda KA, Patel S, Harish S, Bhavya G. Parental knowledge, attitude, and practices regarding febrile convulsion. Int J Contemp Pediatr. 2018;5:515–9.
Tiwari A, Meshram RJ, Singh RK. Febrile seizures in children: A review. Cureus. 2022;14:e31509.
Veisani Y, Delpisheh A, Sayehmiri K. Familial history and recurrence of febrile seizures: A systematic review and meta-analysis. Iran J Pediatr. 2013;23:389–95.
Whelan H, Harmelink M, Chou E, Sallowm D, Khan N, Patil R, et al. Complex febrile seizures: A systematic review. Dis Mon. 2017;63:5–23.
Jamal MM, Ahmed W. To identify the factors affecting the risk of recurrent febrile seizures in Saudi children. Pak Armed Forces Med J. 2015;65:458–63.
Lee SH, Byeon JH, Kim GH, Eun BL, Eun SH. Epilepsy in children with a history of febrile seizures. Korean J Pediatr. 2016;59:74–9.
Chang YC, Guo NW, Huang CC, Lin KL, Chang WN, Wang PJ. Neurocognitive attention and behavior outcome of school-age children with a history of febrile convulsions: A population study. Epilepsia. 2000;41:412–20.
Subcommittee on febrile seizures; american academy of pediatrics. Neurodiagnostic evaluation of the child with a simple febrile seizure. Pediatrics. 2011;127:389–94.
Offringa M, Newton R. Prophylactic drug management for febrile seizures in children. Evid Based Child Health. 2013;8:1376–85.
Leung AKC, Hon KL, Leung TNH. Febrile seizures: An overview. Drugs Context. 2018;7:212536.
Zeglam AM, Alhmadi S, Beshish A. Auditing the attitude and knowledge of parents of children with febrile seizures. Afr J Neurol Sci. 2010;29:3–8.
Paul F, Jones MC, Hendry C, Adair PM. The quality of written information for parents regarding the management of a febrile convulsion: A randomized controlled trial. J Clin Nurs. 2007;16:2308–22.
Kolahi AA, Tahmooreszadeh S. First febrile convulsions: Inquiry about the knowledge, attitudes and concerns of the patients’ mothers. Eur J Pediatr. 2009;168:167–71.
Shibeeb NF, Altufaily YAS. Parental knowledge and practice regarding febrile seizure in their children. Med J Babylon. 2019;16:58–61.
Almousa A, Alshahrani D, Almubarak MS, Alothman A, Alrashoudi AM, Alsharif A, et al. Parents' knowledge, attitude, and practice regarding febrile convulsion in children in Riyadh, Saudi Arabia. Cureus. 2023;15:e47314.
Sajadi M, Khosravi S. Mothers' experiences about febrile convulsions in their children: A qualitative study. Int J Community Based Nurs Midwifery. 2017;5:284–91.
AlZweihary A, Alkhalifah RS, Alrayes RM, Alshutily AS, Alotaibi GA. Knowledge, attitude, and practices of parents of children with febrile convulsion in Al-Qassim, Saudi Arabia. Int J Med Dev Ctries. 2021;5:229–36.
Eta EV, Gaelle AN. Knowledge, attitudes and practices of parents regarding convulsion in children under five years in Muea Community, Cameroon. Pediatr Neonatal Nurs Open J. 2021;7:13–20.
El Sayed HI. Recognition of parents’ knowledge, attitude and practice regarding febrile seizures in children under five. Am J Nurs Res. 2020;8:72–81.
Wassmer E, Hanlon M. Effects of information on parental knowledge of febrile convulsions. Seizure. 1999;8:421–3.
Najimi A, Dolatabadi NK, Esmaeili AA, Sharifirad GR. The effect of educational programs on knowledge, attitude and practice of mothers regarding prevention of febrile seizure in children. J Educ Health Promot. 2013;2:26.
Schnellinger M, Finkelstein M, Thygeson MV, Vander Velden H, Karpas A, Klevens RM. Animated video vs pamphlet: Comparing the success of educating parents about proper antibiotic use. Pediatrics. 2010;125:990–6.
Rovinelli RJ, Hambleton RK. On the use of content specialists in the assessment of criterion-referenced test item validity. Dutch J Educ Res. 1977;2:49-60.
Clements CJ, Williams L, Price R, Wright S. Effectiveness of video-based education on parental understanding of febrile seizures: A randomized trial. J Pediatr Health Care. 2020;34:234–40.
Blacow R, Patel S, D’Souza A. Using visual media to address parental anxiety in febrile seizures: A controlled study. Patient Educ Couns. 2022;105:900–6.
Lee YH, Chen CC, Liao CY, Lin LH, Chiu YY, Ko PC. Home-based health tools improve caregiver confidence and febrile seizure management: A cross-sectional study. BMC Pediatr. 2023;23:58
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