A model-based approach to understanding school status of students with epilepsy

This study constitutes a preliminary test of a theoretical model proposed by Sexson and Madan-Swain to explain the school status of students with epilepsy. Sixty-six classroom teachers participated in the study, as did 74 of their students with epilepsy. Three predictor variables-teachers' attitude towards persons with epilepsy, teachers' training in instructing students with epilepsy, and students' seizure frequency-were examined. Consistent with the model, the three variables collectively predicted attendance (F = 54.48, p<.001, R2 = 0.70), reading (F = 21.40, p<.001, R2 = .48), math (F = 12.61, p<.001, R2 = 0.35), writing (F = 12.61, p<.001, R2 = 0.35), and special education usage (χ2 = 30.96, p<.001). Moreover, both seizure frequency and teachers' attitude, but not teachers' training, uniquely predicted some outcome variables. Limitations and potential advantages of the model are discussed.

Knowledge about epilepsy and confidence in instructing students with epilepsy: teachers' responses to a new scale

Knowledgeable and confident teachers are crucial for students with epilepsy. In this study, 91 current teachers of a student with epilepsy (CTs) and 203 teachers in general (TiGs) were surveyed using a new scale. CTs knew more school-relevant epilepsy facts than TiGs, even after controlling for special education background, F(1, 293)=5.75, P=0.017, η(2)=0.02. Both groups of teachers, however, knew less than one-half of the facts (means=10.6 [CTs] 8.7 [TiGs] of 25 items). CTs also expressed greater confidence than TiGs in their ability to meet an array of instructional, safety, and psychosocial requirements, even when between-group differences in teachers' background in special education were controlled, F(1, 293)=34.97, P<0.001, η(2)=0.11. Still, neither group communicated a high absolute level of confidence. As expected, more knowledgeable teachers expressed greater confidence (r=0.43, P<0.001). Results suggest that some facts about epilepsy require additional dissemination to educators.

Epilepsy in children with intellectual disability in Bosnia and Herzegovina: effects of sex, level and etiology of intellectual disability

The purpose of this study was to examine the occurrence of epilepsy in children with intellectual disability. An additional goal was to determine if there were statistical differences in the occurrence of epilepsy related to the sex, level and etiology of intellectual disability of children. The sample consisted of 167 children with intellectual disability attending two special education schools in Sarajevo, Bosnia and Herzegovina. The method for data collection was the examination of the children's medical records. A chi-square test was performed to determine if there were any significant differences in the occurrence of epilepsy among different categories of children with intellectual disability. Additionally, Phi coefficient and Cramer V coefficient were calculated to determine the strength of association. The occurrence of epilepsy in children with intellectual disability is high and certain etiological categories are associated with an even higher risk of epilepsy. The study confirmed a high occurrence of epilepsy in children with intellectual disability. Some psycho-educational implications of epilepsy were discussed and in the future there should be better cooperation between medical and educational institutions in treating the bio-psycho-social issues of a child with epilepsy.