The purpose of the study described in this article was to evaluate the extent to which selected behavioral, social, and affective factors contribute to self-reported epilepsy self-efficacy. Participants completed three assessments 3 months apart, with only those completing both the first and second assessments included in this analysis. Self-efficacy scores at the second assessment were regressed on the behavioral, social, and affective characteristics ascertained at the first assessment. The analysis revealed that self-management, depressive symptoms, and seizure severity explain the most variance in self-efficacy; patient satisfaction and stigma are less important predictors; and social support and regimen-specific support are not significant predictors. The results provide direction for identifying people with low levels of self-efficacy and highlighting areas that might help enhance self-efficacy in persons with epilepsy.
Bibliographical noteFunding Information:
This research was supported by Grant R01-NR04770 from the National Institute of Nursing Research and in part by Grant M01-RR01032 from the National Institutes of Health to the Beth Israel Deaconess Medical Center—GCRC. We acknowledge the following members of the Project EASE Study Group: Emory University, Atlanta, GA: Charles M. Epstein, M.D., Page Pennell, M.D., Sandra Helmers, M.D., Sandra Clements, M.S., R.N.; Beth Israel Deaconess Medical Center, Boston, MA: Francis W. Drislane, M.D., Steven C. Schachter, M.D., K.B. Krishnamurthy, M.D., Bernard Chang, M.D., Diane Sundstrom, R.N., BSN, Karyn Geary, R.N., N.P. We would like to acknowledge our friend, colleague, and coauthor, Richard Letz. He was instrumental in the implementation of Project EASE and of the writing of this manuscript. Unfortunately, Rick passed away on April 11, 2006 while the manuscript was under revision. Without his contributions, this manuscript would not have been possible.