Kilifi Epilepsy Education Program (KEEP): An intervention to reduce the epilepsy treatment gap

ISRCTN ISRCTN35680481
DOI https://doi.org/10.1186/ISRCTN35680481
Protocol serial number 083744; KEMRI/National Ethics Review Committee: 1455
Sponsor University College London (UCL) (UK)
Funder The Wellcome Trust (UK) (grant ref: 083744)
Submission date
08/01/2010
Registration date
11/01/2010
Last edited
24/01/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nervous System Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Ms Caroline Kathomi
Scientific

KEMRI/Wellcome Trust Programme
P.O. Box 230
Kilifi
80108
Kenya

Email ckathomi@kilifi.kemri-wellcome.org

Study information

Primary study designInterventional
Study designSingle centre interventional randomised controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleThe efficacy of an education intervention for people with epilepsy and their caregivers (KEEP): a controlled randomised study
Study acronymKEEP
Study objectivesAn intervention, targeting people with epilepsy (PWE), their caregiver and health care providers, has reduced the epilepsy treatment gap in Kilifi.
Ethics approval(s)KEMRI/National Ethics Review Committee approved on the 6th May 2009 (ref: 1455)
Health condition(s) or problem(s) studiedEpilepsy
InterventionEach person with epilepsy is randomised to received the intervention or act as a control. Those that are allocated to the intervention will have a care giver identifier and this person together with the person with epilepsy will receive education at a designated session, which will be re-enforced at clinical attendance. In addition, the traditional healer that the person with epilepsy may consult will be approached to be involved in the education programme; the education programme includes information on the causes and medical treatment of epilepsy.
Intervention typeOther
Primary outcome measure(s)

Adherence of PWE to antiepileptic drugs (AEDs) as measured by drug levels. Plasma phenobarbital or phenytoin concentrations will be measured using an Abbott TDx FLx fluorescence polarisation immunoassay analyser (Abbott Laboratories, Diagnostic Division, Abbott Park, IL, USA). Therapeutic levels of AEDs will be defined as plasma concentrations ranging between 10 - 40 μg/mL, for both phenobarbital and phenytoin. Detectable levels of AEDs will be defined as plasma concentrations of greater than or equal to 1 μg/ml for both phenobarbital and phenytoin. Assessed at one year and four years after study onset.

Key secondary outcome measure(s)

Assessed at one year and four years after study onset:
1. Seizure frequency, measured by a questionnaire
2. Quality of life of PWE, measured by quality of life questionnaire using Likert scale (0 = not at all, 1 = rarely, 2 = sometimes, 3 = most of the time, 4 = always)
3. Knowledge, beliefs and attitudes about epilepsy, measured by the Epilepsy beliefs and attitude questionnaire using Likert Scale (0 = don’t know, 1 = not at all, 2 = believe a little, 3 = totally believe)

Completion date01/08/2012

Eligibility

Participant type(s)Patient
Age groupOther
SexAll
Target sample size at registration740
Key inclusion criteria1. PWE and their caregivers
2. Both male and female, no age limits
3. Where the person with epilepsy is a child, only caregiver will participate
Key exclusion criteria1. PWE who refuse informed consent
2. Children whose parents refuse informed consent
Date of first enrolment01/08/2009
Date of final enrolment01/08/2012

Locations

Countries of recruitment

  • Kenya

Study participating centre

KEMRI/Wellcome Trust Programme
Kilifi
80108
Kenya

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/02/2014 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes