Multicentric study of adherence to antiseizure medications among adults with epilepsy attended in neurology departments in Burkina Faso
Abstract Objective To study the adherence of antiseizures medication in neurology in the city of Ouagadougou. Patients and Methods We conducted a multicentric cross‐sectional study on adherence to antiseizure medications among adult patients with epilepsy followed by outpatient neurology consultatio...
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| Format: | Article |
| Language: | English |
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Wiley
2025-02-01
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| Series: | Epilepsia Open |
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| Online Access: | https://doi.org/10.1002/epi4.13092 |
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| author | Alfred Anselme Dabilgou Alassane Dravé Julie Marie Adeline Wendlamita Kyelem Adama Kaboré Christian Napon Athanase Millogo Kapouné Karfo Jean Kaboré |
| author_facet | Alfred Anselme Dabilgou Alassane Dravé Julie Marie Adeline Wendlamita Kyelem Adama Kaboré Christian Napon Athanase Millogo Kapouné Karfo Jean Kaboré |
| author_sort | Alfred Anselme Dabilgou |
| collection | DOAJ |
| description | Abstract Objective To study the adherence of antiseizures medication in neurology in the city of Ouagadougou. Patients and Methods We conducted a multicentric cross‐sectional study on adherence to antiseizure medications among adult patients with epilepsy followed by outpatient neurology consultations. The patients were recruited from November 22, 2021 to February 22, 2022 in four departments of neurology. Adherence to antiseizure medications (ASM) was measured using the Morisky Medication Adhesion Scale (MMAS). Logistic regression analysis was used to investigate factors associated with adherence. Results One hundred and seven patients with a mean age of 38.92 ± 16.06 years were included in the study. Most of the patients were men (52.34%). Twenty‐eight patients complied well with ASM (26.17%). The main causes of nonadherence to treatment were forgetfulness and lack of financial means. Factors associated with nonadherence were rural residence (p = 0.023), celibacy or divorce (p = 0.002), low level of education (p = 0.028), perception of stigma (p = 0.026), duration of epilepsy <5 years (p = 0.009). Conclusions Adherence to ASM is low in Burkina Faso. The main causes of nonadherence were forgetting and insufficiency of financial resources. Rural residence, celibacy, or divorce, low level of education, perception of stigmatization, and short duration of epilepsy were associated with non‐adherence. Plain Language Summary Studies on adherence to antiseizure medications are rare in Africa while patients do not have access to adequate treatment. The aim of our study was to evaluate the adherence to antiseizure medications among patients with epilepsy followed by the neurology departments in the city of Ouagadougou. Forgetfulness and financial insufficiency were the main causes of treatment interruption. Our study showed that most of the patients were non adherent. Several factors such as place of residence, level of education, and duration of epilepsy influence the level of compliance. |
| format | Article |
| id | doaj-art-30e71782991d4362ab0012b63ac9dd07 |
| institution | Kabale University |
| issn | 2470-9239 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Epilepsia Open |
| spelling | doaj-art-30e71782991d4362ab0012b63ac9dd072025-02-07T09:12:45ZengWileyEpilepsia Open2470-92392025-02-0110116817610.1002/epi4.13092Multicentric study of adherence to antiseizure medications among adults with epilepsy attended in neurology departments in Burkina FasoAlfred Anselme Dabilgou0Alassane Dravé1Julie Marie Adeline Wendlamita Kyelem2Adama Kaboré3Christian Napon4Athanase Millogo5Kapouné Karfo6Jean Kaboré7Department of Neurology Yalgado Ouedraogo University Hospital Ouagadougou Burkina FasoDepartment of Neurology Ouahigouya Regional University Hospital of Ouahigouya Ouahigouya Burkina FasoDepartment of Neurology Yalgado Ouedraogo University Hospital Ouagadougou Burkina FasoDepartment of Neurology Yalgado Ouedraogo University Hospital Ouagadougou Burkina FasoDepartment of Neurology University Hospital of Bogodogo Ouagadougou Burkina FasoDepartment of Neurology University Hospital Sourou Sanou Bobo‐Dioulasso Burkina FasoDepartment of Psychiatry Yalgado Ouedraogo University Hospital Ouagadougou Burkina FasoDepartment of Neurology Yalgado Ouedraogo University Hospital Ouagadougou Burkina FasoAbstract Objective To study the adherence of antiseizures medication in neurology in the city of Ouagadougou. Patients and Methods We conducted a multicentric cross‐sectional study on adherence to antiseizure medications among adult patients with epilepsy followed by outpatient neurology consultations. The patients were recruited from November 22, 2021 to February 22, 2022 in four departments of neurology. Adherence to antiseizure medications (ASM) was measured using the Morisky Medication Adhesion Scale (MMAS). Logistic regression analysis was used to investigate factors associated with adherence. Results One hundred and seven patients with a mean age of 38.92 ± 16.06 years were included in the study. Most of the patients were men (52.34%). Twenty‐eight patients complied well with ASM (26.17%). The main causes of nonadherence to treatment were forgetfulness and lack of financial means. Factors associated with nonadherence were rural residence (p = 0.023), celibacy or divorce (p = 0.002), low level of education (p = 0.028), perception of stigma (p = 0.026), duration of epilepsy <5 years (p = 0.009). Conclusions Adherence to ASM is low in Burkina Faso. The main causes of nonadherence were forgetting and insufficiency of financial resources. Rural residence, celibacy, or divorce, low level of education, perception of stigmatization, and short duration of epilepsy were associated with non‐adherence. Plain Language Summary Studies on adherence to antiseizure medications are rare in Africa while patients do not have access to adequate treatment. The aim of our study was to evaluate the adherence to antiseizure medications among patients with epilepsy followed by the neurology departments in the city of Ouagadougou. Forgetfulness and financial insufficiency were the main causes of treatment interruption. Our study showed that most of the patients were non adherent. Several factors such as place of residence, level of education, and duration of epilepsy influence the level of compliance.https://doi.org/10.1002/epi4.13092adherenceantiseizure medicationsepilepsypatients with epilepsy |
| spellingShingle | Alfred Anselme Dabilgou Alassane Dravé Julie Marie Adeline Wendlamita Kyelem Adama Kaboré Christian Napon Athanase Millogo Kapouné Karfo Jean Kaboré Multicentric study of adherence to antiseizure medications among adults with epilepsy attended in neurology departments in Burkina Faso Epilepsia Open adherence antiseizure medications epilepsy patients with epilepsy |
| title | Multicentric study of adherence to antiseizure medications among adults with epilepsy attended in neurology departments in Burkina Faso |
| title_full | Multicentric study of adherence to antiseizure medications among adults with epilepsy attended in neurology departments in Burkina Faso |
| title_fullStr | Multicentric study of adherence to antiseizure medications among adults with epilepsy attended in neurology departments in Burkina Faso |
| title_full_unstemmed | Multicentric study of adherence to antiseizure medications among adults with epilepsy attended in neurology departments in Burkina Faso |
| title_short | Multicentric study of adherence to antiseizure medications among adults with epilepsy attended in neurology departments in Burkina Faso |
| title_sort | multicentric study of adherence to antiseizure medications among adults with epilepsy attended in neurology departments in burkina faso |
| topic | adherence antiseizure medications epilepsy patients with epilepsy |
| url | https://doi.org/10.1002/epi4.13092 |
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