1.The Effectiveness Of Home-Based Care Interventions For Stroke Survivors: A Systematic Review Of Physical And Psychological Outcomes
Nur Chayati ; Ismail Setyopranoto ; Christantie Effendy
Malaysian Journal of Public Health Medicine 2020;20(1):199-219
Many people with neurological impairment following stroke prefer home-based care instead of long-term hospitalization. This study aims to identify the physical and psychological outcomes of home-based care after a stroke. The studies were identified by searching the following electronic databases, PubMed, ProQuest, Web of Science, PsyARTICLES, MedLINE, CINAHL, and EBSCO. Twenty-seven articles analyzed and reviewed using the content analysis method. Most physical interventions resulted in increased upper body motor function. The most common equipment were treadmill and computer games. The studies we reviewed highlighted the muscle limb pain and falling as the adverse events that occur during home-based care, but most studies did not systematically document those adverse events. Home-based interventions are particularly effective to improve motor function and reduce anxiety and depression.
2.Effect of Mobile Health Applications on Improving Self-Management Knowledge and Seizure Control in Epilepsy Patients: A Scoping Review
Iin ERNAWATI ; Nanang Munif YASIN ; Ismail SETYOPRANOTO ; Zullies IKAWATI
Healthcare Informatics Research 2024;30(2):127-139
Objectives:
Mobile health app-based interventions are increasingly being developed to support chronic disease management, particularly for epilepsy patients. These interventions focus on managing stress, monitoring drug side effects, providing education, and promoting adherence to medication regimens. Therefore, this scoping review aims to assess how mobile health applications improve epilepsy patients’ knowledge and seizure control, and to identify the features of these apps that are frequently used and have proven to be beneficial.
Methods:
This scoping review was conducted using scientific databases such as ScienceDirect, PubMed, and Google Scholar, adhering to the Joanna Briggs Institute guidelines. The review framework consisted of five steps: identifying research questions, finding relevant articles, selecting articles, presenting data, and compiling the results. The literature search included all original articles published in English from 2013 to 2023.
Results:
Among six articles that discussed mobile applications for epilepsy patients, all featured similar functionalities, including education on epilepsy management and seizure monitoring. Four of the articles highlighted behavioral interventions, such as reminder systems, designed to improve medication adherence. The remaining two articles focused on a side-effect reporting system that enabled doctors or health workers to evaluate and regularly monitor adverse effects.
Conclusions
This scoping review reveals that mobile health applications employing a combination of educational and behavioral interventions for epilepsy patients significantly improve knowledge about patient self-management and medication adherence. These interventions can prevent seizures, increase awareness, enable better activity planning, improve safety, and reduce the frequency of seizures and side effects of antiepileptic drugs.
3.The Role of Pharmacists’ Interventions in Increasing Medication Adherence of Patients With Epilepsy: A Scoping Review
Iin ERNAWATI ; Nanang MUNIF YASIN ; Ismail SETYOPRANOTO ; Zullies IKAWATI
Journal of Preventive Medicine and Public Health 2024;57(3):212-222
Objectives:
Epilepsy is a chronic disease that requires long-term treatment and intervention from health workers. Medication adherence is a factor that influences the success of therapy for patients with epilepsy. Therefore, this study aimed to analyze the role of pharmacists in improving the clinical outcomes of epilepsy patients, focusing on medication adherence.
Methods:
A scoping literature search was conducted through the ScienceDirect, PubMed, and Google Scholar databases. The literature search included all original articles published in English until August 2023 for which the full text was available. This scoping review was carried out by a team consisting of pharmacists and neurologists following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) Extension for Scoping Reviews and the Joanna Briggs Institute guidelines, including 5 steps: identifying research questions, finding relevant articles, selecting articles, presenting data, and compiling the results.
Results:
The literature search yielded 10 studies that discussed pharmacist interventions for patients with epilepsy. Five articles described educational interventions involving drug-related counseling with pharmacists. Two articles focused on similar pharmacist interventions through patient education, both verbal and written. Three articles discussed an epilepsy review service, a multidisciplinary intervention program involving pharmacists and other health workers, and a mixed intervention combining education and training with therapy-based behavioral interventions.
Conclusions
Pharmacist interventions have been shown to be effective in improving medication adherence in patients with epilepsy. Furthermore, these interventions play a crucial role in improving other therapeutic outcomes, including patients’ knowledge of self-management, perceptions of illness, the efficacy of antiepileptic drugs in controlling seizures, and overall quality of life.
4.The efficacy of pulsed radiofrequency intervention of the lumbar dorsal root ganglion in patients with chronic lumbar radicular pain
Anita Marliana ; Yudiyanta Siswohadiswasana ; Subagya Dipa Wiharja ; Ismail Setyopranoto ; Indarwati Setyaningsih ; Cempaka Thursina Srie ; Riky Setyawan ; Sholahuddin Rhatomy
The Medical Journal of Malaysia 2020;75(2):124-129
Introduction: In recent years, pulsed radiofrequency (PR)
has been used as a minimally invasive pain intervention.
However, various studies on the efficacy of PR as modalities
for the treatment of radicular pain in lumbar disc herniation
have had varied results. Objective: This study aims to
determine the efficacy of PR in reducing radicular pain
among lumbar disc herniation patients compared with
conservative treatment.
Methods: This study was conducted using the before-andafter quasi experimental design. There were 50 subjects that
fulfilled the inclusion and exclusion criteria and they were
divided into an intervention group (n=25) and control group
(n=25). The intervention group was given once PR in the
dorsal root ganglion. All subjects were assessed for Visual
Analog Scale (VAS) and Oswestry Disability Index (ODI)
before treatment, at 1- , 2- and 4-week after treatment.
Results: At1-, 2- and 4-week, the VAS reduction in the
intervention group was statistically significant compared to
the control group. Four weeks after the intervention, the VAS
score decreased in the intervention group (mean VAS -78.5,
SD 16.8) more significantly compared to the control group
(p<0.001). The ODI score decreased in the intervention
group (mean ODI -61.8, SD 20.1) more significantly than in
the control group (p<0.001).
Conclusion: Finding showed that at1- , 2- and 4-weekPR was
more efficacious in reducing radicular pain among lumbar
disc herniation patients compared to the conservative
therapy.