Health priorities and treatment preferences of adults with epilepsy: A narrative literature review with a systematic search

•Seizure frequency is just one of several seizure-related patient priorities.•Health priorities include a range of cognitive, psychological, and physical factors.•Support needs and life goals are important to consider in treatment plans.•An individual’s priorities and goals must be explicitly querie...

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Published in:Epilepsy & behavior Vol. 166; p. 110359
Main Authors: Hill, Chloé E., Vanderboll, Kathryn, Parent, Jack M., Skolarus, Lesli E., Zahuranec, Darin B.
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01.05.2025
Subjects:
Adult
Epilepsy
Epilepsy - psychology
Epilepsy - therapy
Health goals
Health Priorities
Humans
Neurology
Patient Preference
Patient preferences
Patient priorities
Patient-Centered Care
Patient preferences
Patient priorities
Health goals
Epilepsy
Patient-centered care
ISSN:1525-5050, 1525-5069, 1525-5069
Online Access:Get full text
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Summary:•Seizure frequency is just one of several seizure-related patient priorities.•Health priorities include a range of cognitive, psychological, and physical factors.•Support needs and life goals are important to consider in treatment plans.•An individual’s priorities and goals must be explicitly queried, not assumed, to provide patient-centric care. The care of people with epilepsy can be complex. Seizure control is a top priority, however there are other important health-related factors that can impact the well-being of a person with epilepsy. Understanding the range of health priorities and treatment preferences is a critical step in facilitating patient-centered care. In this narrative review, we queried four electronic databases with search terms including patient preferences, needs, priorities, and goals. In total, 20 articles met criteria to be included in the review; these included both quantitative and qualitative analyses of patient responses. Key issues identified were a variety of seizure-specific priorities (such as frequency, duration, severity, warning) and non-seizure medical priorities (such as cognition, mood, physical side effects). Support needs (such as psychological support, improved access to health care) and life goals (such as driving, relationships, work) were also prevalent and emphasized. The range of these findings support the importance of querying individual priorities to promote patient-centered care. Additionally, our results demonstrate that non-medical considerations are an important piece of the illness of epilepsy and should be considered in health care encounters as possible to improve patient outcomes and overall well-being.
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ISSN:1525-5050
1525-5069
1525-5069
DOI:10.1016/j.yebeh.2025.110359