A Comparative Study of Knowledge, Attitude, and Practice Toward Epilepsy in Nursing Students vs. Caregivers of People with Epilepsy

Abstract Introduction: India contributes to one-sixth of epilepsy cases worldwide. However, there is a large treatment gap, varying from 22% in urban areas to 90% in rural areas. The cause is multifactorial, and one of the main confounders is poor primary care. This study aims to assess the knowledge, attitude, and practice (KAP) of nursing students (NSs) and caregivers of people with epilepsy (PWE). Materials and Methods: A total of 100 NSs and 100 caregivers were screened using a validated KAP questionnaire. The data was collected and then analyzed. Results: The knowledge about epilepsy was poor among both groups. The attitude in both subgroups was negative in multiple domains. Approximately 0–40% of subjects in both groups felt that PWE are incompetent to work, marry, or have children. They lacked education about the management of seizures and still answered that first aid may involve putting a spoon or water in the mouth, making the patient smell/onion/shoes, or tying the patient up. Surprisingly, nearly 5–15% of subjects in both groups believed that a Tantrik could cure epilepsy. Conclusion: Among the pillars of the healthcare system, the two core supports of primary healthcare are first responders like family members/caregivers and nursing faculty. This study highlights poor KAP for epilepsy among these two important subgroups. The need of the hour is incorporating practical education and awareness to strengthen these strata.