Uncovering the Key Influencers of Healthy Lifestyle Behaviors in Patients With Epilepsy: A Cross‐Sectional Study

BACKGROUND: Epilepsy is a chronic neurological disorder that affects daily functioning beyond seizure control. Adopting health-promoting lifestyle behaviors is essential for effective self-management; however, evidence on the key modifiable factors influencing these behaviors in adults with epilepsy remains limited. This study aimed to identify determinants of health-promoting lifestyle behaviors and inform nurse-led lifestyle interventions. METHODS: This cross-sectional descriptive study included 160 adults with epilepsy attending a university hospital in eastern Turkey (November 2023-May 2024). Data were collected using a sociodemographic/clinical questionnaire and the health-promoting lifestyle profile II (HPLP-II), which assesses health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management. Group comparisons were performed using t-tests and one-way ANOVA, and independent predictors of HPLP-II total score were examined using multiple linear regression. RESULTS: = 0.360; F = 3.501, p = 0.001). CONCLUSION: Adults with epilepsy demonstrated only moderate engagement in health-promoting behaviors, with physical activity emerging as the most vulnerable domain. Targeted, nurse-led interventions that include structured lifestyle education, individualized physical activity planning, diet adherence monitoring, and medication adherence counseling may help overcome condition-specific barriers and improve long-term self-management.