Knowledge, Attitude, and Practice (KAP) of School Teachers regarding Epilepsy and their Impact on Student Dropout and Learning in Jammu and Kashmir (J&K), India
DOI:
https://doi.org/10.48165/ijrse.2025.5.2.4Keywords:
Epilepsy, Inclusive Education, Teacher Attitudes, Knowledge Gaps, Stigma, J&K, Teacher Training, Student Dropout, Educational Interventions, Health Monitoring SystemsAbstract
Background: Epilepsy, a chronic neurological condition affecting millions worldwide, presents unique educational and social challenges, particularly in regions with limited awareness and Institutional support. These challenges are exacerbated by stigma, misconceptions, and systemic gaps in addressing the needs of students with epilepsy. Objectives: To assess the knowledge, attitudes, and practices of the school teachers in J&K, the northern-most region of India, towards students with epilepsy and identify barriers to inclusive education. Methods: A cross-sectional study was conducted among 550 school teachers in the J&K Union Territory (UT). Data were collected using a modified version of the Attitude Towards Patients with Epilepsy (ATPE) scale to evaluate teachers’ preparedness, attitudes, and systemic support for students with epilepsy. Results: The study revealed significant knowledge deficits and prevalent misconceptions about epilepsy among teachers. While 84% of participants reported awareness of epilepsy, many lacked detailed knowledge about its causes, symptoms, and modern treatments. Misconceptions included beliefs that epilepsy is caused by supernatural forces or is transmissible through physical contact. Attitudinal analysis showed mixed perspectives, with 40.5% of teachers agreeing that epileptic students should be taught in separate classrooms. The dropout rate among epileptic students was documented at an alarming 55%, primarily due to stigma, health-related challenges, and inadequate educational support. Conclusion: This study highlights the urgent need for comprehensive teacher training programs, awareness campaigns, and policy-driven interventions to address stigma, bridge knowledge gaps, and promote inclusive education. By fostering a supportive environment, these measures can improve academic and social outcomes for students with epilepsy in the J&K UT and similar global contexts.
References
McNamara, J.O., Emerging insights into the genesis of epilepsy. Nature, 1999. 399(6738 Suppl): p. A15-22. DOI: https://doi.org/10.1038/399a015
Moshé, S.L., et al., Epilepsy: new advances. Lancet, 2015. 385(9971): p. 884-98. DOI: https://doi.org/10.1016/S0140-6736(14)60456-6
Lee, H., et al., Familiarity with, knowledge of, and attitudes toward epilepsy among teachers in Korean elementary schools. Epilepsy Behav, 2010. 17(2): p. 183-7. DOI: https://doi.org/10.1016/j.yebeh.2009.11.013
Ngugi, A.K., et al., Incidence of epilepsy: a systematic review and meta-analysis. Neurology, 2011. 77(10): p. 1005-12. Singh, G., et al., Prevalence of Seizure Disorder in School Children in Kashmir. International Journal of Contemporary Medicine, Surgery and Radiology, 2019. 4.
Khan, A., et al., Treatments and perceptions of epilepsy in Kashmir and the United States: a cross-cultural analysis. Epilepsy Behav, 2004. 5(4): p. 580-6. DOI: https://doi.org/10.1016/j.yebeh.2004.04.014
Koul, R., S. Razdan, and A. Motta, Prevalence and pattern of epilepsy (Lath/Mirgi/Laran) in rural Kashmir, India. Epilepsia, 1988. 29(2): p. 116-22. DOI: https://doi.org/10.1111/j.1528-1157.1988.tb04406.x
Khan, A.U., et al., Awareness and current knowledge of epilepsy. Metab Brain Dis, 2020. 35(1): p. 45-63. DOI: https://doi.org/10.1007/s11011-019-00494-1
Bhat, R.A., et al., Prevalence of epilepsy in Kashmir: A community based study. Journal of Clinical Neuroscience, 2010. 17(5): p. 634-637. DOI: https://doi.org/10.1016/j.jocn.2009.08.008
Fisher, R.S., Epilepsy and the stigma of illness. Epilepsia, 2014. 55(4): p. 498-500. DOI: https://doi.org/10.1111/epi.12585
Fisher, R.S., et al., ILAE official report: a practical clinical definition of epilepsy. Epilepsia, 2014. 55(4): p. 475-82. DOI: https://doi.org/10.1111/epi.12550
Sahu, J.K. and J.M.K. Murthy, School Children with Epilepsy: A Need for Telehealth Enabled Epilepsy Smart School Program. Indian Journal of Pediatrics, 2024. DOI: https://doi.org/10.1007/s12098-024-05283-y
Sulena, S., et al., Epilepsy Among School-Children in a Rural District in Northwest India: Prevalence Estimates Using Three Different Approaches. Indian J Pediatr, 2024. DOI: https://doi.org/10.1007/s12098-024-05245-4
Amudhan, S., G. Gururaj, and P. Satishchandra, Epilepsy in India I: Epidemiology and public health. Ann Indian Acad Neurol, 2015. 18(3): p. 263-77. DOI: https://doi.org/10.4103/0972-2327.160093
Amudhan, S., G. Gururaj, and P. Satishchandra, Epilepsy in India II: Impact, burden, and need for a multisectoral public health response. Ann Indian Acad Neurol, 2015. 18(4): p. 369-81. DOI: https://doi.org/10.4103/0972-2327.165483
Fitts, W., et al., School status and its associations among children with epilepsy in the Republic of Guinea. Epilepsy Behav, 2019. 97: p. 275-281. DOI: https://doi.org/10.1016/j.yebeh.2019.05.040
Bekiroğlu, N., et al., A study on awareness and attitude of teachers on epilepsy in Istanbul. Seizure, 2004. 13(7): p. 517-22. DOI: https://doi.org/10.1016/j.seizure.2003.12.007
Mecarelli, O., et al., An educational campaign about epilepsy among Italian primary school teachers. 2. The results of a focused training program. Epilepsy Behav, 2015. 42: p. 93-7. DOI: https://doi.org/10.1016/j.yebeh.2014.07.022
Al-Hashemi, E., et al., Knowledge about Epilepsy and Attitudes toward Students with Epilepsy among Middle and High School Teachers in Kuwait. Int J Pediatr, 2016. 2016: p. 5138952. DOI: https://doi.org/10.1155/2016/5138952
Mushi, D., et al., Social-cultural aspects of epilepsy in Kilimanjaro Region, Tanzania: knowledge and experience among patients and carers. Epilepsy Behav, 2011. 20(2): p. 338-43. DOI: https://doi.org/10.1016/j.yebeh.2010.11.016
Baskind, R. and G.L. Birbeck, Epilepsy-associated stigma in sub Saharan Africa: the social landscape of a disease. Epilepsy Behav, 2005. 7(1): p. 68-73. DOI: https://doi.org/10.1016/j.yebeh.2005.04.009
Ezeala-Adikaibe, B.A., et al., Knowledge, attitude and practice towards epilepsy among secondary school students in Enugu, southeast Nigeria. Seizure, 2013. 22(4): p. 299-302. DOI: https://doi.org/10.1016/j.seizure.2013.01.016
Thacker, A.K., et al., Knowledge awareness and attitude about epilepsy among schoolteachers in India. Seizure, 2008. 17(8): p. 684-90. DOI: https://doi.org/10.1016/j.seizure.2008.04.007
Kaddumukasa, M., et al., Community knowledge of and attitudes toward epilepsy in rural and urban Mukono district, Uganda: A cross-sectional study. Epilepsy Behav, 2016. 54: p. 7-11. DOI: https://doi.org/10.1016/j.yebeh.2015.10.023
Alkhamra, H., et al., Knowledge and attitudes toward epilepsy among school teachers and counselors in Jordan. Epilepsy Behav, 2012. 24(4): p. 430-4. DOI: https://doi.org/10.1016/j.yebeh.2012.05.004
Ali, A., T. Saleem, and U. Khalid, Knowledge and attitudes about epilepsy among schoolteachers in Karachi, Pakistan. Epilepsy & Behavior, 2012. 23(1): p. 95-98.
Radhamohan Rana, S.K., Mahesh Kumar, Knowledge, Attitude and Self-efficacy of School Teachers towards Students with Epilepsy in Haryana, India: A Cross-sectional Study. Journal of Clinical and Diagnostic Research, 2023. 17(3): p. SC01-SC07.
Ravishankar, S., S.V. Thomas, and P.S. Sarma, Teachers’ perceptions of epilepsy in Kerala, India. Epilepsy & Behavior, 2016. 58: p. 114–119.
Prabhakar, A., G.M. Nair, and S.M. Pillai, Awareness and attitudes toward epilepsy among school teachers in South India. Journal of Epilepsy Research, 2019. 9(2): p. 89–96.
Jain, P., S. Kulkarni, and R.N. Jadhav, Knowledge, attitude, and practices regarding epilepsy among school teachers in rural Maharashtra. Annals of Indian Academy of Neurology, 2019. 22(3): p. 306–310.
Murthy, M.K.S., et al., Exploring knowledge, attitude, and practices in relation to epilepsy among undergraduates for effective health promotion: Initial evaluation. J Educ Health Promot, 2019. 8: p. 122. DOI: https://doi.org/10.4103/jehp.jehp_435_18
Murthy, M.K.S., et al., Potential for Increased Epilepsy Awareness: Impact of Health Education Program in Schools for Teachers and Children. Journal of Neurosciences in Rural Practice, 2020. 11. DOI: https://doi.org/10.1055/s-0039-3399479
Kaur, J., et al., Educational achievement, employment, marriage, and driving in adults with childhood-onset epilepsy. Epilepsy Behav, 2019. 97: p. 149-153. DOI: https://doi.org/10.1016/j.yebeh.2019.05.019
Singh, G. and S. Saleem, Impact of Socio Economic Status and Cultural Factors on the Prevalence of Epilepsy: Study in Kashmir. International Journal of Contemporary Medical Research [IJCMR], 2019. 6. DOI: https://doi.org/10.21276/ijcmr.2019.6.4.43
Mecarelli, O., et al., An educational campaign toward epilepsy among Italian primary school teachers: 1. Survey on knowledge and attitudes. Epilepsy Behav, 2014. 32: p. 84-91. DOI: https://doi.org/10.1016/j.yebeh.2014.01.009
Austin, J.K., P.O. Shafer, and J.B. Deering, Epilepsy familiarity, knowledge, and perceptions of stigma: report from a survey of adolescents in the general population. Epilepsy Behav, 2002. 3(4): p. 368-375. DOI: https://doi.org/10.1016/S1525-5050(02)00042-2
Auvin, S., et al., Call for the use of the ILAE terminology for seizures and epilepsies by health care professionals and regulatory agencies to benefit patients and caregivers. Epilepsia, 2024. 65(2): p. 283-286. DOI: https://doi.org/10.1111/epi.17868
Mohammad, Q.D., et al., Prevalence of epilepsy in Bangladesh: Results from a national household survey. Epilepsia Open, 2020. 5(4): p. 526-536. DOI: https://doi.org/10.1002/epi4.12430
Dekker, P.A., Epilepsy: A manual for medical and clinical officers in Africa. WHO Regional Office for Africa, 2002.
Ogunrin, O.A., A. Adeyekun, and P. Adudu, Etiologies of epilepsy and health-seeking itinerary of patients with epilepsy in a resource poor setting: analysis of 342 Nigerian Africans. Seizure, 2013. 22(7): p. 572-6. DOI: https://doi.org/10.1016/j.seizure.2013.04.012
Downloads
Published
Issue
Section
License
Copyright (c) 2025 International Journal of Rehabilitation and Special Education (IJRSE)

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
