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Compliance with treatment of adult epileptics in a rural district of Thailand.

BACKGROUND
Epilepsy, a disease when seizures can occur from antiepileptic drug withdrawal, requires regular drug taking. Non-compliance, therefore, is a major factor contributing to sub-optimal control of the seizures.


PURPOSE
To determine the factors associated with noncompliance in epileptics in rural Thailand.


METHOD
All epileptics, registered in the Pak Thong Chai District and their caregivers were invited to be interviewed and examined by a neurologist in their village.


RESULTS
Of a total of 93 epileptics registered, 83 with their caregivers were interviewed and examined by the neurologist (T.A.) and of those 72 were adults. Of the 72 adult epileptics, 41 (56.9%) were 100 per cent compliant and factors found to be significantly associated with compliance were gender, household income and patient's health insurance (p-value < 0.05). The major reasons for non-compliance were misunderstanding (48.4%), forgetfulness (16.1%) and economic problem (12.9%).


CONCLUSION
To improve patient-compliance, the real factors for non-compliance, which are unique to patients in a specific area, need to be identified.