An interventional study of Nurse-delivered structured education in Febrile Convulsion, sponsored by Uskudar University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 6 Months to 5 Years. Per ClinicalTrials.gov, last updated 2026-09-14.
Sponsored by Uskudar University · Not applicable, Interventional, and Health services research
The research will be conducted to determine the effect of the training given to parents/caregivers on their knowledge, attitudes, practices and anxiety towards preventing febrile seizures in children. The research will be carried out as a randomised controlled experimental design in the Pediatric Emergency Department of Zeynep Kamil Women's and Children's Diseases Training and Research Hospital between October 2024 and October 2025.
INTRODUCTION Febrile convulsion (FC) is defined as a type of seizure with fever in the absence of any 6 months to 5 years of age and is the most common neurological disorder of infants and young children. Although FC occurs in 2-4% of the entire paediatric population, 90% of cases occur between 6 months and 3 months of age. Simple FCs, defined as generalised seizures lasting less than 15 minutes, and represent the majority of febrile convulsions that do not recur within 24 hours. The risk of mortality and morbidity in FC is very low and there is no detectable brain damage associated with the disease. Complications of febrile seizures in children include psychosocial effects, cognitive deficits, hospital bed occupancy, prolonged hospitalisation and increased healthcare costs. In a 12-year follow-up of neurological complications from febrile seizures, delayed neurological development and abnormalities were found in 20% of children, neurological deficits in 10% and learning disabilities in 5%. Simple measures such as controlling fever, washing feet and using antipyretics can prevent the incidence of the disease and febrile seizure complications in children. Due to the concurrent relatively high prevalence of this disease in children, the occurrence of two important phenomena, such as fever and seizures, causes severe anxiety to parents and may impair the quality of life of the family. Informing parents by providing adequate knowledge and awareness about fever and seizures is an important step in reducing anxieties and worries. In a study conducted by Sheringham on 154 parents with children in febrile seizures, 54.3% of individuals receiving training had appropriate knowledge and there was a direct correlation between parents' knowledge and practice. In Flury's study, 91% of parents experienced severe anxiety when faced with febrile seizures, and the intensity of anxiety was significantly higher in untrained individuals than in trained individuals. Parmer, in a study of 140 parents with children who had febrile seizures in India, noted that 59.3% of parents were not aware of this disease and only 20% knew the normal values of body temperature. Education of parents was emphasised in the study. In the literature, the number of studies aiming to determine the level of knowledge by providing education to families of children hospitalised with FC is insufficient. Therefore, in the light of the literature, the study will be conducted to determine the impact of education given to parents/carers due to their knowledge, attitudes, practices and concerns in the prevention of febrile seizures in children.
23 studies on the registry are indexed under Seizures, Febrile; 2 are open to participants now.
Browse Seizures, Febrile studies →Uskudar University is the lead sponsor of 164 studies on the registry; 35 are open to participants now.
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Exclusion Criteria:
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Routine clinical education plus a single 15-minute face-to-face structured education session delivered at the bedside by a pediatric emergency nurse, based on the Febrile Convulsion Family Handbook prepared by the Division of Child Neurology, Department of Pediatrics, Ege University Faculty of Medicine (Izmir, Türkiye), which was publicly available through the Turkish Child Neurology Society website during the study.
Behavioral: Nurse-delivered structured education
Routine clinical education alone (brief, unstructured verbal information from the attending clinician). The handbook was provided after the final 1-month assessment
A single approximately 15-minute individual education session delivered by a pediatric emergency nurse, following the Febrile Convulsion Family Handbook prepared by the Division of Child Neurology, Department of Pediatrics, Ege University Faculty of Medicine (Izmir, Türkiye) as a fixed script. Content covered the nature of febrile convulsion, fever measurement and management, antipyretic use, seizure first aid, and rectal diazepam use when prescribed. A printed copy of the handbook was given to the parent. The handbook was publicly available through the Turkish Child Neurology Society website during the study.
Hospital Anxiety and Depression Scale (HAD)
Hospital Anxiety and Depression Scale (HAD) The scale is a four-point Likert-type assessment tool, and the scores of its items range from 0 to 3. However, each item is scored differently; items 1, 3, 5, 6, 8, 10, 11, and 13 show decreasing severity and are scored as 3, 2, 1, 0. On the other hand, items 2, 4, 7, 9, 12, and 14 are scored as 0, 1, 2, 3. The total scores of the subscales are obtained by adding the scores of these items. For the anxiety subscale, items 1, 3, 5, 7, 9, 11 and 13 are added; for the depression subscale, items 2, 4, 6, 8, 10, 12 and 14 are added.
Time frame: one year
Febrile Convulsion Knowledge Scale
Febrile Convulsion Knowledge Scale for Parents/Caregivers: In the febrile convulsion knowledge scale, items 1 and 4 are correct statements and the other items are incorrect statements. Incorrect statements should be reversed and calculated when scoring. The total score of the scale varies between 8 and 40, and higher scores indicate that parents/caregivers have more knowledge about febrile convulsions.
Time frame: one year
Plan to share: No
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