How old are you?
Gender
Residence place
Educational level
Occupation
Monthly Income
Religion
Relationship
Is there pregnancy and lactation? (only for females)
Ethnicity
What is the age in yrs at the time of diagnosis?
Age at diagnosis
How long have you been taking these medicines
For how long duration have you been follow up in the clinic?
Are there any other comorbidity?
If yes; What are those co-morbidities?
Was there brain injury
If yes brain injury was
Are there triggering factors for your seizures?
If yes, what are those triggering factors?
Types of seizure diagnosed
Number of seizure diagnosed
Is there any evidence of neurologic disturbance?
What is the frequency of seizure attacks before AEDs initiation?
What AEDs are most commonly prescribed?
Are there any other medications concurrently used with AEDs?
If yes, what are those concurrent medications?
Does the patient face any adverse effects from their AEDs use?
If yes, adverse effects from phenytoin use are
If yes, adverse effects from phenobarbitone use are
If yes,adverse effets from carbamazepine
If yes,adverse effects from valproic acid use are
Does the patient seizure free?
If yes,the patient is seizure free for
Do you sometimes forget to take your pills?
People sometimes miss taking their medications for reasons other than forgetting.Thinking over the past two weeks,were there any days when you did not take your medicine?
Have you ever cut back or stopped taking your medications without telling your doctor,because you felt worse when you took it?
When you travel or leave home, do you sometimes forget to bring alng your medications?
Did you take your medications yesterday?
When you feel like your seizure is under control, do you sometime stop taking your medicines?
Taking meds every day is a real incovinience for some people. Do you feel hassled about sticking to your AE treatment plan?
How often do you difficulty remembering to take all your medications?
Adherence
Level of adherene
Do you take your medications as ordered?
Treatment outcome
If no, patient related factors
Drug related factors, if no for questions#42
Health care related factors, if no for questions #42
NumberofprescribedAEDs
Seizure Control Status
Religion category
Seizure Category
Seizure therapy
Seizure Recurrence
Adherence Status
Predicted probability