Barriers and enablers to antiseizure medication adherence in children with epilepsy: a systematic review using the theoretical domains framework (TDF) - Takeaways - MDSpire
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Identifying Factors Influencing Adherence to Antiseizure Medications in Pediatric Epilepsy: A Systematic Review Utilizing the Theoretical Domains Framework

  • By

  • Eric Amankona Abrefa Kyeremaa

  • Majed Alorabi

  • Charlotte Lawthom

  • Sion Scott

  • Caroline Smith

  • Andy Stewart

  • David Wright

  • May 6, 2026

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  • 1

    Antiseizure medications (ASMs) are the primary treatment for controlling seizures in children with epilepsy, yet non-adherence remains a significant challenge.

  • 2

    The systematic review identified 83 factors influencing ASM adherence, including 51 barriers and 32 enablers related to communication, medication characteristics, and beliefs.

  • 3

    Key barriers to adherence include poor communication between prescribers and parents, unpleasant taste, large tablet size, and fear of addiction.

  • 4

    The theoretical domains framework (TDF) was utilized to categorize the behavioral mechanisms associated with ASM adherence in children with epilepsy.

  • 5

    Findings from this study aim to inform the development of theory-informed interventions to improve ASM adherence in pediatric epilepsy.

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