Problems and needs in everyday life of people with late-onset epilepsy: A scoping review categorization using the international classification of functioning, disability and health (ICF)

Abstract

Background

Despite an increase in incidence and prevalence of late-onset epilepsy, research on the everyday lives of the people affected is lacking. Understanding the problems and needs of this heterogeneous group of people and their already established coping strategies is essential and guides further research.

Methods

A scoping review following PRISMA-ScR and JBI methodology was conducted to assess the current state of research on the problems and needs of individuals with late-onset epilepsy. Studies were categorized using the World Health Organization (WHO) ICF framework. A literature search (July 2024) was carried out in Medline, CINAHL, PubPsych, and PsycInfo and included individuals aged 65+ with epilepsy, focusing on everyday life and domesticity.

Results

Of 1360 identified records, 14 studies were analyzed. Findings show late-onset epilepsy impairs mental and physical function. The condition can be life-changing, affecting mobility, independence, and social relationships, often leading to isolation and dependence. Managing late-onset epilepsy extends beyond seizure control, necessitating coping strategies, support, effective communication, and addressing comorbidities and seizure unpredictability. The environmental factors influencing late-onset epilepsy include diagnostic tools, treatment options, informal and professional support, attitudes, and care with improved communication and education.

Conclusion

Our scoping review suggests that a multidisciplinary, patient-centered approach is essential to address the substantial mental, physical, and social challenges posed by late-onset epilepsy. This includes enhanced education for patients and healthcare providers, improved communication, and targeted interventions to manage comorbidities, reduce stigma, and improve overall quality of life (QoL).