Document Type : Original Article



Background: Febrile convulsion is one of the most common problems in children aged 5
months to 6 years. The aim of this study was to explore the effectiveness of an educational
program on mothers for prevention of febrile seizure in children. Materials and Methods: In
this clinical trial study, 88 mothers were chosen who were divided into intervention and control
groups, randomly. Data of the control and intervention groups were collected in two stages,
before intervention and 1 month after intervention, by a validated and reliable questionnaire.
The intervention consisted of three educational sessions, each one lasting for 60 min. Data
were analyzed using chi-square, t-test and paired t-test. Findings: Age average of subjects in
the intervention group and in the control group was 26.75 and 26.84 years, respectively. The
results showed a significant increase in the knowledge (P < 0.001), attitude (P = 0.04) and
practice (P = 0.01) in the intervention group 1 month after intervention compared with that
before intervention, while such an increase was not seen in the control group. Conclusion: This
study confirmed the efficiency of educational interventions in improving mother’s knowledge,
attitude and practice regarding prevention of febrile seizure in children.


1. Annegers JF, Hauser WA, Shirts SB, Kurland LT. Factors prognostic
of unprovoked seizures after febrile convulsions. N Engl J Med
2. Hauser WA. The prevalence and incidence of convulsive disordersin children. Epilepsia 1994;35(Suppl 2):S1-6.
3. Offringa M, Hazebroek-Kampschreur AA, Derksen-Lubsen G.
Prevalence of febrile seizures in Dutch schoolchildren. Paediatr
Perinat Epidemiol 1991;5:181-8.
4. Waruiru C, Appleton R. Febrile seizures: An update. Arch Dis Child
5. Yakinci C, Kutlu NO, Durmaz Y, Karabiber H, Egri M. Prevalence
of febrile convulsion in 3637 children of primary school age in the
province of Malatya, Turkey. J Trop Pediatr 2000;46:249-50.
6. MacDonald BK, Johnson AL, Sander JW, Shorvon SD. Febrile
convulsions in 220 children-neurological sequelae at 12 years
follow-up. Eur Neurol 1999;41:179-86.
7. Ghasemi F, Valizadeh F, Mohsenzadeh A. Educational needs
of mothers of children with febrile convulsion, Planetarium. J
Khorramabad 2005;1:1-4.
8. Verity CM. Do seizures damage the brain? The epidemiological
evidence. Arch Dis Child 1998;78:78-84.
9. Karimi A, Alborzi A, Kadivar MR. Let’s help to our sick baby, Vice
chancellor of Research Publication Ltd. Shiraz: Shiraz University of
Medical Sciences; 1998.
10. Huang MC, Huang CC, Thomas K. Febrile convulsions: Development
and validation of a questionnaire to measure parental knowledge,
attitudes, concerns and practices. J Formos Med Assoc
11. Flury T, Aebi C, Donati F. Febrile seizures and parental anxiety:
Does information help? Swiss Med Wkly 2001;131:556-60.
12. Parmar RC, Sahu DR, Bavdekar SB. Knowledge, attitude and
practices of parents of children with febrile convulsion. J Postgrad
Med 2001;47:19-23.
13. Guidelines for the management of convulsions with fever. Joint
working group of the research unit of the Royal College of Physicians
and the British Paediatric Association. BMJ 1991;303:634-6.
14. Baumann RJ, Duffner PK. Treatment of children with simple febrile
seizures: The AAP practice parameter. American Academy of
Pediatrics. Pediatr Neurol 2000;23:11-7.
15. Walsh AM, Edwards HE, Courtney MD, Wilson JE, Monaghan SJ.
Fever management: Paediatric nurses’ knowledge, attitudes and
influencing factors. J Adv Nurs 2005;49:453-64.
16. Huang MC, Liu CC, Chi YC, Huang CC, Cain K. Parental concerns for
the child with febrile convulsion: Long-term effects of educational
interventions. Acta Neurol Scand 2001;103:288-93.
17. Parbi H, Neamatolahi A. Evaluation knowledge of parents of children
with febrile convulsion, Medical University of Khorramabad, Shahid
Madani Hospital. Iran Pediatric J 2002;26:8-10.
18. Van Stuijvenberg M, de Vos S, Tjiang GC, Steyerberg EW, DerksenLubsen G, Moll HA. Parents’ fear regarding fever and febrile seizures.
Acta Paediatr 1999;88:618-22.
19. Huang MC, Liu CC, Huang CC. Effects of an educational program on
parents with febrile convulsive children. Pediatr Neurol 1998;18:150-5.
20. Talebian A, Honarpisheh A, Barekatin B, Taghadosi M, Mousavi SG.
Evaluating of knowledge, attitude, practice and related factors in
mothers of children with febrile convulsion at kashan during 2006-
2007. Feyz 2009;13:43-7.
21. Murphy KA, Liebman M. Fever care: Does nursing instruction make
a difference? J Emerg Nurs 1995;21:461-3.
22. Edwards H, Walsh A, Courtney M, Monaghan S, Wilson J, Young J.
Promoting evidence-based childhood fever management through a
peer education program based on the theory of planned behavior.
J Clin Nurs 2007;16:1966-79.
23. Gordon KE, Dooley JM, Camfield PR, Camfield CS, MacSween J.
Treatment of febrile seizures: The influence of treatment efficacy and
side-effect profile on value to parents. Pediatrics 2001;108:1080-8.
24. Jones T, Jacobsen SJ. Childhood febrile seizures: Overview and
implications. Int J Med Sci 2007; 4:110-4.