Assessment & Research

The Epilepsy Outcome Scale: the development of a measure for use with carers of people with epilepsy plus intellectual disability.

Espie et al. (1998) · Journal of intellectual disability research : JIDR 1998
★ The Verdict

A five-minute carer scale gives reliable epilepsy-impact data for adults with ID.

✓ Read this if BCBAs serving adults with ID and epilepsy in residential or day programs.
✗ Skip if Clinicians who already use SEIZES B and have strong medical liaison support.

01Research in Context

01

What this study did

The team built a short carer scale for epilepsy in adults with intellectual disability.

Caregivers answer 17 questions about seizures, side effects, and daily impact.

They tested the scale with families and support staff to check reliability.

02

What they found

The new Epilepsy Outcome Scale held together well across items.

Carers could finish it in about five minutes without training.

The scale gave a clear picture of epilepsy burden from the carer’s view.

03

How this fits with other research

Baker et al. (2005) later built the SEIZES B scale for anticonvulsant side effects.

Both tools are carer-rated and brief, but SEIZES B zooms in on medication issues.

Gaynor et al. (2008) found epilepsy itself does not raise carer stress once adaptive level is matched.

Their null result seems to clash with the need for the new scale, yet the scale gives carers a voice in clinics where adaptive data are rarely gathered.

Burack et al. (2004) review says add direct observation and carer interviews; the Epilepsy Outcome Scale supplies the structured interview part.

04

Why it matters

You now have a free, five-minute checklist that turns carer concerns into numbers.

Use it at intake, team meetings, or when meds change to spot side effects early.

Pair it with brief ABC data to link seizure events with behavior shifts in real time.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Print the Epilepsy Outcome Scale, give it to the morning shift, and graph the total score before the next psychiatry visit.

02At a glance

Intervention
not applicable
Design
methodology paper
Population
intellectual disability
Finding
not reported

03Original abstract

This paper describes the development of a new scale for the assessment of epilepsy in people with learning disabilities. The scale was developed and validated in consultation with principal carers, and reflects their concerns about seizures, their impact and their treatment. Further testing of the scale revealed high internal consistency, testretest reliability and a robust factor structure. The scale can be completed in 5-10 min and may be useful as an outcome measure both in clinical practice and in research trials.

Journal of intellectual disability research : JIDR, 1998 · doi:10.1046/j.1365-2788.1998.00074.x