Original Research

Knowledge and attitudes towards seizure first aid among attendees of Gateway Clinic in Bloemfontein

Ilias P. Masinde, Aileen M. Kamwendo, Desiree R. Thapo, Likhona Jaca, Lolwethu L. Qulu, Lungelo A. Gwala, Tebogo W. Kgasi, Joseph B. Sempa, Chika K. Egenasi
South African Family Practice | Vol 67, No 1 : Part 4| a6208 | DOI: https://doi.org/10.4102/safp.v67i1.6208 | © 2025 Ilias P. Masinde, Aileen M. Kamwendo, Desiree R. Thapo, Likhona Jaca, Lolwethu L. Qulu, Lungelo A. Gwala, Tebogo W. Kgasi, Joseph B. Sempa, Chika K. Egenasi | This work is licensed under CC Attribution 4.0
Submitted: 03 August 2025 | Published: 27 November 2025

About the author(s)

Ilias P. Masinde, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa
Aileen M. Kamwendo, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa
Desiree R. Thapo, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa
Likhona Jaca, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa
Lolwethu L. Qulu, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa
Lungelo A. Gwala, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa
Tebogo W. Kgasi, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa
Joseph B. Sempa, Department of Biostatistics, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa
Chika K. Egenasi, Department of Family Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa

Abstract

Background: Providing first aid during an epileptic seizure can be lifesaving; however, many individuals lack the necessary knowledge and skills because of persistent misconceptions about epilepsy. This study assessed knowledge and attitudes towards seizure first aid among attendees of the Gateway Clinic in Bloemfontein.
Methods: A cross-sectional analytical study was conducted using a structured questionnaire to evaluate participants’ knowledge and attitudes regarding seizure first aid.
Results: Of the 466 questionnaires distributed, 391 were included in the study. Most participants were knowledgeable, with a median score of 13.0 (interquartile range [IQR]: 9.0–16.0). Attitudes towards epilepsy were positive, with a median score of 6.0 (IQR: 3.0–9.0). A majority, 64.7% of participants, believed that an object should be placed in the mouth during a seizure, and 33.5% were unsure whether epilepsy was contagious.
Conclusion: Participants at the Gateway Clinic were knowledgeable and had positive attitudes towards epilepsy and seizure first aid. Nonetheless, misconceptions persist, particularly regarding harmful practices during seizures. Public education and structured training on seizure first aid remain essential to improve safety and awareness.
Contribution: This study highlights the need to strengthen community awareness and education on epilepsy and seizure first aid to reduce stigma and enhance appropriate responses during seizure events.


Keywords

seizure; epilepsy; first aid; Gateway Clinic; Bloemfontein; knowledge; attitude

Sustainable Development Goal

Goal 3: Good health and well-being

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