MOSES: An Educational Program for Patients with Epilepsy and Their Relatives


Address correspondence and reprint requests to Dr. U. Specht at Rehabilitation Unit, Epilepsie-Zentrum Bethel, Maraweg 21, D-33617 Bielefeld, Germany. Originally published by John Libbey & Co Ltd (2001). S. Ried, U. Specht, R. Thorbecke, K. Goecke and R. Wohlfarth. MOSES: An educational programme for patients with epilepsy. In: Comprehensive Care for People With Epilepsy (eds. M. Pfäfflin, R. T. Fraser, R. Thorbecke, U. Specht and P. Wolf), pp. 147–154. Dr. Ried is deceased.


Summary: The knowledge of patients with epilepsy about their own condition is poor, and thus the need for educational programs for people with epilepsy has long been recognized. However, no such programs have been established in their routine care. The Modular Service Package Epilepsy (MOSES) now tries to fill this gap for patients in German-speaking countries. The program was developed by a multidisciplinary group (neurologists, nonmedical professional helpers, and representatives of national epilepsy associations) for people with epilepsy older than 16 years, independent of the kind and severity of their epilepsy. MOSES is designed for group education and can be used in inpatient and outpatient settings in epilepsy centers, in clinics, and by neurologists in private practice. The program aims to help patients achieve a better understanding of their disease, to gain more self-confidence, and to take over responsibility, thus supporting patients to become experts in managing their own illness. Being modular in structure, MOSES includes nine units: living with epilepsy, epidemiology, basic knowledge, diagnostics, therapy, self-control, prognosis, psychosocial aspects, and network epilepsy. MOSES consists of a workout manual for patients and a trainer manual. For potential trainers, special “train-the-trainer seminars” are offered and considered mandatory. About 400 patients have participated in a MOSES training program in Germany, Switzerland, and Austria. The efficacy of the program is currently been evaluated.