The knowledge of patients with epilepsy about their own condition is poor,
and thus the need for educational programs for people with epilepsy has lon
g been recognized. However, no such programs have been established in their
routine care. The Modular Service Package Epilepsy (MOSES) now tries to fi
ll this gap for patients in German-speaking countries. The program was deve
loped by a multidisciplinary group (neurologists, nonmedical professional h
elpers, and representatives of national epilepsy associations) for people w
ith epilepsy older than 16 years, independent of the kind and severity of t
heir epilepsy. MOSES is designed for group education and can be used in inp
atient and outpatient settings in epilepsy centers, in clinics, and by neur
ologists in private practice. The program aims to help patients achieve a b
etter understanding of their disease, to gain more self-confidence, and to
take over responsibility, thus supporting patients to become experts in man
aging their own illness. Being modular in structure, MOSES includes nine un
its: living with epilepsy, epidemiology, basic knowledge, diagnostics, ther
apy, self-control, prognosis, psychosocial aspects, and network epilepsy. M
OSES consists of a workout manual for patients and a trainer manual. For po
tential trainers, special "train-the-trainer seminars" are offered and cons
idered mandatory. About 400 patients have participated in a MOSES training
program in Germany, Switzerland, and Austria. The efficacy of the program i
s currently been evaluated.