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Table 2 Definitions and examples of the ecological levels

From: Barriers and facilitators to implementation of epilepsy self-management programs: a systematic review using qualitative evidence synthesis methods

Level

Definition

Examples

Person

The individual characteristics of the patient or caregiver who is engaging in the epilepsy self-management intervention

• Individual’s current engagement in self-management behaviors [47]

• Ability of the individual to obtain self-management skills [40]

Program

Self-management intervention being implemented and evaluated

• Provision of relevant topics that enabled self-management skill acquisition [42, 48]

• Involving caregivers in the intervention [49]

Site/system

Health care site or system where the self-management intervention is being implemented and evaluated that highlights the usability of the intervention

• Uniform program standards [42]

• Provider characteristics such as job role within the organization [50]