Abstract: Objective To explore the clinical application of behavior training based on trans-theoretical model (TTM) in the rehabilitation of children with epilepsy through single-blind design.Methods A total of 95 children with epilepsy admitted to the pediatric Department of the First Affiliated Hospital of Xinxiang Medical College from January 2021 to December 2022 were randomly divided into observation group (48 cases) and control group (47 cases). The control group was given routine health behavior training including medication management, healthy lifestyle and interpersonal communication. The observation group received behavioral training intervention based on TTM in addition to the treatment for control group; compare the total effective rate of rehabilitation, emotional state (children's anxiety mood disorder scale score and children's depression disorder self-rating scale score), self-esteem level (self-esteem scale score), adaptive behavior (independent functional factors, cognitive functional factors and social/self-control factors) of the two groups.Results The total effective rate of rehabilitation in the observation group was 91.67% (44/48), higher than that in the control group (76.60%, 36/47), and the difference was statistically significant (P<0.05). After intervention, the scores of the anxiety mood disorder scale and the self-rating scale of depressive disorder in children in the two groups were significantly lower than those before intervention, and the observation group was lower than the control group; the score of self-esteem scale was significantly higher than that before intervention, and the observation group was higher than the control group, and the difference was statistically significant (P<0.05). The adaptive behavior scores of the two groups after intervention were significantly higher than those before intervention, and the observation group was higher than the control group (P<0.05).Conclusion Behavioral training based on TTM is effective in the rehabilitation of children with epilepsy, which can effectively improve their emotional state, self-esteem level and social adaptive behavior.

Key words:

Epilepsy, Trans-theoretical model, Self-esteem, Adaptive behavior, Emotional state