A practical program for responding to epileptic seizures including buccal midazolam administration in schools: Effectiveness evaluation for Yogo teachers in Japan

•Early response to epileptic seizures is critical.•Giving oral midazolam and dealing with seizures can be a hurdle for teachers.•Programs are required to enable teachers to respond to epileptic seizures.•A program for responding to seizures, including buccal midazolam, was developed.•The program allowed Yogo teachers to gain the knowledge and confidence to respond. Early response to epileptic seizures is critical. In children, epileptic seizures can occur at school, and practical programs are required to enable teachers to respond. In Japan, schoolteachers may administer buccal midazolam orally under certain conditions; however, there are no established training programs for responding to epileptic seizures in schools. In this study, we aimed to develop a training program on how to respond to seizures, including buccal midazolam administration, and evaluate its effectiveness. We conducted a training program for Yogo teachers at special needs schools and evaluated the differences in confidence in responding to epileptic seizures and administering oral buccal midazolam before and after the program. The results demonstrated that confidence in responding to epileptic seizures and administering oral buccal midazolam significantly improved after the program. We concluded that this training program can help special needs Yogo teachers gain confidence in administering buccal midazolam and responding to epileptic seizures in the school setting.