Effect of Educational Intervention Based on Health-Promoting Self-Care Behaviors Model on Quality of Life, Resilience, and Sense of Coherence in Patients with Multiple Sclerosis: A Randomized Controlled Trial

Momenabadi, Victoria; Kaveh, Mohammad Hossein; Nakhaee, Nouzar; Shirazi, Kambiz Karimzadeh; Dastoorpoor, Maryam; Sedighi, Behnaz

doi:10.5812/ircmj.97240

Cited by 7 publications

(6 citation statements)

References 31 publications

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“…The difference was significant between the intervention and control for all 8 subscales Romberg 2005 [ 28 ] Finland—Single Center 95 (47i, 48c) MS EDSS Score 1–5.5 44 64 Progressive exercise program, mainly consisting of resistance training, it combined resistance training (3–4 times a week) with aerobic endurance training (once a week) No treatment 6 months MSQOL-54 “There was no effect seen in the MSQOL-54. The scores on the PCS and MCS of the MSQOL-54 were stable with no differences between groups” Behavioral and psychological interventions De Giglio 2015 [ 37 ] Italy—Rome—Single Center 35 (18i, 17c) RRMS 44 74 Dr. Kawashima’s Brain Training (DKBT): How Old Is Your Brain video game 30 min/day, 5d/wk No treatment 8 weeks MSQOL-54 DBKT improved QoL significantly in the MCS, role limitations due to emotional problems, emotional wellbeing, and cognitive function when compared to the control Jongen 2019 [ 48 ] Netherlands—Single Center 158 (79, 79) RRMS EDSS score ≤ 4 40 88 Intensive 3-day social cognitive treatment (can do treatment) No treatment 3 days MSQOL-54 In the intervention arm PCS and MCS were improved significantly at 1 month but this was not sustained at 3 and 6 months Momenabadi 2019 [ 49 ] Iran—Kermin—Single Center 80 (40, 40) RRMS EDSS score ≤ 5 30 (20–35) 85 18 training sessions based on the main constructs of the health-promoting self-care behaviors system. Training class twice a week in 45–60 min sessions.…”

Section: Resultsmentioning

confidence: 99%

“…There were 5 behavioral and psychological interventions studies in the meta-analysis and activities included brain training programs [ 37 ], a short social cognitive treatment [ 48 ], self-care programs and lifestyle change classes [ 38 , 39 , 49 ]. The physical component of QoL did not see a significant overall effect with an SMD of 0.22 (95% CI − 0.19, 0.62) with substantial heterogeneity observed ( I 2 = 81%, P < 0.001).…”

Section: Resultsmentioning

confidence: 99%

“…The physical component of QoL did not see a significant overall effect with an SMD of 0.22 (95% CI − 0.19, 0.62) with substantial heterogeneity observed ( I 2 = 81%, P < 0.001). Momenabadi et al [ 49 ] which investigated training sessions educating participants on health-promoting self-care behaviors lasting 4 months showed a significant effect on PCS, SMD of 1.19 (95% CI 0.71, 1.67). A sensitivity analysis excluding Momenabadi et al still showed no significant pooled effect of behavioral/psychological interventions on the PCS, SMD 0.01 (95% CI − 0.17, 0.19) with an ( I 2 = 0%, P = 0.94).…”

Section: Resultsmentioning

confidence: 99%

“…For the effect of non-pharmacological intervention on the mental health component of QoL there were 5 studies for which the SMD was outside the 95% CI of the pooled overall effect (Fig. 4 ) [ 35 , 40 , 47 , 49 , 51 ]. For each of these studies, a t -test was performed with a null hypothesis that the SMD was no different than the overall pooled SMD of 0.42 (SD: 4.20).…”

Section: Resultsmentioning

confidence: 99%

“…Behavioral and psychological interventions did not show an overall pooled effect on PCS or MCS. Although there was a substantial amount of heterogeneity, it was mostly contributed by one study, Momenabadi et al [ 49 ]. Conversely, the results of a review conducted by Gil-Gonzalez et al [ 10 ] did comment on an effect of these types of interventions on QoL.…”

Section: Discussionmentioning

confidence: 99%

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A systematic review and meta-analysis of the effects of non-pharmacological interventions on quality of life in adults with multiple sclerosis

Gitman,

Moss,

Hodgson

2023

Eur J Med Res

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Background Multiple Sclerosis (MS) is a chronic debilitating disease that targets the central nervous system. Globally it is estimated that 2.8 million people live with MS (2018) and as there is no known cure; therefore, identifying methods to increase a patient’s quality of life (QoL) is of considerable importance. Non-pharmacological interventions are a viable and effective option to increase QoL in patients with MS, however, to date, the literature lacks a complete systematic review of these interventions. Methods A literature search was conducted for studies published up until March 4th 2022 in Scopus, Web of Science, CINAHL Plus, The Cochrane Library, Medline, and Embase. Studies were included if they were randomized control trials (RCTs) assessing a non-pharmacological intervention in adults with MS and measured QoL using the MSQOL-54, SF-36 or MSQLI tools for at least two time points. Quality assessment of each study was completed as well as a review of publication bias. Where possible, meta-analysis was conducted using a random effects model and for other studies a qualitative synthesis was presented. Results Thirty studies were included in the meta-analysis and eleven studies were summarized qualitatively. The pooled effects across all non-pharmacological interventions showed a modest improvement in both the physical and mental components of QoL, with a standardized mean difference (SMD) of 0.44 (95% CI 0.26–0.61) and 0.42 (95% CI 0.24–0.60), respectively. Non-pharmacological interventions based around a physical activity were found to be particularly effective in improving both the physical composite score (PCS) and mental composite score (MCS), with an SMD of 0.40 (95% CI 0.14–0.66) and 0.31 (95% CI 0.08–0.55), respectively. Interventions incorporating balance exercises presented a significant advantageous solution for improving QoL, with an SMD of 1.71 (95% CI 1.22, 2.20) and 1.63(95% CI 1.15–2.12) for PCS and MCS respectively. Conclusions This systematic review and meta-analysis identified that non-pharmacological interventions can be an effective method of improving QoL in patients with MS, especially modalities with a physical activity component and balance interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

A systematic review and meta-analysis of the effects of non-pharmacological interventions on quality of life in adults with multiple sclerosis

Gitman,

Moss,

Hodgson

2023

Eur J Med Res

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Sense of coherence or self-efficacy as predictors of health-related quality of life in sickle cell disease patients

et al. 2022

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Patients with sickle cell disease (SCD) suffer from impaired health-related quality of life (HRQoL). This study aimed to determine the level of HRQoL, sense of coherence (SOC), and self-efficacy (SE) in a sample of SCD patients, and to explore predictors of their physical and mental HRQoL. A cross-sectional descriptive study was conducted on 83 SCD patients of one university hospital. The data of the study was collected through Persian versions of the Short-Form Health Survey SF-36 (RAND 36-item), the Sense of Coherence Scale (SOC-13), and the Sickle Cell Self-Efficacy Scale (SCSES). The mean age of the patients was 26.34 ± 8.19 years old. Patients’ mean scores for the Physical Component Summary (PCS), Mental Component Summary (MCS), SOC, and SCSES were 40.57 ± 17.18 (range: 0–100), 50.44 ± 17.95 (range: 0–100), 52.40 ± 15.35 (range: 13–91), 26.40 ± 6.96 (range: 9–45), respectively. Regression models showed that the level of the patients’ SOC, was the main predictor of the MCS (β = 0.37, p < 0.001). However, the level of the patients’ SE was the main predictor of the PCS (β = 0.30, p = 0.004). Also, “blood transfusion history” in patients was a common predictor for both the PCS (β = − 0.28, p = 0.008) and the MCS (β = − 0.29, p = 0.003). These results can assist nurses and clinicians to plan clinical interventions for SCD patients by focusing on increasing the level of the SOC and SE and improving SCD patients’ HRQoL. Furthermore, measuring the level of the SOC and self-efficacy as screening tests are useful to find patients with a greater risk of impaired HRQoL.

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The effect of telephone counseling based on Orem’s model on adherence to treatment and resilience of patients with coronary angioplasty: a randomized clinical trial

Rostami,

Maryami,

Rambod

2023

BMC Cardiovasc Disord

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Background This study aimed to determine the effect of telephone counseling based on Orem’s Self-Care Model on adherence to treatment and resilience of patients with coronary angioplasty. Methods This randomized clinical trial was performed on 80 patients in the Cardiac Intensive Care Unit of Shiraz University of Medical Sciences. Patients were randomly divided into two groups of 40 (intervention and control). Questionnaires on adherence to treatment of chronic patients and resilience for patients with cardiovascular and respiratory diseases were filled out before and 8 weeks after the intervention. In the intervention group, the telephone call schedule consisted of three calls per week for 8 weeks. Results Before the intervention, no significant difference was found between the groups about adherence to treatment and resilience. However, after the intervention, a significant difference was found between the groups as to adherence to treatment and resilience (P < 0.001). Conclusion Nursing consultation using telephone calls based on Orem’s model increases the adherence to treatment and resilience of patients undergoing coronary angioplasty. Telephone counseling can help the patients adhere to their treatment plans and develop resilience skills.

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Effect of Educational Intervention Based on Health-Promoting Self-Care Behaviors Model on Quality of Life, Resilience, and Sense of Coherence in Patients with Multiple Sclerosis: A Randomized Controlled Trial

Cited by 7 publications

References 31 publications

A systematic review and meta-analysis of the effects of non-pharmacological interventions on quality of life in adults with multiple sclerosis

A systematic review and meta-analysis of the effects of non-pharmacological interventions on quality of life in adults with multiple sclerosis

Sense of coherence or self-efficacy as predictors of health-related quality of life in sickle cell disease patients

The effect of telephone counseling based on Orem’s model on adherence to treatment and resilience of patients with coronary angioplasty: a randomized clinical trial

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