Volume 26, Issue 7 (10-2019)
RJMS 2019, 26(7): 88-98 |
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Saadat S, Kalantari M, Kajbaf M B, Hosseininezhad M. The Effect of a Psychological Training Program on Self-Management in Women with Multiple Sclerosis. RJMS 2019; 26 (7) :88-98
URL: http://rjms.iums.ac.ir/article-1-5745-en.html
URL: http://rjms.iums.ac.ir/article-1-5745-en.html
Profesor, Department of Psychology, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran , mehrdadk@edu.ui.ac.ir
Abstract: (3263 Views)
Introduction: Self-management is an important factor in the management of chronic diseases and symptom control. This study aimed to investigate the effect of a psychological training program to improve self-management in MS patients in Guilan province regarding the importance of self- management in multiple sclerosis (MS) patients.
Methods: In this non-randomized clinical trial, 50 women with MS in Guilan province in 2018 were participated in two groups of intervention (25 people) in a voluntary manner and control (25 people) in matching. The trial was conducted in Rasht. The self-management measured by Bishop & Frain (2011) Multiple Sclerosis Self-Management Scale-Revised (MSSM-R). After receiving the pre-test, the experimental group was trained with Psychological Training Program for five weeks and that were eight sessions, but the control group did not receive any training; after five weeks, both groups received a post-test and finally, again after two months, the follow-up test received. Data were analyzed by SPSS-22 software and Repeated Measures ANOVA test.
Results: The results showed that there was a significant difference between the pre-test, post-test and follow-up scores in total self-management scores in MS patients regardless of group factor (F=11.766,P=0.0001). Also, the process of self-management changes were stable from the pre-test to post-test and follow-up stage (interaction between time and group) and a significant difference was seen (F=26.930,P=0.0001).
Conclusion: In line with the results, it is suggested that, while recognizing and covering the limitations, this psychological intervention should be used to improve the self-management of these patients in clinical and research positions.
Methods: In this non-randomized clinical trial, 50 women with MS in Guilan province in 2018 were participated in two groups of intervention (25 people) in a voluntary manner and control (25 people) in matching. The trial was conducted in Rasht. The self-management measured by Bishop & Frain (2011) Multiple Sclerosis Self-Management Scale-Revised (MSSM-R). After receiving the pre-test, the experimental group was trained with Psychological Training Program for five weeks and that were eight sessions, but the control group did not receive any training; after five weeks, both groups received a post-test and finally, again after two months, the follow-up test received. Data were analyzed by SPSS-22 software and Repeated Measures ANOVA test.
Results: The results showed that there was a significant difference between the pre-test, post-test and follow-up scores in total self-management scores in MS patients regardless of group factor (F=11.766,P=0.0001). Also, the process of self-management changes were stable from the pre-test to post-test and follow-up stage (interaction between time and group) and a significant difference was seen (F=26.930,P=0.0001).
Conclusion: In line with the results, it is suggested that, while recognizing and covering the limitations, this psychological intervention should be used to improve the self-management of these patients in clinical and research positions.
Type of Study: Research |
Subject:
Educational Nursing
References
1. References
2. 1. Lublin FD, Reingold SC, Cohen JA, Cutter GR, Sørensen PS, Thompson AJ, et al. Defining the clinical course of multiple sclerosis: the 2013 revisions. Neurology; 2014.83(3):278-86.
3. 2. Sahraian MA, Khorramnia S, Ebrahim MM, Moinfar Z, Lotfi J, Pakdaman H. Multiple sclerosis in Iran: a demographic study of 8,000 patients and changes over time. Eur Neurol; 2010.64(6):331-336.
4. 3. Sahebi R, Amiri M, Jami MS. Multiple Sclerosis in Iran. Int J Epidemiol Res; 2018.5(1):30-33.
5. 4. Khodaveisi M, Ashtarani F, Beikmoradi A, Mohammadi N, Mahjub H, Mazdeh M, et al. The effect of continuous care on the lifestyle of patients with multiple sclerosis: A randomized clinical trial. Iran J Nurs Midwifery Res; 2017.22(3):225.
6. 5. Jackson K, Hamilton S, Jones S, Barr S. Patient reported experiences of using community rehabilitation and/or support services whilst living with a long-term neurological condition: a qualitative systematic review and meta-aggregation. Disabil Rehabil; 2018.13(4):1-8.
7. 6. Stockl KM, Shin JS, Gong S, Harada AS, Solow BK, Lew HC. Improving patient self-management of multiple sclerosis through a disease therapy management program. Am J Manag Care; 2010.16(2):139-44.
8. 7. Fraser R, Ehde D, Amtmann D, Verrall A, Johnson KL, Johnson E, et al. Self-management for people with multiple sclerosis: report from the first international consensus conference, November 15, 2010. Int J MS Care; 2013.15(2):99-106.
9. 8. Schaffler J, Leung K, Tremblay S, Merdsoy L, Belzile E, Lambrou A, et al. The effectiveness of self-management interventions for individuals with low health literacy and/or low income: a descriptive systematic review. J Gen Intern Med; 2018.33(4):510-23.
10. 9. Bishop M, Frain MP. The Multiple Sclerosis Self-Management Scale: Revision and psychometric analysis. Rehabil Psychol; 2011.56(2):150-157.
11. 10. Kidd T, Carey N, Mold F, Westwood S, Miklaucich M, Konstantara E, et al. A systematic review of the effectiveness of self-management interventions in people with multiple sclerosis at improving depression, anxiety and quality of life. PloS One; 2017.12(10):e0185931.
12. 11. Chiauzzi E, Rodarte C, DasMahapatra P. Patient-centered activity monitoring in the self-management of chronic health conditions. BMC medicine;2015.13(1):77.
13. 12. Kumar S, Preetha GS. Health promotion: an effective tool for global health. Indian J Community Health; 2012.37(1):5-12.
14. 13. Miller WR, Lasiter S, Ellis RB, Buelow JM. Chronic disease self-management: a hybrid concept analysis. Nurs Outlook; 2015.63(2):154-61.
15. 14. Mackey LM, Doody C, Werner EL, Fullen B. Self-management skills in chronic disease management: what role does health literacy have?. Med Decis Making; 2016.36(6):741-59.
16. 15. Artemiadis AK, Vervainioti AA, Alexopoulos EC, Rombos A, Anagnostouli MC, Darviri C. Stress management and multiple sclerosis: a randomized controlled trial. Arch Clin Neuropsychol; 2012.27(4):406-416.
17. 16. 16-Saadat S, Kajbaf MB, Kalantari M, Hosseininezhad M. The Multiple Sclerosis Self-Management Scale-Revised (MSSM-R): Persian Version and Psychometric Analysis. Int J MS Care; 2019. Online First in Press.
18. 17. Powell LH, Janssen I. Follow-up Study. Encycl Beha Med; 2013.12(4):806-8.
19. 18. Zamani N, Barati F, Jahangir AH, Zamani S. [Effectiveness of cognitive behavioral therapy on mental health in patients with multiple sclerosis]. Health Res; 2016.1(4): 215-223. (Persian)
20. 19. Nazarboland N, Tehranizadeh M, Mozaffarinejad F. Effectiveness of Cognitive Behavioral Therapy for Multiple Sclerosis (MS) Fatigue. Int J Behav Sci; 2017.10(4):19-24.
21. 20. van den Akker LE, Beckerman H, Collette EH, Twisk JW, Bleijenberg G, et a;. TREFAMS-ACE Study Group. Cognitive behavioral therapy positively affects fatigue in patients with multiple sclerosis: results of a randomized controlled trial. Mult Scler; 2017.23(11):1542-53.
22. 21. Calandri E, Graziano F, Borghi M, Bonino S. Improving the quality of life and psychological well-being of recently diagnosed multiple sclerosis patients: preliminary evaluation of a group-based cognitive behavioral intervention. Disabil Rehabil;
23. 2017.39(15):1474-81.
24. 22. Abbasi S, Alimohammadi N, Pahlavanzadeh S. Effectiveness of cognitive behavioral therapy on the quality of sleep in women with multiple sclerosis: a randomized controlled trial study. Int J Commun Based Nurs Midwif; 2016.4(4):320.
25. 23. Wilkinson ST, Wright D, Fasula MK, Fenton L, Griepp M, Ostroff RB, et a;. Cognitive behavior therapy may sustain antidepressant effects of intravenous ketamine in treatment-resistant depression. Psychother Psychosom; 2017.86(3):162-167.
26. 24. Hemmatpoor B, Gholami AL, Parnian S, Seyedoshohadaee M. The Effect of Life Skills Training on the Self-Management of Patients with Multiple Sclerosis.J Med Life; 2018.11(4):387.
27. 25. Faraji F, Khosravi S, Sajadi M, Farahani Z, Rafiei F. Effect of Self-Care Education on Social Adaptability in Patients with Multiple Sclerosis. Iran Red Crescent Med J; 2018.20(1): e55634.
28. 26. Afrasiabifar A, Mehri Z, Sadat SJ, Shirazi HR. The effect of orem’s self-care model on fatigue in patients with multiple sclerosis: a single blind randomized clinical trial study. Iran Red Crescent Med J; 2016. 18(8): e31955.
29. 27. Blikman LJ, van Meeteren J, Twisk JW, de Laat FA, de Groot V, Beckerman H, et al. TREFAMS-ACE study group. Effectiveness of energy conservation management on fatigue and participation in multiple sclerosis: A randomized controlled trial. Mult Scler; 2017.23(11):1527-41.
30. 28. Maslakpak MH, Raiesi Z. Effect of a self-management and follow-up program on self-efficacy in patients with multiple sclerosis: a randomized clinical trial. Nursing and midwifery studies. 2014;3(4), e25661.
31. 29. Hind D, Cotter J, Thake A, Bradburn M, Cooper C, Isaac C, House A. Cognitive behavioural therapy for the treatment of depression in people with multiple sclerosis: a systematic review and meta-analysis. BMC psychiatry; 2014.14(1):5.
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