The Feasibility of Telephone-delivered Self-management Intervention in Multiple Sclerosis

Background: Self-management plays a significant role in people’s active participation in treating multiple sclerosis (MS), improving quality of life, suppressing symptoms, and reducing treatment costs. People with MS face many physical, mental and emotional challenges that negatively affect their qu...

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Main Authors: Mozaffar Hosseininezhad, Sajjad Saadat, Fatemeh Younesi Rostami, Roghaye Zare, Ali Bonyad, Masoumeh Qanbary Joopish, Alia saberi, Fateme Shafaee
Format: Article
Language:English
Published: Guilan University of Medical Sciences 2025-01-01
Series:Caspian Journal of Neurological Sciences
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Online Access:http://cjns.gums.ac.ir/article-1-765-en.pdf
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author Mozaffar Hosseininezhad
Sajjad Saadat
Fatemeh Younesi Rostami
Roghaye Zare
Ali Bonyad
Masoumeh Qanbary Joopish
Alia saberi
Fateme Shafaee
author_facet Mozaffar Hosseininezhad
Sajjad Saadat
Fatemeh Younesi Rostami
Roghaye Zare
Ali Bonyad
Masoumeh Qanbary Joopish
Alia saberi
Fateme Shafaee
author_sort Mozaffar Hosseininezhad
collection DOAJ
description Background: Self-management plays a significant role in people’s active participation in treating multiple sclerosis (MS), improving quality of life, suppressing symptoms, and reducing treatment costs. People with MS face many physical, mental and emotional challenges that negatively affect their quality of life.  Objectives: This study aims to determine the feasibility of telephone-delivered self-management intervention in people with MS. Materials & Methods: This quasi-experimental study employed a pretest-posttest and a two-month follow-up design. A total of 20 MS patients registered in the nationwide MS registry of Iran (NMSRI), Guilan, in 2020 took part in this study. The participants were selected through a public callback using judgmental sampling. The telephone-delivered self-management intervention, delivered through educational video files and telephone calls, included evidence-based cognitive behavioral therapy and psychological strategies to assist participants. The intervention was delivered in 8 weekly sessions. The MS self-management scale–revised (MSSM-R) and the short-form health survey (SF-36) were used to collect study data. Results: The participants had a disproportionate distribution in gender, marital status, place of residence, employment status, and income. The intervention affects the self-management total score (P<0.001), the treatment adherence/barriers subscale (P=0.024), the MS knowledge and information subscale (P<0.001), and health maintenance behavior (P=0.004). It also influenced the quality-of-life total score (P=0.049) and mental health domain (P=0.018). Conclusion: Telephone-delivered self-management intervention in patients with MS has positive effects in many of the investigated areas, and this intervention can be used to improve the quality of life of these patients.
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spelling doaj-art-7e6013def4b54cdead9a7072c5d8c3e02025-02-04T11:29:03ZengGuilan University of Medical SciencesCaspian Journal of Neurological Sciences2423-48182025-01-011117786The Feasibility of Telephone-delivered Self-management Intervention in Multiple SclerosisMozaffar Hosseininezhad0Sajjad Saadat1Fatemeh Younesi Rostami2Roghaye Zare3Ali Bonyad4Masoumeh Qanbary Joopish5Alia saberi6Fateme Shafaee7 Neuroscience Research Center, School of Medicine, Poursina Hospital, Guilan University of Medical Sciences, Guilan, Iran. Neuroscience Research Center, Guilan University of Medical Sciences, Rasht, Iran. Neuroscience Research Center, School of Medicine, Poursina Hospital, Guilan University of Medical Sciences, Guilan, Iran. Neuroscience Research Center, Trauma Institute, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran.  Faculty of Medicine, Guilan University of Medical Science, Rasht, Iran. Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran. Neuroscience Research Center, School of Medicine, Poursina Hospital, Guilan University of Medical Sciences, Guilan, Iran. Neuroscience Research Center, Guilan University of Medical Sciences, Rasht, Iran. Background: Self-management plays a significant role in people’s active participation in treating multiple sclerosis (MS), improving quality of life, suppressing symptoms, and reducing treatment costs. People with MS face many physical, mental and emotional challenges that negatively affect their quality of life.  Objectives: This study aims to determine the feasibility of telephone-delivered self-management intervention in people with MS. Materials & Methods: This quasi-experimental study employed a pretest-posttest and a two-month follow-up design. A total of 20 MS patients registered in the nationwide MS registry of Iran (NMSRI), Guilan, in 2020 took part in this study. The participants were selected through a public callback using judgmental sampling. The telephone-delivered self-management intervention, delivered through educational video files and telephone calls, included evidence-based cognitive behavioral therapy and psychological strategies to assist participants. The intervention was delivered in 8 weekly sessions. The MS self-management scale–revised (MSSM-R) and the short-form health survey (SF-36) were used to collect study data. Results: The participants had a disproportionate distribution in gender, marital status, place of residence, employment status, and income. The intervention affects the self-management total score (P<0.001), the treatment adherence/barriers subscale (P=0.024), the MS knowledge and information subscale (P<0.001), and health maintenance behavior (P=0.004). It also influenced the quality-of-life total score (P=0.049) and mental health domain (P=0.018). Conclusion: Telephone-delivered self-management intervention in patients with MS has positive effects in many of the investigated areas, and this intervention can be used to improve the quality of life of these patients.http://cjns.gums.ac.ir/article-1-765-en.pdfself-managementmultiple sclerosisquality of life
spellingShingle Mozaffar Hosseininezhad
Sajjad Saadat
Fatemeh Younesi Rostami
Roghaye Zare
Ali Bonyad
Masoumeh Qanbary Joopish
Alia saberi
Fateme Shafaee
The Feasibility of Telephone-delivered Self-management Intervention in Multiple Sclerosis
Caspian Journal of Neurological Sciences
self-management
multiple sclerosis
quality of life
title The Feasibility of Telephone-delivered Self-management Intervention in Multiple Sclerosis
title_full The Feasibility of Telephone-delivered Self-management Intervention in Multiple Sclerosis
title_fullStr The Feasibility of Telephone-delivered Self-management Intervention in Multiple Sclerosis
title_full_unstemmed The Feasibility of Telephone-delivered Self-management Intervention in Multiple Sclerosis
title_short The Feasibility of Telephone-delivered Self-management Intervention in Multiple Sclerosis
title_sort feasibility of telephone delivered self management intervention in multiple sclerosis
topic self-management
multiple sclerosis
quality of life
url http://cjns.gums.ac.ir/article-1-765-en.pdf
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