The effect of peer education based on Pender’s health promotion model on quality of life, stress management and self-efficacy of patients with multiple sclerosis: a randomized controlled clinical trial

Abstract

Background As a chronic, disabling disease, multiple sclerosis (MS) has challenged healthcare systems in many ways. MS adversely affects patients’ quality of life and self-efficacy and results in psychological stress. The present study was conducted to investigate the effect of peer education based on Pender’s health promotion model on the quality of life, stress management, and self-efficacy of patients with MS in the south of Iran. Methods The present study was a randomized controlled clinical trial. A total of 90 patients were divided into group A intervention group 45 patients) and group B (control group 45 patients). The intervention was peer education based on Pender’s health promotion model. Data were collected using the MS Quality of Life Scale, the Self-efficacy Scale, and the Stress Management Scale. Data analyses were conducted using SPSS version 22. To analyze the data, we used descriptive statistics. Thus, inferential statistics applied included Chi-square, independent-samples t-test, and Repeated measures (ANOVA). The significance level was considered p < 0.05. Results The quality of life, self-efficacy, and stress management mean scores of the intervention group as measured immediately and 3 months after intervention were significant (p < 0.05). As for the control group, however, the difference was not significant. Conclusion Peer education based on Pender’s health promotion model improves patients’ quality of life, stress management, and self-efficacy with multiple sclerosis. Nursing managers and health system policymakers can use this educational approach for patients with other chronic diseases to enhance their quality of life and self-efficacy. Trial registration Iranian Registry of Clinical Trials: IRCT registration number: IRCT20190917044802N3.

Assessment of Quality of Life for Multiple Sclerosis among Adolescents

“…As regards to types of MS, the finding of present study revealed that about two thirds of the studied adolescents had relapsing remitting MS, this result was in agreement with study by Bijani et al, (2022) who conducted study about " The effect of peer education based on Pender's health promotion model on quality of life, stress management and self-efficacy of patients with multiple sclerosis" and reported that two thirds of the studied adolescents had relapsing remitting MS.…”

“…Less than 1% of all pediatric MS patients have an onset before the age of 10 years. Gender ratio varies with age at onset (Bijani et al, 2022).…”

Nursing Intervention for Empowering Quality of Life for Adolescents with Multiple Sclerosis: A quasi –experimental study

“…Pertaining to studied adolescents QOL regarding their emotional well -being, the current study demonstrated that few of the studied adolescents total score of QOL was best and less than one fifth of them their QOL total was worse regarding their emotional well-being in pre nursing intervention, while less than two thirds of them their quality of life total score was best and none of them was worse in post nursing intervention. This finding was consistent with study by Bijani et al, (2022) who conducted study about " The effect of peer education based on Pender's health promotion model on quality of life, stress management and self-efficacy of patients with multiple sclerosis" and illustrated that more than two thirds of the studied patients had poor quality of life pre program, while post program more than half of them had good quality of emotional well -being. Moreover, there was high statistical significant difference (p<0.001) between pre and post intervention regarding their emotional well -being.…”

“…Less than 1% of all children with MS experience symptoms before the age of 10. The age of onset affects the gender ratio (Bijani et al, 2022).…”

The effect of multimedia-based peer-to-peer education on anxiety among Covid-19 patients: A parallel randomized clinical trial

“…The present study explored the effectiveness of multimediabased peer education on anxiety in Covid-19 patients along with the usefulness of this peer support as a form of mental health support for these patients. Studies have shown that use of the experiences of peer groups, adequate education and information related to the disease, control and follow-up care through people who have practical knowledge of the disease and are affected by it would improve the health status of patients (25).…”