The Effect of Implementing an Educational Program on Adherence to Treatment and Self-Compassion of Patients with Multiple Sclerosis
,
Abstract
Background: Multiple sclerosis, as one of the most important causes of disability in the world, can cause a feeling of despair in a person to be compassionate and follow his treatment, so it is important to use self-compassion methods for these patients. Therefore, the present study was conducted with the aim of determining the effect of the educational program on treatment compliance and self-compassion of patients with multiple sclerosis.
Methods: In the current clinical trial study, 80 patients with multiple sclerosis, members of the MS Association of Zahedan city in 2023-2024, were selected by the available method and randomly divided into two groups of 40 people, intervention and control. 8 sessions of face-to-face educational program were designed and implemented for patients, and the rate of application of the programs by patients was followed up under the supervision of the researcher. Before, one month and 3 months after the implementation of the intervention, patients' adherence to treatment was measured using the "Treatment Adherence in Chronic Patients" questionnaire and self-compassion was measured using the "Multiple Sclerosis Patient Self-Compassion Assessment Questionnaire". The data were analyzed using statistical tests of repeated measures, Chi-Square under SPSS 21 statistical software at a significance level of less than 0.05.
Results: The average age of the intervention group was 40.05 ± 9.61 years and in the control group was 40.13 ± 8.78 years, and according to the findings, before the intervention, there was a statistically significant difference between the variables of gender, age, education level, marital status in Two intervention and control groups were not observed. The results of the independent t-test show a statistically significant difference between the average changes in the total score of adherence to treatment and the average total score of self-compassion after the intervention (P=0.000).
Conclusion: The results of the present study showed that the present educational program can increase self-compassion and adherence to treatment in patients with multiple sclerosis, so it is necessary to take advantage of it in rehabilitation programs to promote or improve the mental and psychological conditions of patients.
[2] Abedini E, Ghanbari Hashem Abadi B, Talebian Sharif J, Karimi Torshizi S. Effectiveness of Hope-based Group Therapy on the Quality of Life in Women with Multiple Sclerosis. J North Khorasan Univ Med Sci. 2016;7(3):623-36.
[3] Pourmemari MH, Rabie Siahkali S, Bagheri H, Taghiloo G, Eskandari F. Epidemiologic variables in Multiple sclerosis patients in Zanjan. J Holist Nurs Midwifery. 2011;21(1):1-6.
[4] Goldoust F, Solhi M, Ghorchiany F. Planning and Evaluation of Stress Management Educational Program to Improve Behavior in Multiple Sclerosis Patients Based on Basnef Model. J Urmia Nurs Midwifery Fac (2228-6411). 2012 ;10(3).
[5] Moosazadeh M, Esmaeili R, Mehdi Nasehi M, Abedi G, Afshari M, Farshidi F, et al. Prevalence of familial multiple sclerosis in Iran: A systematic review and meta-analysis. Iran J Neurol. 2017;16(2):90-5.
[6] Dahmardeh HA, Vagharseyyedin SA, Amiri Fard H, Sharif-zadeh GR, Rakhshani-Zabol F. Effect of self-care educational program based on Orem’s Theory on hope in patients with Multiple Sclerosis. Med-Surg Nurs. 2015 ;4(2):57-63.
[7] Bidadian M, Rasoolzadeh Tabatabaei K, Naser Moghadasi A, Ahmadi F. Exploring the Psychological Antecedent Factors of the Transition to Secondary Progressive Multiple Sclerosis: A Qualitative Study. Neurosci J Shefaye Khatam. 2020;8(4):29-38.
[8] Turner AP, Roubinov DS, Atkins DC, Haselkorn JK. Predicting medication adherence in multiple sclerosis using telephone-based home monitoring. Disabil Health J. 2016;9(1):83-9.
[9] Ajilchi B, Oskoei AS, Kargar FR. Marital satisfaction and mental health in multiple sclerosis patients’ and healthy individuals’ accordance to sex. Psychology. 2013;4(11):845.
[10] Gholizadeh B, Ebrahimi S, Zakerimoghadam a, Shahsavari H, Naboureh A. Effects of self-management program and telephone follow up on medical adherence in patients with ischemic heart disease. Koomesh. 2017;19(1):213-9.
[11] Hashem Dabaghian F, Karbaksh M, Soheili Khah S, Sedaghat M. Drug compliance in patients with type 2 diabetes mellitus in Shariati and Imam Khomeini hospitals. Health Monit J Iran Inst Health Sci Res. 2005;4(2):103-11.
[12] Costello K, Kennedy P, Scanzillo J. Recognizing nonadherence in patients with multiple sclerosis and maintaining treatment adherence in the long term. Medscape J Med. 2008;10(9):225.
[13] Seyed Fatemi N, Rafii F, Hajizadeh E, Modanloo M. Psychometric properties of the adherence questionnaire in patients with chronic disease: A mix method study. Koomesh. 2018;20(2):179-91.
[14] Lugaresi A. RebiSmart™ (version 1.5) device for multiple sclerosis treatment delivery and adherence. Expert Opin Drug Deliv. 2013;10(2):273-83.
[15] Kołtuniuk A, Rosińczuk J. Adherence to disease-modifying therapies in patients with multiple sclerosis. Patient Prefer Adherence. 2018; 12:1557-66.
[16] Krol M, Osowski U. Therapy Adherence in Patients With Multiple Sclerosis Using An Electronic Multidose Auto-Injection Device. Value in Health. 2015;18: A362.
[17] Río J, Tintoré M, Nos C, Téllez N, Galán I, Pelayo R, et al. Interferon beta in secondary progressive multiple sclerosis: daily clinical practice. J Neurol. 2007;254(7):849-53.
[18] DiMatteo MR. Variations in patients' adherence to medical recommendations: a quantitative review of 50 years of research. Med Care. 2004;42(3):200-9.
[19] Hadi N, Rostami GN, Jafari P. A study on the determining factors for compliance to prescribed medication by patients with high blood pressure. Sci Med J.2005;223-229.
[20] Vermeire E, Hearnshaw H, Van Royen P, Denekens J. Patient adherence to treatment: three decades of research. A comprehensive review. J Clin Pharm Ther. 2001;26(5):331-42.
[21] Fogelkvist M, Gustafsson SA, Kjellin L, Parling T. Acceptance and commitment therapy to reduce eating disorder symptoms and body image problems in patients with residual eating disorder symptoms: A randomized controlled trial. Body Image. 2020; 32:155-66.
[22] Amanelahi, A, Tardast, K, Aslani, Kh. Prediction of Depression Based on Components of self- Compassion in Girl Students with Emotional Breakdown Experience in Ahvaz Universities. J Clin Psychol. 2016;8(2):77-88.
[23] Shalchi B, Mansourzadeh Z. Effectiveness of self-compassion training on symptoms of irritable bowel syndrome. Qom Univ Med Sci J. 2020;14(4):1-10.
[24] Blankespoor RJ, Schellekens MPJ, Vos SH, Speckens AEM, de Jong BA. The Effectiveness of Mindfulness-Based Stress Reduction on Psychological Distress and Cognitive Functioning in Patients with Multiple Sclerosis: A Pilot Study. Mindfulness (N Y). 2017;8(5):1251-8.
[25] Gedik Z, Idiman E. Health-related quality of life in multiple sclerosis: Links to mental health, self-esteem, and self- compassion. Dusunen Adam J Psychiatry Neurol Sci. 2020;33(1).
[26] Ashoori M, kachooei M, Vahidi E. Investigating the Relationship between Self-Compassion with Psychological Well-Being in Patients with Multiple Sclerosis (MS): The Mediating Role of Social Loneliness. J Health Care. 2022;24(1):52-63.
[27] Izanloo M, Peyvandi P, Borjali A, Reza Sirafi M, Mohsenzadeh Y. The effect of compassion-focused therapy (CFT) on adherence to treatment and components of type D personality in people with coronary heart disease. Cardiovasc Nurs. 2019;8(1):170-81.
[28] Dahmardeh H, Sadooghiasl A, Mohammadi E, Kazamnejad A. Design and Evaluation of Self-Compassion Scale in Iranian Patient with Multiple Sclerosis. Health Educ Health Promot. 2022;10(4):779-89.
[29] Moghtadaei K, Ebrahimi A, Haghayegh SA, Rezai Jamalouei H, Adibi P. Investigating the effectiveness of acceptance and commitment therapy on treatment compliance and pain intensity in patients with irritable bowel syndrome. J Res Behav Sci. 2023;21(1):22-31.
[30] Bahrambagi Z, Lotfi Kashani F, Vaziri S. Effectiveness of Teaching Emotional Expression in Writing on Treatment Adherence in Heart Patients. J Sabzevar Univ Med Sci. 2023.
[31] Abdollahi Baqrabadi G. Effectiveness of Self-compassion training on anxiety, stress and depression in mothers of children with Autism. J Except Child. 2018;18(2):87-98.
[32] Hassani SF, Tizdast T, Zarbakhsh MR. A Structural Model of Psychological Wellbeing Based on Early Maladaptive Schemas, Self-Compassion, and Hope in Women with Multiple Sclerosis. Middle East J Disabil Stud. 2021;11(0):73-.
[33] Oraki M, Zare H, Hosseinzadeh Ghasemabad A. Effectiveness of Acceptance and Commitment Therapy on Treatment Adherence in People with Non-Alcoholic Fatty Liver Disease. J Shahid Sadoughi Univ Med Sci. 2021;29(2):3479-90.
| Files | ||
| Issue | Article in Press |
|
| Section | Research Article(s) | |
| Keywords | ||
| multiple sclerosis - self-compassion program - adherence to treatment | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
