A Comparative Study of the Effect of Peer-led and Lecture-based Education on Health Literacy in Patients with Multiple Sclerosis

Overview

Journal Int J Community Based Nurs Midwifery

Publisher Shiraz University of Medical Sciences

Specialties Gynecology & Obstetrics
Nursing

Date 2021 Feb 1

PMID 33521151

Citations 5

Authors

Ali Dehghani

Affiliations

Soon will be listed here.

Abstract

Background: Patients with multiple sclerosis (MS) require health literacy to manage the symptoms and problems of the disease, which improves their quality of life. Health literacy is recognized as a critical indicator of health care outcomes. This study aimed to compare the effect of peer-led and lecture-based education on health literacy in MS patients.

Methods: This quasi-experimental study was conducted on MS patients in Jahrom from December 2018 to November 2019. 90 patients were selected using convenience sampling and then assigned into control (n=45) and intervention groups (n=45). While routine education was presented to patients in the control group, peer education intervention was held for the intervention group. The number of sessions held for both groups was six sessions (one session per week). For data collection, MS health literacy questionnaire (MSHLQ) was used before and one month after the intervention in both groups. Data were analyzed through SPSS version 21 using Chi-square, Fisher's exact test and t-test. The significance level was considered P<0.05.

Results: Paired t-test showed that there was a significant difference between the mean of health literacy in the intervention group before and after the intervention (P=0.001), while this difference was not observed in the control group (P=0.39). Independent t-test showed a significant difference in the mean of health literacy between the intervention and control groups after the intervention (P=0.001).

Conclusion: The results showed that peer group experiences were more effective than lecture-based education in improving health literacy. It can be beneficial to employ as an educative-supportive approach in MS patients.

Citing Articles

Comparison of the effects of nursing and peer education on quality of life and resilience in patients with multiple sclerosis: A randomized clinical trial.

Siahvashi M, Shamsizadeh M, Tapak L, Ghiasian M, Azizi A Heliyon. 2024; 10(20):e39453.

PMID: 39502222 PMC: 11535978. DOI: 10.1016/j.heliyon.2024.e39453.

The Effect of the Team Members Teaching Design vs. Regular Lectures method on the Self-efficacy of the Multiple sclerosis Patients in Iran. Randomised Controlled Trial.

Dehghani A, Fakhravari F, Hojat M Invest Educ Enferm. 2024; 42(2.

PMID: 39083840 PMC: 11297469. DOI: 10.17533/udea.iee.v42n2e13.

The relationship between use of complementary and alternative medicine and health literacy in chronically ill outpatient cases: a cross-sectional study in southeastern Iran.

Dehghan M, Rad M, Lari L, Ghorbani-Nejad B, Mohebi-Rad M Front Public Health. 2023; 11:988388.

PMID: 37181699 PMC: 10173769. DOI: 10.3389/fpubh.2023.988388.

Facilitators and barriers to seeking and engaging with antenatal care in high-income countries: A meta-synthesis of qualitative research.

Escanuela Sanchez T, Linehan L, ODonoghue K, Byrne M, Meaney S Health Soc Care Community. 2022; 30(6):e3810-e3828.

PMID: 36240064 PMC: 10092326. DOI: 10.1111/hsc.14072.

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.

Bijani M, Niknam M, Karimi S, Naderi Z, Dehghan A BMC Neurol. 2022; 22(1):144.

PMID: 35436876 PMC: 9014276. DOI: 10.1186/s12883-022-02671-9.

References

Wendebourg M, Heesen C, Finlayson M, Meyer B, Pottgen J, Kopke S . Patient education for people with multiple sclerosis-associated fatigue: A systematic review. PLoS One. 2017; 12(3):e0173025. PMC: 5340368. DOI: 10.1371/journal.pone.0173025. View

Hibbard J . Patient Activation and Health Literacy: What's the Difference? How Do Each Contribute to Health Outcomes. Stud Health Technol Inform. 2017; 240:251-262. View

Kandula N, Nsiah-Kumi P, Makoul G, Sager J, Zei C, Glass S . The relationship between health literacy and knowledge improvement after a multimedia type 2 diabetes education program. Patient Educ Couns. 2009; 75(3):321-7. DOI: 10.1016/j.pec.2009.04.001. View

Kaya T, Goksel Karatepe A, Atici Ozturk P, Gunaydin R . Impact of peer-led group education on the quality of life in patients with ankylosing spondylitis. Int J Rheum Dis. 2013; 19(2):184-91. DOI: 10.1111/1756-185X.12256. View

Schulz P, Nakamoto K . Health literacy and patient empowerment in health communication: the importance of separating conjoined twins. Patient Educ Couns. 2012; 90(1):4-11. DOI: 10.1016/j.pec.2012.09.006. View

Bayati T, Dehghan A, Bonyadi F, Bazrafkan L . Investigating the effect of education on health literacy and its relation to health-promoting behaviors in health center. J Educ Health Promot. 2018; 7:127. PMC: 6225398. DOI: 10.4103/jehp.jehp_65_18. View

Koutsogeorgou E, Chiesi A, Leonardi M . Social capital components and social support of persons with multiple sclerosis: a systematic review of the literature from 2000 to 2018. Disabil Rehabil. 2019; 42(24):3437-3449. DOI: 10.1080/09638288.2019.1597182. View

Heijmans M, Waverijn G, Rademakers J, van der Vaart R, Rijken M . Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient Educ Couns. 2014; 98(1):41-8. DOI: 10.1016/j.pec.2014.10.006. View

Lassmann H . Multiple Sclerosis Pathology. Cold Spring Harb Perspect Med. 2018; 8(3). PMC: 5830904. DOI: 10.1101/cshperspect.a028936. View

10.

Koch-Henriksen N, Soelberg Sorensen P . The changing demographic pattern of multiple sclerosis epidemiology. Lancet Neurol. 2010; 9(5):520-32. DOI: 10.1016/S1474-4422(10)70064-8. View

11.

Rafferty A, Luo H, Little N, Imai S, Winterbauer N, Bell R . Self-reported Health Literacy Among North Carolina Adults and Associations with Health Status and Chronic Health Conditions. N C Med J. 2020; 81(2):87-94. DOI: 10.18043/ncm.81.2.87. View

12.

Dehghani PhD A, Dehghan Nayeri PhD N, Ebadi PhD A . Antecedents of Coping with the Disease in Patients with Multiple Sclerosis: A Qualitative Content Analysis. Int J Community Based Nurs Midwifery. 2017; 5(1):49-60. PMC: 5219565. View

13.

Ontaneda D, Thompson A, Fox R, Cohen J . Progressive multiple sclerosis: prospects for disease therapy, repair, and restoration of function. Lancet. 2016; 389(10076):1357-1366. DOI: 10.1016/S0140-6736(16)31320-4. View

14.

Eskandarieh S, Heydarpour P, Elhami S, Sahraian M . Prevalence and Incidence of Multiple Sclerosis in Tehran, Iran. Iran J Public Health. 2017; 46(5):699-704. PMC: 5442284. View

15.

Lassmann H, Bradl M . Multiple sclerosis: experimental models and reality. Acta Neuropathol. 2016; 133(2):223-244. PMC: 5250666. DOI: 10.1007/s00401-016-1631-4. View

16.

Druss B, Singh M, von Esenwein S, Glick G, Tapscott S, Tucker S . Peer-Led Self-Management of General Medical Conditions for Patients With Serious Mental Illnesses: A Randomized Trial. Psychiatr Serv. 2018; 69(5):529-535. PMC: 5930018. DOI: 10.1176/appi.ps.201700352. View

17.

Brooks C, Ballinger C, Nutbeam D, Mander C, Adams J . Nursing and allied health professionals' views about using health literacy screening tools and a universal precautions approach to communication with older adults: a qualitative study. Disabil Rehabil. 2019; 42(13):1819-1825. DOI: 10.1080/09638288.2018.1538392. View

18.

Fisher E, Boothroyd R, Maggy Coufal M, Baumann L, Mbanya J, Rotheram-Borus M . Peer support for self-management of diabetes improved outcomes in international settings. Health Aff (Millwood). 2012; 31(1):130-9. PMC: 4128379. DOI: 10.1377/hlthaff.2011.0914. View

19.

Sharif F, Abshorshori N, Tahmasebi S, Hazrati M, Zare N, Masoumi S . The effect of peer-led education on the life quality of mastectomy patients referred to breast cancer-clinics in Shiraz, Iran 2009. Health Qual Life Outcomes. 2010; 8:74. PMC: 2919455. DOI: 10.1186/1477-7525-8-74. View

20.

Walpola R, McLachlan A, Chen T . A Scoping Review of Peer-led Education in Patient Safety Training. Am J Pharm Educ. 2018; 82(2):6110. PMC: 5869746. DOI: 10.5688/ajpe6110. View