DOI: 10.1177/17449871261445355 ISSN: 1744-9871

The effect of a web-based self-care education programme on the health-promoting behaviours of patients with multiple sclerosis: a randomised controlled trial

Sara Akbari, Kourosh Amini, Seyede Fatemeh Gheiasi, Nasrin Hanifi
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Background:

Web-based self-care education can improve health outcomes in patients with chronic conditions.

Aims:

This study aimed to examine the impact of a web-based self-care programme based on Orem’s model on the health-promoting behaviours of patients with multiple sclerosis (MS).

Methods:

The study included 91 MS patients, randomly assigned to control ( n  = 46) and experimental ( n  = 45) groups using block randomisation. The control group received standard care, whereas the experimental group participated in a web-based self-care education programme. Data were collected using demographic questionnaires, educational needs checks and Walker’s Health-Promoting Lifestyle Profile, then analysed using SPSS-26 with statistical tests ( p  < 0.05).

Results:

Before the programme, the average health-promoting behaviours score in the two groups did not differ significantly ( p  > 0.05). After the programme, the experimental group’s health-promoting behaviours score increased from 109.97 ± 13.78 to 119.97 ± 13.44, whereas the control group showed almost no change (110.83 ± 13.25 to 111.72 ± 13.05). Post-programme scores were significantly higher in the experimental group compared with the control group ( p  = 0.002).

Conclusions:

The web-based self-care education programme positively affects the health-promoting behaviours of patients with MS. It is recommended as an effective approach to improve health-promoting behaviours in patients with chronic conditions.

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