Effect of Collaborative Care on Fear of Disease Progression in Multiple Sclerosis Patients: A Randomized Controlled Trial.

Background: Fears about the future and uncertainty in multiple sclerosis (MS) can affect the patients' adaptation and well-being. Objectives: This study investigated the effect of collaborative care on the fear of disease progression in MS patients. Methods: In this randomized controlled trial, pati...

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Publicado en:Journal of Nursing & Midwifery Sciences Vol. 10; no. 4; pp. 1 - 8
Autores principales: Ebrahimi, Marzieh, Jaberi, Ali Ansari, Bonabi, Tayebeh Negahban
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Brieflands Dec2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2023
      vid: 10
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        10.5812/jnms-141576
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        atl: Effect of Collaborative Care on Fear of Disease Progression in Multiple Sclerosis Patients: A Randomized Controlled Trial.
      aug:
        au:
          Ebrahimi, Marzieh
          Jaberi, Ali Ansari
          Bonabi, Tayebeh Negahban
        affil: Department of Medical Surgical Nursing, School of Nursing and Midwifery, Student Research Committee, Rafsanjan University of Medical sciences, Rafsanjan, Iran
      sug:
        subj:
          Joint Practice Methods
          Multiple Sclerosis Therapy
          Fear Prevention and Control
          Disease Progression Prevention and Control
          Patient Care
          Treatment Outcomes Evaluation
          Human
          Male
          Female
          Adult
          Middle Age
          Randomized Controlled Trials
          Random Assignment
          Descriptive Statistics
          Caregivers
          Questionnaires
          Chi Square Test
          Fisher's Exact Test
          Paired T-Tests
          T-Tests
          Models, Theoretical
          Extended Family
          Central Nervous System Diseases
          Chronic Disease
          Summated Rating Scaling
          Coefficient alpha
          Data Analysis Software
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Fears about the future and uncertainty in multiple sclerosis (MS) can affect the patients' adaptation and well-being. Objectives: This study investigated the effect of collaborative care on the fear of disease progression in MS patients. Methods: In this randomized controlled trial, patients and their main caregivers were assigned into study groups (36 in the intervention and 43 in the control group) by randomized minimization method. For the intervention group, the collaborative care model was implemented in seven sessions over nine weeks. The data were collected using the Fear of Progression Questionnaire-Short Form (FOP Q-SF). Data analysis was done using descriptive statistics, Shapiro-Wilk, chi-square, Fisher Exact, independent, and paired t-tests. Results: A near-significant difference was found between the groups after the intervention (P = 0.051). However, in intragroup comparisons, the FOP score significantly decreased in the intervention group (P = 0.001) and increased in the control group after the intervention (P = 0.001). Conclusions: Collaborative care could potentially be an effective strategy for managing FOP in patients with MS.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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