Prevalence of Multiple sclerosis and its clinical and demographic characteristics in Kurdish populations in western Iran (2020)

From experts' perspective, factors affecting the effectiveness of online educational programs in promoting the health literacy of MS patients: A grounded theory approach

BACKGROUND

Online educational programs have emerged as a promising tool for promoting health literacy (HL) among multiple sclerosis (MS) patients. However, identifying influencing factors is crucial for maximizing their effectiveness.

AIM

This study aimed to explain the factors affecting the effectiveness of online educational programs in promoting HL among MS patients in Iran.

METHODS

A qualitative methodology based on Grounded Theory (GT) was employed and participants were recruited using snowball sampling. A total of 17 experts, including patient educators and HL experts, were interviewed until theoretical saturation was achieved. Participants were selected from patient rehabilitation centers in Tehran and members of the Iran MS Society.

RESULTS

Analysis of the interview data revealed six contextual factors. These factors included socioeconomic status, healthcare infrastructure, technological accessibility and literacy, cultural and linguistic diversity, support networks and caregiver involvement, and health policy and regulatory environment.

CONCLUSIONS

Addressing socioeconomic disparities, improving technological access and literacy and fostering cultural sensitivity are essential steps to enhance the effectiveness and accessibility of these programs. Moreover, collaboration with caregivers and policymakers is crucial for creating an enabling environment that supports the successful integration of online health education initiatives into MS care.

PRACTICE IMPLICATIONS

Findings from this study can enhance the efficacy and productivity of online programs aimed at boosting HL among patients with specific conditions like MS.

Ethnic disparities in the epidemiological and clinical characteristics of multiple sclerosis

BACKGROUND

Multiple Sclerosis (MS) is a neuroinflammatory disorder which affects 2.8 million people world-wide. A growing body of evidence shows ethnic disparities in MS. This review aims to evaluate differences, based upon ethnic background, in the incidence, prevalence, disease course, and efficacy of disease-modifying therapies (DMTs) among people with MS (PwMS).

METHOD

Ethnicities were classified as White, Black, Hispanic, Asian, and Middle Eastern and North African (MENA). A literature search was conducted using the PubMed search engine to identify articles on MS and ethnicity that were published in the English language between 01/01/2005 and 31/05/2022.

RESULTS

101 studies met all inclusion criteria. Although the incidence and prevalence of MS varied among ethnicities, findings were inconsistent and depended on the continent of the study. Ethnicity may have an impact on the disease course. PwMS from Black, Hispanic, and MENA, but not Asian ethnicities, appeared to accumulate physical disability at a faster rate than those from White ethnicity. Although there was a lack of studies evaluating the relative safety and efficacy of DMTs among various ethnicities, interferon-beta was found to be less efficacious in PwMS from Black ethnicity.

CONCLUSIONS

Further studies, with more uniform definitions of ethnicity are required to comprehensively understand ethnic disparities in MS, in particular to identify underlying causes, to facilitate the delivery of personalised medical care and avoid inequity.

Economic and Social Standing of Individuals in Iran Diagnosed with Multiple Sclerosis

BACKGROUND

Multiple sclerosis (MS) may be affected by socioeconomic status (SES). This study aims to explore the determinants of SES among Iranian patients with MS and examine how these factors relate to disability and disease progression.

METHODS

All patients with MS listed in the nationwide MS registry of Iran (NMSRI) until January 8, 2022, were included in this population-based study.

RESULTS

Among the 5153 patients, most were female (74.5%), married (70.8%), and did not hold an academic degree (53.8%). Unemployment (OR: 3.75) and being unmarried (OR: 2.60) were significantly associated with Expanded Disability Status Scale (EDSS)≥6, and the time to progression was shorter in the unemployed group (P value: 0.03). There was also a significant negative correlation between the time to progression and the age at disease onset.

CONCLUSION

The study suggests that providing financial and social support to MS patients and their families through investment could reduce both individual and societal burdens.