A systematic review of the impact of therapeutic education programs on the quality of life of people with Multiple Sclerosis.

IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Promotion Perspectives Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI:10.34172/hpp.42619
Ilham Raji, Ibtissam El Harch, Mohammed El Amine Ragala, Mohamed Berraho, Fedwa Nejjar, Mohammed Faouzi Belahsen
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引用次数: 0

Abstract

Background: Faced with a deemed mediocre quality of life (QoL) in people with multiple sclerosis (pwMS), the effectiveness of therapeutic education (TPE) programs is called into question. This systematic review is conducted to examine the impact of the TPE programs on the QoL of pwMS.

Methods: A search was performed in three databases (PubMed, Web of Science and Scopus) to identify relevant studies published between 2007 and 2022. The review followed the PRISMA guidelines. Two reviewers independently extracted data on the study and program characteristics. These data were presented in tables for detailed synthesis and descriptive analyses. The selected studies underwent assessment using recommended evaluation tools.

Results: Of the 21 studies included in the review, 13 found a significant improvement in QoL, which was maintained during follow-up testing in 42% of the studies. TPE programs that focused on patients' individual needs and aimed to develop their skills in a personalized manner appeared to promote QoL. Interaction formats (individual, group, remote), session duration [range=1.5-28] and number of sessions [range=1-18] varied between the studies reviewed.

Conclusion: Thoughtful, structured design of educational programs requires a match between the educational aspects specific to each individual and the appropriate choice of content, delivery modalities of the interventions and evaluation protocol, as well as a reasonable follow-up time. The conclusions drawn could serve as guidelines to direct future research towards optimal educational interventions.

Systematic review registration: PROSPERO CRD42022338651.

治疗教育计划对多发性硬化症患者生活质量影响的系统性综述。
背景:多发性硬化症患者(pwMS)的生活质量(QoL)被认为很一般,因此治疗教育(TPE)项目的有效性受到质疑。本系统综述旨在研究治疗性教育项目对多发性硬化症患者生活质量的影响:在三个数据库(PubMed、Web of Science 和 Scopus)中进行了搜索,以确定 2007 年至 2022 年间发表的相关研究。审查遵循了 PRISMA 指南。两名审稿人独立提取了有关研究和项目特征的数据。这些数据以表格形式呈现,以便进行详细的综合和描述性分析。所选研究使用推荐的评估工具进行了评估:在纳入综述的 21 项研究中,有 13 项研究发现患者的 QoL 有明显改善,其中 42% 的研究在随访测试中保持了这种改善。注重患者个人需求、旨在以个性化方式发展其技能的 TPE 项目似乎能提高患者的 QoL。不同研究的互动形式(个人、小组、远程)、课程持续时间[范围=1.5-28]和课程次数[范围=1-18]各不相同:要深思熟虑、有条不紊地设计教育计划,就必须将每个人的具体教育内容与适当选择的内容、干预措施的实施方式和评估方案以及合理的随访时间相匹配。得出的结论可作为指导未来研究的准则,以实现最佳的教育干预:系统综述注册:prospero crd42022338651。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Promotion Perspectives
Health Promotion Perspectives PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.10
自引率
2.30%
发文量
27
审稿时长
13 weeks
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