Open AccessThe Efficacy of a Peer-Led Versus Nurse-Led Self-Management on the Subjective Well-Being of Patients with Multiple Sclerosis: A Randomized Clinical Trial
Author(s) -
Maryam Azizi,
Najmeh Javan,
Seyed Mohammad Mousavi Mirzaei,
Seyyed Abolfazl Vagharseyyedin
Publication year - 2020
Publication title -
murāqibat-i bīmārī/hā-yi muzmin-i jundī/shāpūr
Language(s) - English
Resource type - Journals
eISSN - 2322-4207
pISSN - 2322-3758
DOI - 10.5812/jjcdc.103036
Subject(s) - medicine , psychological intervention , randomized controlled trial , life satisfaction , patient satisfaction , self management , cognition , multiple sclerosis , clinical psychology , physical therapy , mental health , subjective well being , psychology , nursing , psychiatry , happiness , psychotherapist , machine learning , computer science
Background: Subjective well-being (SWB) can be a buffer against mental health problems. Patients with multiple sclerosis (MS) tend to experience low levels of subjective well-being. Objectives: The two objectives were (1) to examine whether peer-led and nurse-led self-management training can improve SWB of patients with MS and (2) to compare the effect of these two interventions on SWB of patients with MS. Methods: In this trial, 81 patients were randomly assigned to either nurse-led (n = 41) or peer-led (n = 40) groups. Both groups participated in six weekly-based 1.5‐hr self-management sessions. The cognitive and affective components of SWB were evaluated using the Satisfaction with Life Scale and the Scale for Positive and Negative Experience, respectively. Results: Life satisfaction increased in both groups over time (P 0.05). Positive and negative experiences increased in both groups over time (P < 0.05), but the increase in positive experience in the peer-led group was significantly larger than those in the nurse-led group (P < 0.05). Conclusions: Peer-led and nurse-led self-management training, are feasible tools to enhance the cognitive component of SWB, i.e., life satisfaction. Considering the affective component of SWB, positive experience in the peer-led group improved better than in the nurse-led group over time. Therefore, if healthcare providers improve the SWB of patients with relapsing-remitting MS, the self-management intervention led by peers is preferred than nurse-led self-management training.