Positive Psychological Interventions for Patients With Multiple Sclerosis

N/AEnrolling By InvitationNCT06500039

Abant Izzet Baysal University30 enrolled

Overview

This study aims to determine the effectiveness of positive psychological interventions on the quality of life and well-being levels of patients with multiple sclerosis.Two groups will be selected as intervention and control groups. An intervention method consisting of three good things in life and gratitude activities, each lasting two weeks, was determined for the intervention group. An activity was planned for control group participants to write their daily routines.

People with Multiple Sclerosis (MS) face numerous physical and mental symptoms as well as emotional and social challenges. The fact that the disease usually occurs in young adulthood, when individuals are most productive, causes disability, its unpredictable and variable nature, and the lack of a known treatment make it difficult to live with MS and accept the disease. The physical, cognitive, behavioral and social changes that occur with the disease affect daily life activities, well-being. and greatly affects the quality of life. There are various interventions developed to improve the adaptation processes of individuals diagnosed with a chronic disease such as MS, to prevent and reduce psychiatric symptoms, and to increase quality of life and well-being. One of the intervention approaches is positive psychological interventions from the field of positive psychology. Positive psychological interventions are a psychosocial intervention method based on the systematic completion of certain activities aimed at increasing positive emotions, thoughts and behaviors. Since the interventions focus on strengthening positive mental states rather than reducing psychological symptoms, they also have an advantage over traditional interventions in that they can be applied to both sick and non-patients. However, it appears that positive psychological intervention studies have just begun to be implemented in patients with MS. In our country, no study has been found using positive psychological intervention in MS patients. This study aims to determine the effectiveness of positive psychological interventions on the quality of life and well-being levels of patients with multiple sclerosis.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Enrollment

Conditions

Multiple Sclerosis

Interventions

Positive Psychological Intervention ProgramOTHER

An intervention method consisting of three good things in life and gratitude activities was determined for the intervention group. It will take four weeks. Three good deeds will be held for two weeks, and gratitude activities will be held for the last two weeks. Participants will record the interventions on a prepared booklet.

Writing Daily RoutinesOTHER

An activity was planned for the control group participants to write their daily routines. They will write down their sleep, nutrition, hygiene and shopping routines, which will be different each week for four weeks. Control group participants will also be given a booklet to write on.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Diagnosis of MS by a neurologist according to McDonald criteria * Having at least 1 year of MS history * Expanded Disability Status Scale (EDSS) score measured by the neurology clinic is \<3.5 * Being between the ages of 18-65 being literate * Ability to communicate in Turkish * Volunteering to participate in the study Exclusion Criteria: * Having an MS attack and using corticosteroid medication for the last 3 months * A score of 21 or less on the Montreal Cognitive Assessment (MoCA) test * Having a mental or organic disability in communicating * Being diagnosed with any chronic disease other than MS * Using psychotropic medication or continuing psychotherapy * Not having or being able to obtain a phone that can connect to the internet

Locations (1)

Bolu Abant İzzet Baysal University

Bolu, Turkey (Türkiye)

Outcomes

Primary Outcomes

Multiple Sclerosis Quality of Life Scale (MSQOL)-54

It was developed by Vickrey, Hays, Harooni, Myers, and Ellison (1995). The scale consists of 2 main groups, composite physical health (BFS) and composite mental health (BMS), 12 subgroups and 2 independent items. The reliability coefficients of the scale were found to be between 0.75-0.96, and the test-retest reliability coefficients were found to be between 0.66-0.96. BFS and BMS scores, the two main groups of the MSQOL-54 scale, take a value between 0-100. A high score from the scale indicates a high quality of life.

Time frame: six month

PERMA Measuring Tool

It was developed by Butler and Kern (2016) to measure well-being levels. The scale consists of a total of 23 items, 15 items measuring the components of the well-being model and 8 filler items. Among the filler items in the scale, items 7, 12, 14 and 20 are reverse coded. There are 3 items in each dimension of the scale, which consists of 15 items. Sub-dimension scores are calculated by taking the average of the 3 items in the relevant sub-dimension. The Cronbach Alpha internal consistency coefficient for the total score of the scale is 91.

Time frame: six month

Secondary Outcomes

Positive and Negative Mood Scale (PNDS)

The Positive and Negative Affect Scale was developed by Watson and colleagues (1988) to assess positive and negative emotion. There are a total of 20 items in the scale, 10 items for each subscale. The scale is a five-point Likert scale ranging from 1 (very little to not at all) to 5 (very much). The score a person gets from the positive or negative emotion subscales varies between 10 and 50. The internal consistency coefficients of the original form of the scale are .88 for positive emotion and .85 for negative emotion.

Time frame: six month

Data from ClinicalTrials.gov

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