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Clinical Trials in Turkey / NCT07411508
Active, not recruiting Not applicable

The Effects of Face-to-face and Tele-nursing Education on Fatigue, Pain, Sleep, and Urinary Tract Infections in Patients With Multiple Sclerosis.

NCT07411508 · tracked via the Priya Life Science Turkey tracker
Sponsor
ugurlu
Phase
Not applicable
Started
2024-04-01
Last updated
2026-02-19

Condition(s) studied

Multiple SclerosisEducationSymptom Management

Investigational drug(s) / intervention(s)

telenursingface to face educationControl arm

telenursing: The nurse researcher developed training modules for MS symptoms (pain, fatigue, sleep, and urinary tract infections) in consultation with experts. These training modules were then presented via an online application (e.g., WhatsApp software or internet access address creation) with the approval and support of training and IT experts. In this context, volunteer patients who met the study criteria received training three days a week for six weeks via telenursing. Furthermore, as part of the telenursing program, patients were given the opportunity to call the researcher for 10-15 minutes from 8 a.m. to 8 p.m. on weekdays if they needed telephone consultation (Dehghani et al., 2023).

face to face education: A focus group training program was planned for patients who met the study inclusion criteria during the MS Outpatient Clinic Days (Tuesday-Thursday, 9:00-16:00) at Sakarya Training and Research Hospital. The training, prepared according to Pender's Health Promotion Model , was provided by the research nurse. The literature suggests that the ideal number of focus group interviews should be 4-10 people, and that the number of groups should not exceed 10 to facilitate group dynamics and interaction. In our study, a total of 3-5 focus group training sessions were conducted (Öner and Karabudak, 2021; Çokluk et al., 2011).

Control arm: The control group received no intervention, and patients continued to receive their routine treatments. At the end of the study, volunteers in the control group received an Pender's Health Promotion Model-based education program prepared by the research nurse, either face-to-face or via telenursing, at their request.

Study summary

The aim of this study is to evaluate the effects of face-to-face and distance nursing education, based on Pender's Health Promotion Model, on fatigue, pain, sleep, and urinary tract infections in MS patients who applied to the Multiple Sclerosis Outpatient Clinics of Sakarya Training and Research Hospital. With this research, the researcher aims to reduce MS symptoms and severity, prevent secondary problems, and improve quality of life.

Eligibility

Sex
ALL
Min age
18 Years
Max age
55 Years
Healthy volunteers
No
Inclusion Criteria: * Patients who are willing to participate in the study, * Age between 18-55, * Literate, * Diagnosed at least 1 year ago, * Diagnosed with Relapsing-Remitting MS (the most common type, RRMS, which progresses with attacks and remissions), * A specialist (psychologist or psychiatrist) has determined that their cognitive level is suitable for participation in the study, * Scoring their pain 4 points or higher on the Visual Analog Scale (VAS), * Scoring 4 or higher on the Fatigue Severity Scale (FSS), * Scoring 10 or higher on the Epworth Sleepiness Scale (ESS), * Having not used any other complementary and alternative treatments in the last 6 months, * Patients who own or have a family member who owns a smartphone, tablet, or computer will be included (Eren, 2018). Exclusion Criteria: * Patients who are unwilling to participate in the study for any reason, * Have a communication disability, * Have a hearing or visual impairment, * Have failed to attend three consecutive training sessions unless medically indicated, * Have not completed 70% of the training program (or 17 of 24 sessions) (Alonso Martínez et al., 2023), * Have developed serious physical or mental illnesses during the study period, * Have been found to be unsuitable for participation in the study (as assessed by a psychologist or psychiatrist), * Have used other complementary therapies such as acupuncture, yoga, meditation, etc. during the study period, * Have been in an attack phase of the disease or have conditions requiring hospitalization during the intervention will not be included in the study.

Primary outcome measure(s)

  • TELENURSING EDUCATION — Up to the 12th week after educational interventions
    Based on Pender's Health Enhancement Model, telenursing provides education to MS patients, reducing patient fatigue, pain intensity, and urinary tract infections, while improving patient sleep quality. 1\. The total score obtained from the application of fatigue technology (FSS) is reduced as it decreases; a higher score indicates increased fatigue.
  • TELENURSING EDUCATION — Up to the 12th week after educational interventions
    2\. Pain is determined using a visual analog scale (VAS) with marking on a 10 cm ruler, indicator marking (0 = no pain, 10 = unbearable pain).
  • TELENURSING EDUCATION — Up to the 12th week after educational interventions
    3\. Urinary tract is used according to presence or absence. 1 point is given if present, 0 points if absent.
  • TELENURSING EDUCATION — Up to the 12th week after educational interventions
    4\. Epworth sleep performance state (ESS) uses 0, 1, 2, and 3-wire systems; higher scores indicate increased daytime sleepiness. A total score between 0 and 24 can be obtained from the scale.

Trial sites (1)

FacilityCityRegionStatus
Sakarya University Institute of Health Sciences Sakarya Serdivan

Other trials for the same condition

Fatigue and Mental Well-Being in MS Patients(Multiple Sclerosis) Recruiting
The Effect of Wound Care Education Given to Patients on Wound Care Knowledge, Self-Care Self-Efficacy, and Quality of Recovery Active, not recruiting
Effect of Multimodal Exercise Training in Patients With Multiple Sclerosis Recruiting
OBE vs PBL in Physiotherapy Education Enrolling by invitation
Cone Evasion Walk Test in Multiple Sclerosis Starting soon
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07411508 on ClinicalTrials.gov ↗ ← All trials in Turkey