Haji Seyed Javadi Seyed Kian, Nouri Aisan
Community Oral Health Department, Shahid Beheshti University of Medical Sciences, Dental Faculty, Tehran, Iran.
Nano Tech Laboratory, School of Engineering, Faculty of Science and Engineering, Macquarie University, Sydney, Australia.
Patient Educ Couns. 2025 May;134:108673. doi: 10.1016/j.pec.2025.108673. Epub 2025 Jan 17.
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.
This study aimed to explain the factors affecting the effectiveness of online educational programs in promoting HL among MS patients in Iran.
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.
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.
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.
Findings from this study can enhance the efficacy and productivity of online programs aimed at boosting HL among patients with specific conditions like MS.
在线教育项目已成为提高多发性硬化症(MS)患者健康素养(HL)的一种有前景的工具。然而,识别影响因素对于最大限度地提高其有效性至关重要。
本研究旨在解释影响伊朗MS患者在线教育项目促进HL有效性的因素。
采用基于扎根理论(GT)的定性方法,并通过滚雪球抽样招募参与者。共采访了17名专家,包括患者教育工作者和HL专家,直至达到理论饱和。参与者从德黑兰的患者康复中心和伊朗MS协会成员中选取。
对访谈数据的分析揭示了六个背景因素。这些因素包括社会经济地位、医疗保健基础设施、技术可及性和素养、文化和语言多样性、支持网络和照顾者参与以及卫生政策和监管环境。
解决社会经济差距、提高技术可及性和素养以及培养文化敏感性是提高这些项目有效性和可及性的关键步骤。此外,与照顾者和政策制定者合作对于营造有利环境至关重要,该环境支持将在线健康教育举措成功融入MS护理。
本研究结果可提高旨在提高MS等特定疾病患者HL的在线项目的疗效和效率。