Effect of Continuous Nursing Model Based on a Smartphone Application on Self-efficacy and Treatment Compliance among Multiple Sclerosis Patients

Mohamed Elesawy, Fatma; Ahmed Mohammad Abd -Eltawab, Shaimaa; Samir Abdelhady Mohamed, Monira

doi:10.21608/ejhc.2025.454659

Effect of Continuous Nursing Model Based on a Smartphone Application on Self-efficacy and Treatment Compliance among Multiple Sclerosis Patients

Document Type : Original Article

Authors

¹ (1) Assistant professor at Medical Surgical Nursing Faculty of Nursing – South Valley University

² (2) Lecturer at Medical Surgical Nursing Faculty of Nursing -Fayoum University

³ (3) Assistant professor at Medical Surgical Nursing Faculty of Nursing –Damietta University

10.21608/ejhc.2025.454659

Abstract

Background: Multiple sclerosis (MS) is a common neurological disorder that affects people all over the world. Maintaining adherence to disease-modifying therapy is crucial for MS patients to achieve optimal outcomes and improve their quality of life. Aim: To evaluate the effect of continuous nursing model based on a smartphone application on self-efficacy and treatment compliance among multiple sclerosis patients. Methods: A quasi-experimental study with a pre/posttest design was used for the present study. Setting: This study was carried out at multiple sclerosis centers at Fayoum General Hospital. Sample: A purposive sample of 60 MS patients. The data were collected using four tools. Tool I: Structured interviewing questionnaire to collect information about socio-demographic data and disease-related data, Tool II: Multiple Sclerosis Knowledge Questionnaire (MSKQ). Tool III: Multiple Sclerosis Treatment Adherence Questionnaire (MS-TAQ) and Tool IV: MS Self-Efficacy Scale (MSSS) Results: The results demonstrated increase in the total mean knowledge score after one month and after three months following the implementation of Continuous Nursing Model (CNM) compared to pre- implementing the (CNM) also there was improvement in mean score of treatment adherences and self-efficacy after one month and after three months following the implementation of Continuous Nursing Model (CNM) compared to pre- implementing the (CNM) and self-efficacy was increase after one month and after three months following the implementation (CNM) compared to pre- implementing the (CNM) (p < 0.001). Conclusions: The CNM implementation via a smartphone application resulted in improvements in the MS patients’ knowledge, treatment adherence, and self-efficacy. Recommendation: Conducting CNM using a smartphone application to be used by nurses to deliver continuous care with other interventions for MS patients.

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