From experts’ perspective, factors affecting the effectiveness of online educational programs in promoting the health literacy of MS patients: A grounded theory approach

IF 3.1 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Patient Education and Counseling Pub Date : 2025-05-01 Epub Date: 2025-01-17 DOI:10.1016/j.pec.2025.108673
Seyed Kian Haji seyed javadi , Aisan Nouri
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Abstract

Background

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.

Aim

This study aimed to explain the factors affecting the effectiveness of online educational programs in promoting HL among MS patients in Iran.

Methods

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.

Results

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.

Conclusions

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.

Practice implications

Findings from this study can enhance the efficacy and productivity of online programs aimed at boosting HL among patients with specific conditions like MS
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从专家的角度来看,影响在线教育项目在促进MS患者健康素养方面有效性的因素:一个扎根的理论方法。
背景:在线教育计划已成为促进多发性硬化症(MS)患者健康素养(HL)的一种有前途的工具。然而,确定影响因素对于最大化其有效性至关重要。目的:本研究旨在解释影响在线教育项目在伊朗MS患者中推广HL有效性的因素。方法:采用扎根理论(扎根理论)为基础的定性研究方法,采用滚雪球抽样法进行问卷调查。共采访了17位专家,包括患者教育工作者和HL专家,直到达到理论饱和。参与者从德黑兰的病人康复中心和伊朗多发性硬化症协会的成员中选出。结果:通过对访谈数据的分析,揭示了六个语境因素。这些因素包括社会经济地位、医疗基础设施、技术可及性和读写能力、文化和语言多样性、支持网络和护理人员参与以及卫生政策和监管环境。结论:解决社会经济差距、提高技术可及性和识字率以及培养文化敏感性是提高这些项目的有效性和可及性的必要步骤。此外,与护理人员和政策制定者的合作对于创造一个有利的环境至关重要,该环境支持将在线健康教育举措成功整合到MS护理中。实践意义:本研究的发现可以提高在线项目的有效性和生产力,旨在提高患有多发性硬化症等特殊疾病的患者的HL。
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来源期刊
Patient Education and Counseling
Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
11.40%
发文量
384
审稿时长
46 days
期刊介绍: Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.
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