Mental Health Literacy and Health Promoting Behaviors among Patients with Multiple Sclerosis: a Cross-Sectional Study

Document Type : Original Article

Authors

1 Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran

2 Department of Public Health, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.

3 Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.

4 Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background and Objectives: Multiple sclerosis (MS) is a chronic disease that leads to both physical limitations and neuropsychological disorders. This study aimed to determine the relationship between mental health literacy (MHL) and health promoting behaviors (HPB) in patients referred to the comprehensive multiple sclerosis center of Mashhad city, in 2022.

Materials and Methods: This cross-sectional study was performed on 230 patients referred to the comprehensive multiple sclerosis center of Mashhad city, in 2022. The sampling method was simply random and participants were easily selected. The data instrument was self-report questionnaires including demographic information, the mental health literacy questionnaire (MHLQ), and Walker's Health-Promoting Lifestyle Profile II (HPLP II). The data were analyzed using SPSS version 22 software. 

Results: The results showed there was a significant correlation was found between the MHL in multiple sclerosis patients and HPB (r=0.690, P<0.001). Also, other dimensions of HPB had a positive and significant relationship with MHL.

Conclusion: The existence of a statistical relationship between MHL and HPB in people with multiple sclerosis emphasizes the importance of assessing MHL and increasing it in order to improve HPB.

Keywords

Acknowledgement: The authors of the study express their sincere gratitude to all authorities of the  Mashhad University of Medical Sciences.


Availability of data and materials: The data sets used and/or analyzed during the current study was available from the corresponding author on reasonable request.


Conflict of interest: The authors declare that they have no competing interests.


Consent for publication: Not applicable.


Ethical approval and consent to participate: This study was conducted in accordance with the Declaration of Helsinki and conducted by the Research Ethics Committee of Mashhad University of Medical Sciences (ID: IR.MUMS.REC.1401.251, 2022.10.29). First, the aims of the study were explained to the participants, and their written informed consent was obtained. 


Funding: No financial support was received for this study.


Author’s contributions: Authors FP, FP, MHD and HT designed the study. FP, HT and MHD participated in the conception of the study. FP and FP managed and conducted the statistical analyses and interpreted the data. All authors have read and approved the final manuscript.

 

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

References

  1. Hauser SL, Cree BAC. Treatment of Multiple Sclerosis: A Review. The American Journal of Medicine. 2020;133(12):1380-90.e2. https://doi.org/10.1016/j.amjmed.2020.05.049.
  2. Pourhaji F, Peyman N, Taraghdar MM, Jamali J, Tehrani H. Explaining the burden of psychosocial factors on the worsening symptoms of MS: a qualitative study of patients' experiences. BMC neurology. 2023;23(1):98. https://doi.org/10.1186/s12883-023-03148-z.
  3. Pourhaji F, Taraghdar MM, Peyman N, et al. Explaining the burden of cultural factors on MS disease: a qualitative study of the experiences of women with multiple sclerosis. BMC Women's Health 2024; 24: 477. https://doi.org/10.1186/s12905-024-03328-0.
  4. Mohammadi M. Brief note on multiple sclerosis. Journal of Multiple Sclerosis. 2021;8(1):1-9.
  5. Abulaban A, Altowairqi A, Altowairqi H, Almutairi A, Altalhi S, Alotaibi F, et al. Neurosciences Journal. 2019;24(4):327-31. https://doi.org/10.17712/nsj.2019.4.20190031. DOI: https://doi.org/10.17712/nsj.2019.4.20190031.
  6. Baghini MS, Bahaadinbeigy K. The role of health literacy in multiple sclerosis: A systematic review. Frontiers in Health Informatics. 2023;12:130. https://doi.org/10.30699/fhi.v12i0.395.
  7. Apfel F, Tsouros AD. Health literacy: the solid facts. Copenhagen: World Health Organization. 2013:3-26.
  8. Bessing B, van der Mei I, Taylor BV, Honan CA, Blizzard L, Claflin SB. Evaluating the impact of the Understanding Multiple Sclerosis online course on participant MS knowledge, health literacy, resilience, self-efficacy, quality of life, and MS symptom severity. Multiple Sclerosis and Related Disorders. 2022;60:103717. https://doi.org/10.1016/j.msard.2022.103717.
  9. Dehghani A. A comparative study of the effect of peer-led and lecture-based education on health literacy in patients with multiple sclerosis. International Journal of Community Based Nursing and Midwifery. 2021;9(1):76. https://doi.org/10.30476/IJCBNM.2020.85816.1298.
  10. Kutcher S, Wei Y, Coniglio C. Mental health literacy: past, present, and future. The Canadian Journal of Psychiatry. 2016;61(3):154-8. https://doi.org/10.1177/0706743715616609.
  11. Jorm AF. Mental health literacy: Public knowledge and beliefs about mental disorders. The British Journal of Psychiatry. 2000;177(5):396-401. https://doi.org/10.1192/bjp.177.5.396.
  12. Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P. “Mental health literacy”: a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Medical journal of Australia. 1997;166(4):182-6. https://doi.org/10.5694/j.1326-5377.1997.tb140071.x.
  13. Mahfouz MS, Aqeeli A, Makeen AM, Hakami RM, Najmi HH, Mobarki AT, et al. Mental health literacy among undergraduate students of a Saudi tertiary institution: a cross-sectional study. Mental illness. 2016. https://doi.org/10.4081/mi.2016.6806.
  14. Henderson C, Evans-Lacko S, Thornicroft G. Mental illness stigma, help seeking, and public health programs. American journal of public health. 2013;103(5):777-80. https://doi.org/10.2105/AJPH.2012.301056 PMid:23488489 PMCid:PMC3698814
  15. Patten SB. Current perspectives on co-morbid depression and multiple sclerosis. Expert Review of Neurotherapeutics. 2020;20(8):867-74. https://doi.org/10.1080/14737175.2020.1806062.
  16. Sweileh WM. Global research activity on mental health literacy. Middle East Current Psychiatry. 2021;28:1-9. https://doi.org/10.1186/s43045-021-00125-5.
  17. Shaheen AM, Nassar OS, Amre HM, Hamdan-Mansour AM. Factors affecting health-promoting behaviors of university students in Jordan. Health. 2015;7(01):1. http://dx.doi.org/10.4236/health.2015.71001.
  18. Dehghani A, Pourfarid Y, Hojat M. The effect of telenursing education of self-care on health-promoting behaviors in patients with multiple sclerosis during the COVID-19 pandemic: A clinical trial study. Multiple Sclerosis and Related Disorders. 2023;70:104507. https://doi.org/10.1016/j.msard.2023.104507.
  19. Dashti A, Yousefi H, Maghsoudi J, Etemadifar M. The effects of motivational interviewing on health promoting behaviors of patients with multiple sclerosis. Iranian journal of nursing and midwifery research. 2016;21(6):640-5. https://doi.org/10.4103/1735-9066.197682.
  20. Noroozi A, Khademolhosseini F, Lari H, Tahmasebi R. The mediator role of mental health literacy in the relationship between demographic variables and health-promoting behaviours. Iranian Journal of Psychiatry and Behavioral Sciences. 2018;12(2). https://doi.org/10.5812/ijpbs.12603.
  21. Furnham A, Swami V. Mental health literacy: A review of what it is and why it matters. International Perspectives in Psychology: Research, Practice, Consultation. 2018;7(4):240. https://doi.org/10.1037/ipp0000094.
  22. Evangelou N, Mattoscio M, Coutts M, Andiappan M, Sawtell T, Rhys K. 148 Treating newly diagnosed relapsing-remitting multiple sclerosis (RRMS): a 2021 clinician survey in the United Kingdom. Journal of Neurology, Neurosurgery & Psychiatry. 2022;93(9):e2. http://dx.doi.org/10.1136/jnnp-2022-abn2.192.
  23. Fouad AM, Abdel Naseer M, Farghaly M, Hegazy MI. New algorithmic approach for easier and faster extended disability status scale calculation. Multiple Sclerosis Journal - Experimental, Translational and Clinical. 2023;9(1):20552173231155055. https://doi.org/10.1177/20552173231155055.
  24. Hulley SB, Cummings SR, Browner WS, Grady D, Hearst N, Newman TB. Designing clinical research: an epidemiologic approach. Designing clinical research: an epidemiologic approach: (3th ed. ed.). Philadelphia,: PA: Lippincott Williams & Wilkins.; 2013. p. 336-.
  25. Zarebi A, Jafari F, Hosseinian S, Abdollahi A. Psychometric properties of the Persian version of the Mental Health Literacy Scale (MHLS) on Iranian students in 2019. Journal of Research in Psychological Health. 2021;14(4):85-103. https://doi.org/10.52547/rph.14.4.85
  26. Pourhaji F, Jamali J, Taraghdar MM, Peyman N, Tehrani H. Design and validation of a Questionnaire on the factors influencing self-care behaviors in patients with Multiple sclerosis (QFASMS). BMC neurology. 2024;24(1):20. https://doi.org/10.1186/s12883-023-03522-x.
  27. Walker SN, Sechrist KR, Pender NJ. Health promotion model-instruments to measure health promoting lifestyle: Health-promoting lifestyle profile [HPLP II](Adult version). 1995.
  28. Dashti–Dehkordi A, Yousefi H, Etemadifar M, Maghsoudi J. Health promotion behaviors and its correlation with some of the demographic factors in patients with multiple sclerosis. Advances in Nursing and Midwifery. 2017;26(93):11-8.
  29. Mousavizadeh A, Dastoorpoor M, Naimi E, Dohrabpour K. Time-trend analysis and developing a forecasting model for the prevalence of multiple sclerosis in Kohgiluyeh and Boyer-Ahmad Province, southwest of Iran. Public health. 2018;154:14-23. https://doi.org/10.1016/j.puhe.2017.10.003.
  30. Gerhard L, Dorstyn DS, Murphy G, Roberts RM. Neurological, physical and sociodemographic correlates of employment in multiple sclerosis: A meta-analysis. Journal of health psychology. 2020;25(1):92-104. https://doi.org/10.1177/1359105318755262.
  31. Momenabadi V, Kaveh MH, Nakhaee N, Karimzadeh Shirazi K, Sedighi B, Tabatabaei SHR. Health Promoting Self-care Behaviors in Patients With Multiple Sclerosis in the Southeast of Iran: Developing a Model for Practice. Basic and clinical neuroscience. 2020;11(5):687-99. http://dx.doi.org/10.32598/bcn.11.5.1670.1.
  32. Lee HY, Hwang J, Ball JG, et al. Mental health literacy affects mental health attitude: Is there a gender difference? American Journal of Health Behavior 2020; 44: 282-291. https://doi.org/10.5993/AJHB.44.3.1.
  33. Johnson RL. Gender differences in health‐promoting lifestyles of African Americans. Public health nursing 2005; 22: 130-137. https://doi.org/10.1111/j.0737-1209.2005.220206.x.
  34. Li J, Zhang MM, Zhao L, Li WQ, Mu JL, Zhang ZH. Evaluation of attitudes and knowledge toward mental disorders in a sample of the Chinese population using a web-based approach. BMC Psychiatry. 2018;18(1):367. https://doi.org/10.1186/s12888-018-1949-7.
  35. Jafari A, Nejatian M, Momeniyan V, Barsalani FR, Tehrani H. Mental health literacy and quality of life in Iran: a cross-sectional study. BMC psychiatry. 2021;21:1-11. https://doi.org/10.1186/s12888-021-03507-5.
  36. Heijmans M, Waverijn G, Rademakers J, van der Vaart R, Rijken M. Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient education and counseling. 2015;98(1):41-8. https://doi.org/10.1016/j.pec.2014.10.006.
  37. Simkiss NJ, Gray NS, Dunne C, Snowden RJ. Development and psychometric properties of the Knowledge and Attitudes to Mental Health Scales (KAMHS): a psychometric measure of mental health literacy in children and adolescents. BMC pediatrics. 2021;21(1):1-10. https://doi.org/10.1186/s12887-021-02964-x.
  38. Mårtensson L, Hensing G. Health literacy–a heterogeneous phenomenon: a literature review. Scandinavian journal of caring sciences. 2012;26(1):151-60. https://doi.org/10.1111/j.1471-6712.2011.00900.x.
  39. Rodrigues FFL, Santos MAd, Teixeira CRdS, Gonela JT, Zanetti ML. Relationship between knowledge, attitude, education and duration of disease in individuals with diabetes mellitus. Acta Paulista de Enfermagem. 2012;25:284-90. https://doi.org/10.1590/S0103-21002012000200020.
  40. Ghajarzadeh M, Jalilian R, Eskandari G, Sahraian MA, Azimi A, Mohammadifar M. Fatigue in multiple sclerosis: relationship with disease duration, physical disability, disease pattern, age and sex. Acta Neurologica Belgica. 2013;113:411-4. https://doi.org/10.1007/s13760-013-0198-2.
  41. Jorm AF. Mental health literacy: Public knowledge and beliefs about mental disorders. The British Journal of Psychiatry. 2018;177(5):396-401. https://doi.org/10.1192/bjp.177.5.396.
  42. Jafari A, Nejatian M, Momeniyan V, Barsalani FR, Tehrani H. Mental health literacy and quality of life in Iran: a cross-sectional study. BMC Psychiatry. 2021;21(1):499. https://doi.org/10.1186/s12888-021-03507-5.
  43. Mirsamiyazdi N, Jafaripour F, Taqvaeinasab H, Masoudiyekta L, Amiri R, Azarbad S, et al. The relationship between health literacy and health promoting behaviors in patients with type2 diabetes. Journal of Health Literacy. 2021;6(3):24-31.
  44. Chahardah-Cherik S, Gheibizadeh M, Jahani S, Cheraghian B. The relationship between health literacy and health promoting behaviors in patients with type 2 diabetes. International journal of community based nursing and midwifery. 2018;6(1):65.
  45. Siboni FS, Khatooni M and Atashi V. Health-promoting lifestyle practices among patients with chronic diseases and its related factors. Asian Journal of Social Health and Behavior 2018; 1: 67-73. https://doi.org/10.4103/SHB.SHB_29_18.
  46. Abesinghe A, Katuwawela K, Lakmali K, et al. MENTAL HEALTH LITERACY: A SURVEY OF THE PUBLIC'S ABILITY TO RECOGNIZE MENTAL DISORDERS AND THEIR KNOWLEDGE ABOUT THE EFFECTIVENESS OF HELPFUL INTERVENTIONS TO HELP THE VICTIMS. Journal of Evidence-Based Psychotherapies 2023; 23. https://doi.org/10.24193/jebp.2023.2.16.
  47. Bayati T, Dehghan A, Bonyadi F, et al. Investigating the effect of education on health literacy and its relation to health-promoting behaviors in health center. Journal of education and health promotion 2018; 7. https://doi.org/10.4103/jehp.jehp_65_18.
  48. Kalb R, Brown TR, Coote S, Costello K, Dalgas U, Garmon E, et al. Exercise and lifestyle physical activity recommendations for people with multiple sclerosis throughout the disease course. Multiple Sclerosis Journal. 2020;26(12):1459-69. https://doi.org/10.1177/1352458520915629.
  49. Learmonth YC, Motl RW. Physical activity and exercise training in multiple sclerosis: a review and content analysis of qualitative research identifying perceived determinants and consequences. Disability and rehabilitation. 2016;38(13):1227-42. https://doi.org/10.3109/09638288.2015.1077397.
  50. Mahboubeh Soleimanpouromran MS and arabi h. The relationship between health literacy with health promoting lifestyle and environmental behavior. socio-cultural Development Studies 2018; 6: 191-216. Research.

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