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The effect of Betty Newman Model on death anxiety, fear of progression, and psychosocial adjustment to the disease in patients with Multiple Sclerosis

The effect of Betty Newman System Model on death anxiety, fear of progression, and psychosocial adjustment to the disease in patients with Multiple Sclerosis

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
IRCT
Registry ID
IRCT20240806062674N3
Enrollment
72
Registered
2025-12-14
Start date
2025-12-31
Completion date
Unknown
Last updated
2026-02-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Multiple Sclerosis. Multiple sclerosis

Interventions

Intervention 1: Intervention group: First, the study questionnaires will be completed by all samples. After reviewing the scores of the questionnaires and determining the areas that received lower sco

Sponsors

Shahre-kord University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
20 Years to No maximum

Inclusion criteria

Inclusion criteria: 1- Willingness to participate in the study and completing the informed consent form 2- At least 20 years old 3- Definite diagnosis of multiple sclerosis in patients based on medical records 4- Being literate enough to read and write and understand the questionnaire 5- EDSS criterion less than 4

Exclusion criteria

Exclusion criteria: The presence of another incurable disease in addition to multiple sclerosis

Design outcomes

Primary

MeasureTime frame
Score obtained from the Templer Death Anxiety Questionnaire. Timepoint: Before, immediately after and two months after the intervention. Method of measurement: Death anxiety will be measured by the Templer Death Anxiety Questionnaire. This questionnaire consists of 15 items that measure the subjects' attitudes in three components: death anxiety alone, general factor, fear of pain, and surgery. Subjects indicate their answers to each question with yes or no options, with scores of zero and one assigned to each item. Thus, the scores on this scale vary between 4 and 15. A high score (a score higher than "score 8") indicates high anxiety about death.

Secondary

MeasureTime frame
Score obtained from the Fear of Disease Progression Questionnaire by Hershbach et al. Timepoint: Before, immediately after, and two months after the intervention. Method of measurement: Fear of disease progression will be measured by the Fear of Disease Progression Questionnaire by Hershbach et al. This questionnaire consisted of 13 items and had 5 subscales (emotional reaction, family, work, loss of independence, coping with anxiety). Responses to it include a Likert scale from 0 to 5 points from never to most of the time. The total score is calculated by summing the scores of the subscales except the coping subscale.;Score obtained from the Drogatis Psychosocial Adjustment Questionnaire. Timepoint: Before, immediately after, and two months after the intervention. Method of measurement: Psychosocial adjustment to the disease will be measured by the Drugatis Psychosocial Adjustment to Disease Questionnaire. This questionnaire has 45 questions and seven subscales: attitude towards the disease (eight questions), work environment (six questions), family environment (eight questions), sexual relations (six questions), development of family relationships (five questions), social environment (six questions), and psychological disorders (seven questions). The scoring of this questionnaire is based on a four-choice Likert scale (not at all, sometimes, most of the time, and completely) from 0 to 3 for each question, and the total score of the test ranges from 0 to 135. The average adjustment score for each component is obtained from the sum of the scores for each component and divided by the number of questions in that component, and the average total adjustment score is obtained from the sum of the scores for all questions and divided by the number of questions. Higher scores indicate an inappropriate adjustment status. The total adjustment score is classified into three categories: high adjustment, moderate adjustment, and low adjustment.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactFarshad Heidari

Shahre-kord University of Medical Sciences

Heidari.f@skums.ac.ir+98 38 3333 0061

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 7, 2026