The Effect of Collaborative Care Model-Based Intervention on Hope in Caregivers and Patients with Multiple Sclerosis: A Randomized Controlled Clinical Trial.
Mahnaz Rakhshan, Somayeh Ganjalivand, Ladan Zarshenas and 1 others
PMID 30035138WHAT IT FOUND
A 12-week collaborative care programme raised hope scores in both MS patients and their family caregivers.
Patients gained about 4 points and caregivers about 3 points on a 64-point scale compared to routine care. The effect was seen immediately after the intervention ended.
Key findings
01Hope scores were significantly higher in the intervention group than the control group at 12 weeks for both patients and caregivers.
02The intervention involved eight sessions over 12 weeks, delivered to patients and their caregivers together, covering motivation, preparation, engagement, and evaluation.
03There was no significant difference in hope scores between the groups before the intervention began.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used convenience sampling, which may limit how well the participants represent the broader population of people with MS. There was no long-term follow-up to see if the gains in hope persisted after the intervention ended. The intervention was delivered in a specific cultural context (Iran), which may affect how applicable the findings are in other settings. The sample size was relatively small, and the study was not blinded for participants or providers, which could introduce bias.
The easy way to misread this
Do not assume the improvement in hope was caused solely by the nursing intervention. The study did not compare the collaborative care model against an active control, so the effect may be due to the extra attention and contact time rather than the specific components of the model.