Bessing, B and van der Mei, I and Taylor, BVM and Honan, CA and Blizzard, L and 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, 60 Article 103717. ISSN 2211-0356 (2022) [Refereed Article]
Background: Little is known about the impact of online health education on multiple sclerosis (MS)-related knowledge and other health outcomes in the MS community.
Objectives: To estimate the impact of participating in a massive open online course (MOOC) about MS on course completer MS-related knowledge, health literacy (HL), self-efficacy, resilience, quality of life, and MS symptom severity.
Methods: In this cohort study, using a single group pre-test/post-test design (n=560), we examined the effects of MOOC participation on MS-related knowledge and other outcomes using a paired t-test. We used regression and structural equation modelling to examine the association between participant characteristics, changes in other outcomes, and changes in MS-related knowledge.
Results: We found significant increases in MS-related knowledge for people living with MS (PwMS) (+2.13 points, p<0.001) and those without MS (+5.16 points, p<0.001), with larger effect sizes for those with higher educational levels. Among PwMS, there were also significant increases in seven HL subscales and self-efficacy, but no increase in resilience, MS symptoms severity or quality of life. Among people without MS, there were increases in two HL subscales and quality of life, but no increase in resilience or self-efficacy. Changes in MS-related knowledge were not associated with sex or changes in other study outcomes.
Conclusions: There was a significant increase in MS-related knowledge, which was unrelated to the changes in the other study outcomes, both for PwMS and for those not living with MS. Outcome-specific health educational interventions may be needed to effect change in other health outcomes.
|Item Type:||Refereed Article|
|Keywords:||health literacy, MS-related knowledge, quality of life, resilience, self-efficacy, multiple sclerosis, health promotion|
|Research Division:||Health Sciences|
|Research Group:||Public health|
|Research Field:||Health promotion|
|Objective Group:||Evaluation of health and support services|
|Objective Field:||Health education and promotion|
|UTAS Author:||Bessing, B (Mr Barnabas Bessing)|
|UTAS Author:||van der Mei, I (Professor Ingrid van der Mei)|
|UTAS Author:||Taylor, BVM (Professor Bruce Taylor)|
|UTAS Author:||Honan, CA (Dr Cynthia Honan)|
|UTAS Author:||Blizzard, L (Professor Leigh Blizzard)|
|UTAS Author:||Claflin, SB (Dr Suzi Claflin)|
|Web of Science® Times Cited:||1|
|Deposited By:||Menzies Institute for Medical Research|
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