{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T08:45:15Z","timestamp":1782549915630,"version":"3.54.5"},"reference-count":43,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100008323","name":"zanjan university of medical sciences","doi-asserted-by":"publisher","award":["A-11-86-31"],"award-info":[{"award-number":["A-11-86-31"]}],"id":[{"id":"10.13039\/501100008323","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Research in Nursing"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Web-based self-care education can improve health outcomes in patients with chronic conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>This study aimed to examine the impact of a web-based self-care programme based on Orem\u2019s model on the health-promoting behaviours of patients with multiple sclerosis (MS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      The study included 91 MS patients, randomly assigned to control (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200946) and experimental (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200945) groups using block randomisation. The control group received standard care, whereas the experimental group participated in a web-based self-care education programme. Data were collected using demographic questionnaires, educational needs checks and Walker\u2019s Health-Promoting Lifestyle Profile, then analysed using SPSS-26 with statistical tests (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Before the programme, the average health-promoting behaviours score in the two groups did not differ significantly (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&gt;\u20090.05). After the programme, the experimental group\u2019s health-promoting behaviours score increased from 109.97\u2009\u00b1\u200913.78 to 119.97\u2009\u00b1\u200913.44, whereas the control group showed almost no change (110.83\u2009\u00b1\u200913.25 to 111.72\u2009\u00b1\u200913.05). Post-programme scores were significantly higher in the experimental group compared with the control group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The web-based self-care education programme positively affects the health-promoting behaviours of patients with MS. It is recommended as an effective approach to improve health-promoting behaviours in patients with chronic conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17449871261445355","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T04:26:59Z","timestamp":1782361619000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The effect of a web-based self-care education programme on the health-promoting behaviours of patients with multiple sclerosis: a randomised controlled trial"],"prefix":"10.1177","author":[{"given":"Sara","family":"Akbari","sequence":"first","affiliation":[{"name":"MSc, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8441-2429","authenticated-orcid":false,"given":"Kourosh","family":"Amini","sequence":"additional","affiliation":[{"name":"PhD, Professor, Department of Psychiatric Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyede Fatemeh","family":"Gheiasi","sequence":"additional","affiliation":[{"name":"PhD, Assistant Professor, Department of Operating Room and Anesthesiology, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4027-2399","authenticated-orcid":false,"given":"Nasrin","family":"Hanifi","sequence":"additional","affiliation":[{"name":"PhD, Professor, Department of Critical Care Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/01939450022044764"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.22038\/jhl.2021.59640.1177"},{"key":"e_1_3_4_4_1","unstructured":"Alligood MR Hardin SR (2025) Nursing Theorists and Their Work. St. Louis MO: Elsevier."},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.852214"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/IJERPH16010039"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12792"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.5958\/0976-5506.2017.00067.5"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.17795\/jjcdc-36764"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.2196\/60240"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2011.01.003"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.1128\/jmbe.00257-21"},{"key":"e_1_3_4_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/08943184211051369"},{"key":"e_1_3_4_14_1","doi-asserted-by":"publisher","DOI":"10.4103\/0973-1075.191753"},{"key":"e_1_3_4_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40200-019-00414-1"},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.12964\/jkpm.2021.10.1.77"},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4176-0"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.29252\/sjnmp.3.4.24"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.HNP.0000318025.37904.6c"},{"key":"e_1_3_4_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13204"},{"key":"e_1_3_4_21_1","unstructured":"Meleis AI (2018) Theoretical Nursing: Development and Progress 6th edn. Philadelphia PA: Lippincott Williams & Wilkins."},{"key":"e_1_3_4_22_1","first-page":"102","article-title":"Reliability and validity of Persian version of the health-promoting lifestyle profile","volume":"21","author":"Mohammadi Zeidi I","year":"2012","unstructured":"Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B (2012) Reliability and validity of Persian version of the health-promoting lifestyle profile. Journal of Mazandaran University of Medical Sciences 21: 102\u2013113.","journal-title":"Journal of Mazandaran University of Medical Sciences"},{"key":"e_1_3_4_23_1","doi-asserted-by":"publisher","DOI":"10.18502\/jmed.v16i3.7903"},{"key":"e_1_3_4_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2017.10.003"},{"key":"e_1_3_4_25_1","doi-asserted-by":"publisher","DOI":"10.30699\/fhi.v9i1.210"},{"key":"e_1_3_4_26_1","doi-asserted-by":"publisher","DOI":"10.1590\/0034-7167-2020-0281"},{"key":"e_1_3_4_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.12808"},{"key":"e_1_3_4_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/WCO.0000000000000622"},{"key":"e_1_3_4_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-023-03522-x"},{"key":"e_1_3_4_30_1","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2007.13.1.44"},{"key":"e_1_3_4_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-022-09881-x"},{"key":"e_1_3_4_32_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms26083880"},{"key":"e_1_3_4_33_1","first-page":"13","article-title":"Effect of a self-care educational program based on Orem\u2019s model on stress in patients undergoing hemodialysis","volume":"5","author":"Rostami F","year":"2015","unstructured":"Rostami F, Ramezani-Badr F, Amini K, et al. (2015) Effect of a self-care educational program based on Orem\u2019s model on stress in patients undergoing hemodialysis. Preventive Care in Nursing and Midwifery Journal 5: 13\u201322.","journal-title":"Preventive Care in Nursing and Midwifery Journal"},{"key":"e_1_3_4_34_1","doi-asserted-by":"publisher","DOI":"10.29252\/ijrn.7.1.33"},{"key":"e_1_3_4_35_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c332"},{"key":"e_1_3_4_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-02886-4"},{"key":"e_1_3_4_37_1","doi-asserted-by":"publisher","DOI":"10.7224\/1537-2073.2019-122"},{"key":"e_1_3_4_38_1","volume-title":"Nursing Theories and Nursing Practice","author":"Smith MC","year":"2019","unstructured":"Smith MC (2019) Nursing Theories and Nursing Practice, 5th edn. Philadelphia, PA: F. A. Davis Company.","edition":"5"},{"key":"e_1_3_4_39_1","first-page":"313","article-title":"Applicability of Orem\u2019s self-care model in Iran: An integrated review","volume":"15","author":"Valizadeh S","year":"2017","unstructured":"Valizadeh S, Soheili A, Moghbeli G, et al. (2017) Applicability of Orem\u2019s self-care model in Iran: An integrated review. Nursing and Midwifery Journal 15: 313\u2013328.","journal-title":"Nursing and Midwifery Journal"},{"key":"e_1_3_4_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2022.104016"},{"key":"e_1_3_4_41_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0248135"},{"key":"e_1_3_4_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnur.2015.05.009"},{"key":"e_1_3_4_43_1","unstructured":"World Health Organization. (2025) Global strategy on digital health 2020\u20132025. Geneva Switzerland: World Health Organization. Available at: https:\/\/www.who.int (accessed 10 May 2026)."},{"key":"e_1_3_4_44_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnagi.2023.1200671"}],"container-title":["Journal of Research in Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17449871261445355","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17449871261445355","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17449871261445355","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T07:46:22Z","timestamp":1782546382000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17449871261445355"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,24]]},"references-count":43,"alternative-id":["10.1177\/17449871261445355"],"URL":"https:\/\/doi.org\/10.1177\/17449871261445355","relation":{},"ISSN":["1744-9871","1744-988X"],"issn-type":[{"value":"1744-9871","type":"print"},{"value":"1744-988X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,24]]},"article-number":"17449871261445355"}}