Inclusion and exclusion criteria
Inclusion criteria were having medical records in the MS Clinic, being at the age range of 20–50 years, being literate, receiving injectable immunodulatory drugs at least one years ago and to having smart phone ownership and ability to communicate on social media (WhatsApp) (to enable data collection during the COVID-19 pandemic) also considered inclusion criteria of the participant in this study.Exclusion criteria were change in treatment plan, unwillingness to continue cooperation, not being continuously present in training sessions and lack of availability of patients when completing the post-test questionnaire (those lost to follow up).