Introduction
neurological disease, ’s behavior, disability, traumatic
NEUROLOGICAL DISEASE, PBC, DISEASE, MULTIPLE SCLEROSIS (MS), COMPLICATIONS
Multiple sclerosis (MS) is the most common progressive neurological disease in young adults and the most common non traumatic cause of disability worldwide. This disease is more common in women between the ages of 20 and 40 and is the third leading cause of disability in adults [The complications of MS disease can have a devastating impact on patients' role-playing, occupational status, and daily activities, and ultimately on their quality of life. One study found that the average cost for MS patients suffering from this disease for a long time is $35,000 per year, so any program that slows the progression of this disease and helps people be independent can reduce costs [Although there is no definitive cure for MS disease, but effective medications have been made available in the last decade to control the course of the disease, and these medications are known as disease-modifying drugs (DMDs) [In a study meta-analysis by Giovannoni and colleagues that analysed the data of 50 randomized studies and 19 observational studies in MS, mean discontinuation rates of 17–36% for such therapies were noted [The definition of adherence based on WHO definition is the extent to which a person’s behavior–taking medication, following a diet, and/or executing lifestyle changes – corresponds with agreed recommendations from a health care provider [For more effective training, it is better to rely on behavioral theories, which include the theory of planned behavior (TPB). According to this theory, patients perform appropriate behavior when they have a positive attitude toward the results of performing their behavior and, along with this interest, are encouraged by others as subjective norms to perform behavior for which they acquire the necessary skills and have perceived behavioral control (PBC). In this case, the behavioral intention is formed and leads to the patient's behavior [Research has shown the effectiveness of educational interventions in reducing the complications of MS [