Multiple Sclerosis Patients Knowledge in Saudi Arabia

Ahmad Abulaban; Abdulrahman Altowairqi; Haitham Altowairqi; Abdulmajeed Almutairi; Saif Altalhi; Fahad Alotaibi; Inad Alabbadi

doi:10.17712/nsj.2019.4.20190031

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Table 1

Comparing patient who have more knowledge with those who have less knowledge in regard to their demographics.

Table 1	N	MSKQ score <60%N=90 (45%) Patient	MSKQ score ≥60%N=110(55%) Patient	Average MSKQ Score out of the 23 questions selected (±SD)
**Gender (p-value=0.32) n (%)***
Male	68 (34)	32 (47.1)	36 (52.9)	13.19 (±4.10)
Female	132 (66)	58 (43.9)	74 (56.1)	13.76 (±3.08)
*#Social status^†‡ (p-value=0.51) n (%)*
Married	96 (48)	44 (45.8)	52 (54.2)	13.54 (±3.32)
Single	86 (43)	36 (41.9)	50 (58.1)	13.77 (±3.56)
Divorced	18 (9)	10 (55.6)	8 (44.4)	12.72 (±3.80)
*Age^† (p-value=0.35) n (%)*
From 18-30 year	85 (42.5)	37 (43.5)	48 (56.5)	13.61 (±3.69)
From 30-45 year	97 (48.5)	43 (44.3)	54 (55.7)	13.73 (±3.19)
From 45-55 year	18 (9)	10 (55.6)	8 (44.4)	12.44 (±3.75)
*Educational level^† (p-value=0.07) n (%)*
Less than high school	19 (9.5)	11 (57.9)	8 (42.1)	11.89 (±3.99)
High school	52 (26)	28 (53.8)	24 (46.2)	13.08 (±3.50)
Diploma	25 (12.5)	11 (44)	14 (56)	13.44 (±3.56)
Bachelor	103 (51.5)	40 (38.8)	63 (61.2)	14.13 (±3.23)
PhD	1 (0.5)	0 (0)	1 (100)	16
*Occupation^† (p value=0.003) n (%)*
Student	15 (7.5)	5 (33.3)	10 (66.7)	14.27 (±2.43)
Teacher	32 (16)	8 (25)	24 (75)	14.72 (±3.27)
Health care provider	14 (7)	2 (14.3)	12 (85.7)	16.29 (±2.84)
Engineer	8 (4)	4 (50)	4 (50)	12.13 (±3.98)
Military	7 (3.5)	4 (57.1)	3 (42.9)	11.86 (±4.71)
Unemployed	99 (49.5)	54 (54.5)	45 (45.5)	13.03 (±3.28)
Retired	6 (3)	4 (66.7)	2 (33.3)	11.33 (±4.76)
Other	19 (9.5)	9 (47.4)	10 (52.6)	13.79 (±3.38)
*Residence^† (p-value=0.28) n (%)*
Western region	41 (20.5)	15 (36.6)	26 (63.4)	13.98 (±3.47)
Eastern region	43 (21.5)	21 (48.8)	22 (51.2)	12.88 (±3.37)
Northern region	22 (11)	11 (50)	11 (50)	12.59 (±4.80)
Sothern region	20 (10)	8 (40)	12 (60)	13.70 (±3.80)
Central region	74 (37)	35 (47.3)	39 (52.7)	13.99 (±2.89)
*Using T-test, ^† using one-way ANOVA, ^‡ none of the participants were widowed

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Table 2

distribution of the correct response by patient.

Questions	Contents	MSKQ* Score (divided according to score%)			Correct answer N=200(%)
		<60(%)	60 to <75(%)	≥75 (%)
		n=90	n=85	n=25
1	Organs involved in MS	78(86.7)	85(100)^§	23(92)^§	186(93)^§
2	CNS composition	51(56.7)	54(63.5)	16(64)	121(60.5)
4^†	MS impact on life expectancy	32(35.6)	66(77.6)	23(92)^§	121(60.5)
5	MS as immune disease	63(70)	71(83.5)	24(96)^§	158(79)
6	MS as a contagious disease	71(78.9)	85(100)^§	25(100)^§	181(90.5)^§
7	MS etiology	8(8.9)^‡	7(8.2)^‡	11(44)	26(13)^‡
8	MS transmission to offspring	43(47.8)	65(76.5)	21(84)	129(64.5)
9	MS transmission to other family member	9(10)^‡	18(21.2)^‡	15(60)	42(21)^‡
10	Myelin/axon damage	50(55.6)	71(83.5)	18(72)	139(69.5)
11	Age of onset	56(62.2)	76(89.4)	23(92)^§	155(77.5)
12	Sex ratio in MS prevalence	67(74.4)	80(94.1)^§	25(100)^§	172(86)
13	Myelin function	48(53.3)	72(84.7)	22(88)	142(71)
14	Tests used to diagnose MS	20(22.2)^‡	24(28.2)	13(52)	57(28.5)
15	Role of MRI in MS diagnosis	85(94.4)^§	83(97.6)^§	25(100)^§	193(96.5)^§
16	Role of gadolinium injections during MRI	7(7.8)^‡	17(20)^‡	13(52)	37(18.5)^‡
17	Role of MRI in disease follow up	62(68.9)	78(91.8)^§	25(100)^§	165(82.5)
18	Role of lumbar puncture	22(24.4)^‡	45(52.9)	22(88)	89(44.5)
19	Frequency of lumbar puncture	17(18.9)^‡	46(54.1)	21(84)	84(42)
21^†	Definition of remittent MS	13(14.4)^‡	43(50.6)	18(72)	74(37)
22	Benign MS	12(13.3)^‡	34(40)	19(76)	65(32.5)
23	Impact of pregnancy on MS	30(33.3)	73(85.9)	23(92)^§	126(63)
24	Curative treatment	74(82.2)	84(98.8)^§	24(96)^§	182(91)^§
25	Types of MS disease targeted by current therapies	25(27.8)	31(36.5)	13(52)	69(34.5)
*MSKQ multiple sclerosis Knowledge questionnaire (taken with permission from Giordano et al. 2010), ^† question number 3 and 20 are deleted from the MSKQ (refer to text for explanation), (^‡ = <25%, ^§ = >90%)