A randomized controlled trial of a health promotion education programme for                 people with multiple sclerosis

Ennis, Michelle; Thain, J; Boggild, Mike; Baker, G A; Young, Carolyn A

doi:10.1177/0269215506070805

Cited by 67 publications

(110 citation statements)

References 19 publications

Supporting

Mentioning

105

Contrasting

Order By: Relevance

“…This study proposes informational support can indirectly improve health outcomes in participants through improved adherence to interventions. This is supported by past literature, which found signi icant associations between informational support and health promotion with consequential increases in physical activity [19] and there are a number of reasons as to why this could be. Methley [21], highlighted the bene its of timely information delivery on participants' emotional wellbeing.…”

Section: Benefi Ts Attributable To Social Supportsupporting

confidence: 82%

“…Particular techniques like health coaching and motivational interviewing can enhance adherence to rehabilitation interventions. The delivery of timely and accurate informational support can improve emotional well-being and increase physical activity [19][20][21]. Literature has highlighted the indirect, positive effect that social support has on physical activity in MS participants, through increasing levels of self-ef icacy [22,23].…”

Section: Social Supportmentioning

confidence: 99%

See 1 more Smart Citation

Determining the use and value of social support in Telerehabiliation Interventions for individuals with Multiple Sclerosis: A narrative synthesis review

Soundy¹

2017

J Nov Physiother Rehabil

View full text Add to dashboard Cite

Background: Telerehabilitation has been identifi ed as an effective treatment that promotes exercise rehabilitation in individuals with multiple sclerosis (MS). Social support is recognised as a core element of such interventions. However further research is needed to consider the role and value of different social support domains. Aim:Review available literature to assess and synthesise the use and value of social support within telerehabilitation interventions for individuals with MS.Method: A narrative synthesis was conducted. A systematic search of included articles was conducted. Electronic databases were searched from inception to January 2017. Other search methods were undertaken. Evaluation and synthesis of included articles utilised risk of bias assessment and a 4-stage synthesis process.Main Results: A total of fourteen studies, involving 718 participants (505 female, 213 male; aggregated mean age 47.6 years) with MS, were included. Esteem support was the most frequently reported method of social support, followed by informational, emotional and tangible. It would appear social support can be benefi cial in assisting participants to adhere to treatment interventions. Visual feedback may be directly benefi cial to improve impaired balance in individuals with MS. A model for future interventions is provided. Conclusions:Social support appears to increase the adherence of participants with MS to telerehabilitation interventions. Unique fi ndings provide an indication for the direction and content of future interventions. Further research is necessary to ascertain the optimal types and frequencies of social support delivery and its effect on health outcomes for participants with MS.

show abstract

Section: Benefi Ts Attributable To Social Supportsupporting

confidence: 82%

Section: Social Supportmentioning

confidence: 99%

Determining the use and value of social support in Telerehabiliation Interventions for individuals with Multiple Sclerosis: A narrative synthesis review

Soundy¹

2017

J Nov Physiother Rehabil

View full text Add to dashboard Cite

show abstract

“…However, research evaluating the use of multiple interventions to reduce the impact of these environmental factors on MS-related symptoms is sparse. The OPTIMISE study 25 used a multidisciplinary program to encourage health-promoting activities such as physical activity, fatigue and stress management, and nutritional awareness over a period of 8 weeks, which led to significant increases in healthy activities by MS subjects (e.g., the number of subjects performing leisure-time physical activity increased from 6% at baseline to 40% after the program).…”

Section: Discussionmentioning

confidence: 99%

“…25 In a similar study of health-behavior promotion, a 5-day residential retreat aimed at promoting lifestyle modification (diet, exercise, and stress-reducing activities) was conducted and demonstrated significant improvement in health-related quality of life at 1 and 5 years. 26 However, adherence of subjects to the intervention was not evaluated.…”

Section: Discussionmentioning

confidence: 99%

A Multimodal Intervention for Patients with Secondary Progressive Multiple Sclerosis: Feasibility and Effect on Fatigue

Bisht

Darling

Grossmann

et al. 2014

The Journal of Alternative and Complementary Medicine

113

View full text Add to dashboard Cite

Background: Multiple sclerosis is an autoimmune disease influenced by environmental factors. Objectives: The feasibility of a multimodal intervention and its effect on perceived fatigue in patients with secondary progressive multiple sclerosis were assessed. Design/setting: This was a single-arm, open-label intervention study in an outpatient setting. Interventions: A multimodal intervention including a modified paleolithic diet with supplements, stretching, strengthening exercises with electrical stimulation of trunk and lower limb muscles, meditation, and massage was used. Outcome measures: Adherence to each component of the intervention was calculated using daily logs. Sideeffects were assessed from a monthly questionnaire and blood analyses. Fatigue was assessed using the Fatigue Severity Scale (FSS). Data were collected at baseline and months 1, 2, 3, 6, 9, and 12. Results: Ten (10) of 13 subjects who were enrolled in a 2-week run-in phase were eligible to continue in the 12-month main study. Of those 10 subjects, 8 completed the study and 6 subjects fully adhered to the study intervention for 12 months. Over a 12-month period, average adherence to diet exceeded 90% of days, and to exercise/muscle stimulation exceeded 75% of days. Nutritional supplements intake varied among and within subjects. Group daily average duration of meditation was 13.3 minutes and of massage was 7.2 minutes. No adverse side-effects were reported. Group average FSS scores decreased from 5.7 at baseline to 3.32 ( p = 0.0008) at 12 months. Conclusions: In this small, uncontrolled pilot study, there was a significant improvement in fatigue in those who completed the study. Given the small sample size and completer rate, further evaluation of this multimodal therapy is warranted.

show abstract

“…Group healthpromotion programmes aimed at increasing knowledge, skills, and confidence have been explored in the literature; studies have indicated that these programmes, which consist of, for example, 8 weekly sessions 1.5 hours in duration, are effective in increasing the frequency of health-promoting activities, selfefficacy for health behaviours, and selected aspects of QoL. 4,5 …”

mentioning

confidence: 99%

Clinician's Commentary on Ploughman et al.

Howe

2012

Physiotherapy Canada

View full text Add to dashboard Cite

The article by Ploughman and colleagues 1 is an intriguing recounting of the lives of 18 older people with multiple sclerosis (MS) that has great relevance for therapists in neuro-rehabilitation. This very worthwhile qualitative study depicts living with this chronic disabling disease as a process that evolves throughout the lifespan after symptom onset. The authors present the natural history of ageing with MS and, over time, the gradual development of self-management skills and the practice of health-promoting behaviours as key strategies for adapting to a life with MS. The question they pose to physiotherapists is how can we facilitate the development of these skills in our patients earlier in the disease course.Health promotion and self-management are similar constructs in that both relate to emotional, cognitive, and behavioural strategies practised by the individual to nurture his or her overall physical, mental, and social health. Examples of healthpromoting behaviours are exercise and physical activity, stress management to cope with the uncertainty and progression of the disease, and use of an appropriate walking aid to maximize home and community mobility. A recent study showed that involvement in health-promoting behaviours is associated with greater participation in life roles and health-related quality of life (QoL). 2 Stuifbergen, one of the leading proponents of healthpromotion practices for women with MS, noted that healthpromoting activity can enhance QoL for women with MS, regardless of incapacity status; although the trajectory of the illness may continue to decline, the practice of healthy behaviours mitigates the impact of disability on overall QoL. 3 Ploughman and colleagues urge clinicians to facilitate the development of self-management skills in people with MS; 1 the question that arises is how to achieve this. Group healthpromotion programmes aimed at increasing knowledge, skills, and confidence have been explored in the literature; studies have indicated that these programmes, which consist of, for example, 8 weekly sessions 1.5 hours in duration, are effective in increasing the frequency of health-promoting activities, selfefficacy for health behaviours, and selected aspects of QoL. 4,5

show abstract

A randomized controlled trial of a health promotion education programme for people with multiple sclerosis

Abstract: The OPTIMISE programme produced significant changes in health-promoting behaviours.

Cited by 67 publications

References 19 publications

Determining the use and value of social support in Telerehabiliation Interventions for individuals with Multiple Sclerosis: A narrative synthesis review

Determining the use and value of social support in Telerehabiliation Interventions for individuals with Multiple Sclerosis: A narrative synthesis review

A Multimodal Intervention for Patients with Secondary Progressive Multiple Sclerosis: Feasibility and Effect on Fatigue

Clinician's Commentary on Ploughman et al.

Contact Info

Product

Resources

About