Changing Physical Activity Behavior in People With Multiple Sclerosis: A Systematic Review and Meta-Analysis

Casey, Bláthín; Coote, Susan; Hayes, Sara; Gallagher, Stephen

doi:10.1016/j.apmr.2017.12.013

Cited by 46 publications

(36 citation statements)

References 41 publications

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“…The success of such interventions appears to be related to the combination of the delivery of evidence from experts and practical interventions tailored to personalised goals [13,16]. Moreover, focus groups have revealed pwMS want a variety of information from a variety of sources and that this information should be both stratified, interactive, and provided by subject experts to aid in the uptake of positive lifestyle behaviours [37][38][39]. The workshops meet these criteria and where possible utilised medically trained facilitators who themselves had been diagnosed with MS, providing expert knowledge as well as personal experience.…”

Section: Discussionmentioning

confidence: 99%

Greater Engagement with Health Information Is Associated with Adoption and Maintenance of Healthy Lifestyle Behaviours in People with MS

Lin

Jelinek

et al. 2020

IJERPH

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Health communication offers an important means for patients to make informed decisions for illness self-management. We assessed how the level of engagement with selected health information at baseline is associated with the adoption and maintenance of lifestyle behaviours at a 5-year follow-up in people with multiple sclerosis (MS). Non-engagers were compared to engagers of information delivered online and print (medium), and with engagers who additionally attended a live-in workshop (high). Engagement was assessed against lifestyle behaviours by log-binomial regression. Information engagers had higher education, and were less likely to have severe disability, clinically significant fatigue, or obesity. Medium and high baseline engagement was associated with adopting healthy behaviours for omega 3 supplementation (RR = 1.70; 95%CI: 1.02–2.84), physical activity (RR = 2.16; 95%CI: 1.03–4.55), and dairy non-consumption (RR = 3.98; 95%CI: 1.85–8.56) at 5 years; associations were stronger among high engagers. Only high baseline engagement was associated with maintaining behaviours from baseline to 5 years, specifically for omega-3 (RR = 1.26; 95%CI: 1.06–1.49) and vitamin D supplementation (RR = 1.26; 95%CI: 1.04–1.54) and dairy non-consumption (RR = 1.47; 95%CI: 1.03–2.10). Health communication that includes face-to-face information delivery and practical tools for implementation in daily living may be optimal for adopting and maintaining lifestyle behaviours in people with MS.

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Section: Discussionmentioning

confidence: 99%

Greater Engagement with Health Information Is Associated with Adoption and Maintenance of Healthy Lifestyle Behaviours in People with MS

Lin

Jelinek

et al. 2020

IJERPH

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“…and problem solving, which combined can enhance intervention implementation. 12 The inconsistent use of PA behavioral interventions by HCP in routine care is an important contributor to the low levels of PA observed among PwMS. 9 Having explored HCP needs in an American context, Learmonth et al 14 propose the lack of PA behavioral consultation might be explained by the unmet needs of HCPs.…”

Section: O N L I N E F I R S Tmentioning

confidence: 99%

“…11 A current theme in the literature is that initiatives to increase engagement in PA with neurologic populations should also include behavior change strategies (BCS). 12 BCS are the active components of a behavior change intervention. 13 A behavior change intervention is a coordinated set of strategies designed to target a specific behavioral pattern, such as PA. 13 BCS are ways to ensure optimal effectiveness of healthy lifestyle promotion and include components such as assessing self-efficacy, barrier identification…”

Section: Introductionmentioning

confidence: 99%

Addressing Physical Activity Behavior in Multiple Sclerosis Management

Donkers¹,

Oosman²,

Milosavljevic³

et al. 2019

International Journal of MS Care

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Background: Physical activity (PA) is considered the most important non-pharmaceutical intervention for persons living with multiple sclerosis (PwMS). Less than 20% of PwMS are engaging in sufficient amounts of PA to accrue benefits. PA promotion is most effective when combined with additional behavior change strategies (BCS), but this is not routinely done in clinical practice. The purpose of this study is to increase our understanding of current practice and perspectives of health care providers (HCPs) in Canada regarding their use of interventions to address PA behavior in the management of MS. Investigating HCPs' perspectives on implementing PA behavior change with PwMS will provide insight into this knowledge-to-practice gap. Methods: Semi-structured focus groups were conducted with HCPs (n=31) working with PwMS in Saskatchewan. Based on Interpretive Description, data were coded individually by three researchers, who then collaboratively developed themes. Analysis was inductive and iterative, triangulation and member reflections were used. Results: Five themes were established: 1) Prescribing, promoting and impacting wellness with PA; 2) Coordinating communication and continuity in practice; 3) Being proactive rather than reactive: timely access to relevant care; 4) Enhancing programming and community-based resources and 5) Reconciling the value of PA with clinical practice. Conclusions: HCPs value PA and desire more support with application of BCS to deliver PA behavioral interventions, but due to acute and reactive nature of health care systems, feel this cannot be prioritized in practice. Both individual- and systems-level changes are needed to support consistent and effective use of PA behavioral interventions in MS.

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“…For example, the Theoretical Domains Framework (TDF) provides a theory driven approach to designing and evaluating behavioural interventions that is derived from the synthesis of 83 theories of behaviour and behaviour change. 47 One means of improving the systematic development and evaluation of self-care interventions for patients with HF would be to report on the use of theory in the design of interventions, whether and how the intervention tests theory, and how findings inform theory development 45,53 together with taxonomic evaluations of behaviour, the application of the TDF and related approaches can be used to systematically advance understanding of behavioural change agents.…”

Section: Change Agents In Self-care Interventionsmentioning

confidence: 99%

Self-Care Interventions That Reduce Hospital Readmissions in Patients With Heart Failure; Towards the Identification of Change Agents

Toukhsati

Jaarsma

Babu

et al. 2019

Clin Med Insights Cardiol

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Unplanned hospital readmissions are the most important, preventable cost in heart failure (HF) health economics. Current professional guidelines recommend that patient self-care is an important means by which to reduce this burden. Patients with HF should be engaged in their care such as by detecting, monitoring, and managing their symptoms. A variety of educational and behavioural interventions have been designed and implemented by health care providers to encourage and support patient self-care. Meta-analyses support the use of self-care interventions to improve patient self-care and reduce hospital readmissions; however, efficacy is variable. The aim of this review was to explore methods to achieve greater clarity and consistency in the development and reporting of self-care interventions to enable ‘change agents’ to be identified. We conclude that advancement in this field requires more explicit integration and reporting on the behaviour change theories that inform the design of self-care interventions and the selection of behaviour change techniques. The systematic application of validated checklists, such as the Theory Coding Scheme and the CALO-RE taxonomy, will improve the systematic testing and refinement of interventions to enable ‘change agent/s’ to be identified and optimised.

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Changing Physical Activity Behavior in People With Multiple Sclerosis: A Systematic Review and Meta-Analysis

Cited by 46 publications

References 41 publications

Greater Engagement with Health Information Is Associated with Adoption and Maintenance of Healthy Lifestyle Behaviours in People with MS

Greater Engagement with Health Information Is Associated with Adoption and Maintenance of Healthy Lifestyle Behaviours in People with MS

Addressing Physical Activity Behavior in Multiple Sclerosis Management

Self-Care Interventions That Reduce Hospital Readmissions in Patients With Heart Failure; Towards the Identification of Change Agents

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