Cognitive fatigue interventions for people with multiple sclerosis: A scoping review

Askari, Sorayya; Fanelli, Domenica; Harvey, Keri

doi:10.1016/j.msard.2021.103213

Cited by 7 publications

(2 citation statements)

References 54 publications

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“…The importance of evaluating the usability of DHTs has been recently highlighted in the context of other chronic diseases, such as Parkinson's disease, and in elderly individuals [24][25][26][27] . A recent review of mobile applications in MS reported only six of 14 studies had evaluated usability 18 . In the current review, which encompassed the broad spectrum of DHTs, the 32 studies only represented 26% of relevant DHT studies in MS.…”

Section: Review Article Discussionmentioning

confidence: 99%

“…Furthermore, the National Health Service in the UK requires consideration of usability and accessibility principles when approving health apps solicited from industry 17 . Despite such a clear need for usability evaluation of DHTs, there has yet to be a comprehensive assessment of DHT usability in the context of MS. Other groups have assessed the usability of mobile health applications 1,18 , but there is a need to conduct a comprehensive usability evaluation of all DHTs employed by people with MS, especially wearable technologies. The aim of this scoping review was, therefore, to examine the extent to which usability principles have been considered in DHTs for people with MS and to summarize the methods of usability evaluation.…”

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confidence: 99%

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A scoping review assessing the usability of digital health technologies targeting people with multiple sclerosis

Tea,

Groh,

Lacey

et al. 2024

npj Digit. Med.

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Digital health technologies (DHTs) have become progressively more integrated into the healthcare of people with multiple sclerosis (MS). To ensure that DHTs meet end-users’ needs, it is essential to assess their usability. The objective of this study was to determine how DHTs targeting people with MS incorporate usability characteristics into their design and/or evaluation. We conducted a scoping review of DHT studies in MS published from 2010 to the present using PubMed, Web of Science, OVID Medline, CINAHL, Embase, and medRxiv. Covidence was used to facilitate the review. We included articles that focused on people with MS and/or their caregivers, studied DHTs (including mhealth, telehealth, and wearables), and employed quantitative, qualitative, or mixed methods designs. Thirty-two studies that assessed usability were included, which represents a minority of studies (26%) that assessed DHTs in MS. The most common DHT was mobile applications (n = 23, 70%). Overall, studies were highly heterogeneous with respect to what usability principles were considered and how usability was assessed. These findings suggest that there is a major gap in the application of standardized usability assessments to DHTs in MS. Improvements in the standardization of usability assessments will have implications for the future of digital health care for people with MS.

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Section: Review Article Discussionmentioning

confidence: 99%

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confidence: 99%

A scoping review assessing the usability of digital health technologies targeting people with multiple sclerosis

Tea,

Groh,

Lacey

et al. 2024

npj Digit. Med.

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Being highly sensitive person negatively impacts on cognitive and psychosocial fatigue in multiple sclerosis patients: A cross-sectional, monocenter study

Falco,

Lamagna,

Esposito

et al. 2024

Multiple Sclerosis and Related Disorders

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Education for fatigue management in people with multiple sclerosis: Systematic review and meta‐analysis

Wendebourg,

Poettgen,

Finlayson

et al. 2024

Euro J of Neurology

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Background and PurposeFatigue is a common and disabling symptom in multiple sclerosis (MS). Educational interventions have shown potential to reduce fatigue. The aim was to systematically review the current best evidence on patient education programmes for MS‐related fatigue.MethodsThis was a systematic review and meta‐analysis following Cochrane methodology. A systematic search was conducted in eight databases (September 2023). Moreover, reference lists and trial registers were searched and experts in the field were contacted. Randomized controlled trials were included evaluating patient education programmes for people with MS with the primary aim of reducing fatigue.ResultsIn total, 1176 studies were identified and assessed by two independent reviewers; 15 studies (1473 participants) were included. All interventions provided information and education about different aspects of MS‐related fatigue with different forms of application, some with components of psychological interventions. Amongst those, the most frequently applied were cognitive behavioural therapy (n = 5) and energy‐conservation‐based approaches (n = 4). Studies differed considerably concerning mode of intervention delivery, number of participants and length of follow‐up. Interventions reduced fatigue severity (eight studies, n = 878, standardized mean difference −0.28; 95% confidence interval −0.53 to −0.03; low certainty) and fatigue impact (nine studies, n = 824, standardized mean difference −0.21; 95% confidence interval −0.42 to 0.00; moderate certainty) directly after the intervention. Mixed results were found for long‐term effects on fatigue, for secondary endpoints (depressive symptoms, quality of life, coping) and for subgroup analyses.ConclusionEducational interventions for people with MS‐related fatigue may be effective in reducing fatigue in the short term. More research is needed on long‐term effects and the importance of specific intervention components, delivery and context.

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Cognitive fatigue interventions for people with multiple sclerosis: A scoping review

Cited by 7 publications

References 54 publications

A scoping review assessing the usability of digital health technologies targeting people with multiple sclerosis

A scoping review assessing the usability of digital health technologies targeting people with multiple sclerosis

Being highly sensitive person negatively impacts on cognitive and psychosocial fatigue in multiple sclerosis patients: A cross-sectional, monocenter study

Education for fatigue management in people with multiple sclerosis: Systematic review and meta‐analysis

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