Entwicklung und erste Daten zur Wirksamkeit eines interaktiven Selbstmanagement-Programms für junge und neu erkrankte Patienten mit multipler Sklerose - das Wildbader REMUS-Programm

Meißner, H; Blessing, T.; Lux, M.; Bucher, Michael; Gusowski, Klaus; Flachenecker, Peter

doi:10.1055/s-2005-919594

Cited by 1 publication

(2 citation statements)

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“…No specific effect was found for the general self-efficacy scale (SWE). These results mainly go along with findings from the literature that resemble components of MaTiMS-modified [ 18 , 19 , 21 , 24 , 25 , 41 , 42 ]. Just as with the group of MaTiMS, worsening on the BVMT-R total and recognition score were detected at retest.…”

Section: Discussionsupporting

confidence: 87%

“…In Germany, a Metacognitive Training in MS (MaTiMS) was developed based on elements of cognitive behavioral therapy (CBT) specifically targeting typical neuropsychiatric and cognitive topics in MS such as depression and memory which resulted in first positive effects in inpatient care [15,16]. Beyond cognitive-behavioral elements, however, it was shown that especially the knowledge about disease specific processes and symptoms can enhance self-perception and self-efficacy as well as reduce fatigue in patients [17][18][19][20][21]. Within this context, i.a.…”

Section: Introductionmentioning

confidence: 99%

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Supporting brain health in multiple sclerosis: exploring the potential of neuroeducation combined with practical mindfulness exercises in the management of neuropsychological symptoms

Baetge

Filser

Renner³

et al. 2023

J Neurol

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Objective We aimed at examining the effects of a known metacognitive training in MS (MaTiMS) and its modification with an additional neuroeducational module and mindfulness-based exercises (MaTiMS-modified) on neuropsychiatric and cognitive outcomes in people with progressive multiple sclerosis (pwpMS). Exploratively, we investigated whether the modification may show an additional benefit. Methods Both interventions were administered in small groups of ambulatory patients. Neuropsychological testing before and after the 3- to 4-week intervention phase comprised patient reported outcomes and cognitive tests. After 3, 6 and 12 months, participants completed online surveys. Analysis of change scores (between baseline and retest) with t-tests (Mann–Whitney U and Wilcoxon tests, respectively) and mixed ANCOVAs with repeated measures for comparison of both interventions were conducted. Results A total of 65 pwpMS turned to a final sample of 50 (n = 15 excluded due to drop-outs, occurrence of relapse or steroid treatment). Change scores within MaTiMS revealed no significant effect on the PDQ-20 total score and only a significant effect on the subscale retrospective memory lasting 3 months with a moderate effect size. In contrast, MaTiMS-modified revealed a highly significant change in PDQ-20 total compared to baseline and significant improvements with small to moderate effect sizes on all PDQ-20 subscales (lasting until 3 months), in self-efficacy, stress, visuo-spatial working memory (moderate effect sizes), and fatigue (small effect size). While no interaction effect between time and group could be revealed, a significant main effect for time was found in PDQ-20 total. Conclusion Both MaTiMS and MaTiMS-modified positively affected perceived cognitive deficits. However, our data speak in favor of additional benefits by adding neuroeducational and mindfulness-based exercises thus being valuable methods to support brain health including self-efficacy, perceived stress, and fatigue, even in patients with a chronic and progressive brain disease.

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