Goals Set After Completing a Teleconference-Delivered Program for Managing Multiple Sclerosis Fatigue

Abstract

Setting goals can be a valuable skill to self-manage multiple sclerosis (MS) fatigue. A better understanding of the goals set by people with MS after completing a fatigue management program can assist health care professionals with tailoring interventions for clients. This study aimed to describe the focus of goals set by people with MS after a teleconference-delivered fatigue management program and to evaluate the extent to which participants were able to achieve their goals over time. In total, 485 goals were set by 81 participants. Over a follow-up period, 64 participants rated 284 goals regarding progress made toward goal achievement. Approximately 50% of the rated goals were considered achieved. The most common type of goal achieved was that of instrumental activities of daily living. Short-term goals were more likely to be achieved. This study highlights the need for and importance of promoting and teaching goal-setting skills to people with MS.Asano, M., Preissner, K., Duffy, R., Meixell, M., & Finlayson, M. (2015). Goals set after completing a teleconference-delivered program for managing multiple sclerosis fatigue. American Journal of Occupational Therapy, 69, 6903290010. http://dx.

Intervenções de Terapia Ocupacional com pessoas com esclerose múltipla: revisão integrativa da literatura

“…After the fatigue management intervention, the people with MS planned to use their acquired knowledge and skills to address a wide range of occupational goals, most related to IADL, followed by work and play. Regarding the time, intermediate and long-term goals were achieved less frequently than short-term goals (ASANO et al, 2015).…”

“…The third topic category has articles on the Use of technology for health intervention, which present the use of teleconferencing (ASANO et al, 2015; DUNLEAVY; PREISSNER; FINLAYSON, 2013; FINLAYSON; PREISSNER; CHO, 2012, 2013) and Nintendo Wii Fit video game application (PLOW; FINLAYSON, 2014). Asano et al (2015), Dunleavy, Preissner and Finlayson (2013) and Finlayson, Preissner andCho (2012, 2013) indicated the possibilities of implementing teleconferencing technology. The interventions used weekly group teleconferences.…”

“…The interventions used weekly group teleconferences. The sessions involved the discussion about fatigue and its impacts on life; role of communication; knowledge and skills for more efficient use of energy; activity analysis; use of fatigue management skills; review of program material and teaching on goal setting to incorporate changes in participants' lifestyle (ASANO et al, 2015;DUNLEAVY;PREISSNER;FINLAYSON;PREISSNER;CHO, 2012CHO, , 2013.…”

“…Pimentel and Toldrá highlighted the importance of the group for the socialization of experience, support, disruption of isolation and the learning of body techniques (PIMENTEL; TOLDR Á, 2017a) and for the development of guidance manual (PIMENTEL; TOLDRÁ, 2017b). Brown et al (2016) showing the importance of group strategy in favoring social interaction, focusing on learning to live with cognitive changes and studies that used group teleconferencing for self-management of symptoms, interaction and social learning (ASANO et al, 2015;DUNLEAVY;PREISSNER;FINLAYSON;PREISSNER;CHO, 2012CHO, , 2013. Only one study addressed the topic of vocational rehabilitation, as it is a progressive chronic disease that affects people in the production phase.…”

“…Asano et al (2015),Dunleavy, Preissner and Finlayson (2013),Finlayson, Preissner and Cho (2012, 2013),Plow and Finlayson (2014).…”