Preliminary efficacy of the “SitLess with MS” intervention for changing sedentary behaviour, symptoms, and physical performance in multiple sclerosis

Mehrabani, Golnoush; Aminian, Saeideh; Norton, S.; Motl, Robert W.; Manns, Patricia J.

doi:10.1080/09638288.2021.1966520

Cited by 4 publications

(8 citation statements)

References 46 publications

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“…Vasudevan et al 55 reported non-significant improvement on the PSQI using a 12-week personalized yoga program. Mehrebani et al 53 reported significant improvement in sleep quality immediately after a 15-week physical activity intervention; however, the improvement was not sustained seven weeks post-intervention. Kozlowski et al’s 51 eight-week study on exoskeleton assisted walking reported mix results using the Quality of Life in Neurological Conditions (NeuroQoL) sleep disturbance scale.…”

Section: Resultsmentioning

confidence: 99%

“…39,51,57 Sleep was stated as the primary outcome in nine 26,27,32,36,41,43,45,46,50 of the 37 studies. The Pittsburg Sleep Quality Index (PSQI) was the most commonly used sleep outcome utilized in 19 26,29-31,35-39,41,42,44,48,50,53-55,57,60 of the studies followed by the Insomnia Severity Index (ISI) (n=10 32-34,37,39,42,44,45,56,62 ), actigraphy (n=5 37,38,43,46,60 ), and sleep log/diary data (n=5 38,43,46,56,57 ); six of the studies incorporated an objective measurement (actigraphy (n=5 38,43,46,56,57 ); EEG (n=1 45 )). Interventions included physical activity (n=13 31-33,37-39,41,45,46,50,51,53,55 ), CBT-I (n=6 42-44,56,57,62 ), CBT/psychotherapy (n=4 26,27,30, ), mindfulness/relaxation (n=6 28,48,49,58-60 ), education and self-management support (n=3 29,36,54,61 ), and complementary and alternative interventions including acupuncture 47 , neurofeedback and hypnosis 64 , trauma releasing exercises 52 , foot reflexology 35 , integrated imaginative distention 34 (all ...…”

Section: Resultsmentioning

confidence: 99%

“…Most studies (78%) assessed immediate change in sleep due to the intervention, and only nine studies 26,28-30,40,49,53,54 included longer-term follow-up (range: one month 26,40 to seven-nine months 54 ). Importantly, three of the studies demonstrated sleep improvements immediately post intervention but were not maintained at long-term follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…Also, since there is not a specific checklist for pilot RCTs, the JBI RCT appraisal checklist was used for studies that self-identified as a pilot RCT. 39,41,45,46,50,51,53,55 ), CBT-I (n=6 [42][43][44]56,57,62 ), CBT/psychotherapy (n=4 26,27,30, ), mindfulness/relaxation (n=6 28,48,49,[58][59][60] ), education and self-management support (n=3 29,36,54,61 ), and complementary and alternative interventions including acupuncture 47 , neurofeedback and hypnosis 64 , trauma releasing exercises 52 , foot reflexology 35 , integrated imaginative distention 34 (all n=1). Details regarding sample demographics, intervention provided, and the major sleep findings are summarized by intervention category in Table 2.…”

Section: Methodsmentioning

confidence: 99%

“…Thirteen of the 37 included studies incorporated physical activity as a behavioral intervention. [31][32][33][37][38][39]41,45,46,50,51,53,55 A variety of physical activity interventions were used including resistance training, 46 aerobic exercise, 32,37,41,45 general individualized exercise programs, 39,50 physical activity lifestyle interventions, 31,38,53 yoga, 55 exoskeleton assisted walking, 51 and aquatic exercise. 33 Five of the physical activity studies stated sleep was a primary outcome.…”

Section: Physical Activitymentioning

confidence: 99%

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Behavioral interventions to improve sleep outcomes in people with multiple sclerosis: A systematic review

Turkowitch

Donkers

Costa

et al. 2022

Preprint

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Objective: To determine effective behavioral interventions to improve sleep in people with MS. Methods: Systematic review following PRISMA guidelines. Data Sources: Literature searches were performed in December 2021 in Ovid MEDLINE, CINAHL, and Web of Science along with hand searching for grey literature and cited references. Out of the 837 search results, 830 unique references were reviewed after duplicates were removed. Study Selection: Four reviewers independently reviewed titles and abstracts (two reviewers for each article), and a fifth reviewer resolved discrepancies. The full-text articles (n = 81) were reviewed independently by four reviewers (two for each article) for eligibility, and consensus for inclusion was achieved by a fifth reviewer as needed. Thirty-seven articles were determined eligible for inclusion. Data Extraction: Four reviewers extracted relevant data from each study (two reviewers for each article) using a standard data-extraction table. Consensus was achieved for completeness and accuracy of the data extraction table by a fifth reviewer. Four reviewers (two reviewers for each article) conducted a quality appraisal of each article to assess the risk for bias and quality of the articles and consensus was achieved by a fifth reviewer as needed. Data Synthesis: Descriptions were used to describe types of interventions, sleep outcomes, results, and key components across interventions. Conclusions: The variability in the intervention types, intervention dose, outcomes used, training/expertise of interventionist, specific sample included, and quality of the study made it difficult to compare and synthesize results. Overall, the CBT-I, CBT/psychotherapy, and education/self-management support interventions reported positive improvements in sleep outcomes. The quality appraisal scores ranged from low to high quality indicating potential for bias. Further research is necessary to demonstrate efficacy of most of the interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Physical Activitymentioning

confidence: 99%

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Behavioral interventions to improve sleep outcomes in people with multiple sclerosis: A systematic review

Turkowitch

Donkers

Costa

et al. 2022

Preprint

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Replacing sitting with light-intensity physical activity throughout the day versus 1 bout of vigorous-intensity exercise: similar cardiometabolic health effects in multiple sclerosis. A randomised cross-over study

Nieste

Franssen

Duvivier

et al. 2022

Disability and Rehabilitation

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Exploring the Major Barriers to Physical Activity in Persons With Multiple Sclerosis: Observational Longitudinal Study

Sieber,

Haag,

Polhemus

et al. 2024

JMIR Rehabil Assist Technol

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Background Physical activity (PA) represents a low-cost and readily available means of mitigating multiple sclerosis (MS) symptoms and alleviating the disease course. Nevertheless, persons with MS engage in lower levels of PA than the general population. Objective This study aims to enhance the understanding of the barriers to PA engagement in persons with MS and to evaluate the applicability of the Barriers to Health Promoting Activities for Disabled Persons (BHADP) scale for assessing barriers to PA in persons with MS, by comparing the BHADP score with self-reported outcomes of fatigue, depression, self-efficacy, and health-related quality of life, as well as sensor-measured PA. Methods Study participants (n=45; median age 46, IQR 40-51 years; median Expanded Disability Status Scale score 4.5, IQR 3.5-6) were recruited among persons with MS attending inpatient neurorehabilitation. They wore a Fitbit Inspire HR (Fitbit Inc) throughout their stay at the rehabilitation clinic (phase 1; 2-4 wk) and for the 4 following weeks at home (phase 2; 4 wk). Sensor-based step counts and cumulative minutes in moderate to vigorous PA were computed for the last 7 days at the clinic and at home. On the basis of PA during the last 7 end-of-study days, we grouped the study participants as active (≥10,000 steps/d) and less active (<10,000 steps/d) to explore PA barriers compared with PA level. PA barriers were repeatedly assessed through the BHADP scale. We described the relevance of the 18 barriers of the BHADP scale assessed at the end of the study and quantified their correlations with the Spearman correlation test. We evaluated the associations of the BHADP score with end-of-study reported outcomes of fatigue, depression, self-efficacy, and health-related quality of life with multivariable regression models. We performed separate regression analyses to examine the association of the BHADP score with different sensor-measured outcomes of PA. Results The less active group reported higher scores for the BHADP items Feeling what I do doesn’t help, No one to help me, and Lack of support from family/friends. The BHADP items Not interested in PA and Impairment were positively correlated. The BHADP score was positively associated with measures of fatigue and depression and negatively associated with self-efficacy and health-related quality of life. The BHADP score showed an inverse relationship with the level of PA measured but not when dichotomized according to the recommended PA level thresholds. Conclusions The BHADP scale is a valid and well-adapted tool for persons with MS because it reflects common MS symptoms such as fatigue and depression, as well as self-efficacy and health-related quality of life. Moreover, decreases in PA levels are often related to increases in specific barriers in the lives of persons with MS and should hence be addressed jointly in health care management.

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Preliminary efficacy of the “SitLess with MS” intervention for changing sedentary behaviour, symptoms, and physical performance in multiple sclerosis

Cited by 4 publications

References 46 publications

Behavioral interventions to improve sleep outcomes in people with multiple sclerosis: A systematic review

Behavioral interventions to improve sleep outcomes in people with multiple sclerosis: A systematic review

Replacing sitting with light-intensity physical activity throughout the day versus 1 bout of vigorous-intensity exercise: similar cardiometabolic health effects in multiple sclerosis. A randomised cross-over study

Exploring the Major Barriers to Physical Activity in Persons With Multiple Sclerosis: Observational Longitudinal Study

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