Self-efficacy and health status improve after a wellness program in persons with multiple sclerosis

Ng, Alexander V.; Kennedy, Patricia F.; Hutchinson, Brian; Ingram, Anna; Vondrell, Suzanne; Goodman, Terri; Miller, Deborah

doi:10.3109/09638288.2012.717586

Cited by 29 publications

(26 citation statements)

References 30 publications

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“…In the U.S.A., Can Do MS, a publically accessible nonprofit wellness program, offers concentrated 4-day interdisciplinary educational wellness programs for PwMS, that promote health seeking behaviors, lifestyle empowerment, and wellness including exercise, and with optional participation of support partners [8]. This educational Can Do MS Program (CDP) has been developed to enable PwMS the uncovering of their existing capabilities [8]. Recently Ng et al observed an improvement in self-efficacy and perceived health after CDP [8].…”

Section: Introductionmentioning

confidence: 99%

Improved self-efficacy in persons with relapsing remitting multiple sclerosis after an intensive social cognitive wellness program with participation of support partners: a 6-months observational study

Jongen

Ruimschotel²,

Heerings

et al. 2014

Health Qual Life Outcomes

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BackgroundFor persons with multiple sclerosis (MS) it is important to preserve their autonomy, in spite of increasing disability. A major factor mediating autonomy is self-efficacy. According to the social cognitive theory stressors are crucial determinants of self-efficacy, as well as the interaction with partners.MethodsIn an explorative observational study we assessed in 47 persons with MS (PwMS) the effect of an intense, multidisciplinary, 3-day, social cognitive wellness program with the participation of support partners, after 1, 3 and 6 months. Primary outcomes: self-efficacy-control and -function (Multiple Sclerosis Self-Efficacy Scale [MSSES]),limitations to and problems with participation and autonomy (Impact on Participation and Autonomy [IPA] scale). Secondary outcomes: health-related quality of life (HRQoL) (MS Quality of Life-54 Items [MSQoL-54] questionnaire), anxiety, depression (Hospital Anxiety and Depression Scale [HADS]), and fatigue (Modified Fatigue Impact Scale-5 Items [MFIS-5]). Disability was measured with the Expanded Disability Status Scale (EDSS). Percentage changes from baseline were tested with T-tests, level of significance 0.05.ResultsIn the whole group the MSQoL-54 Mental score was increased at 1, 3 and 6 months (+16.0%, +13.2%, +12.2%), and the MSQoL-54 Physical (+10.2%) at 6 months, with no changes in other outcomes. The relapsing remitting (RR) subgroup (n = 20) had at 6 months an increase in the MSSES-Control score (+24.8%) and in the MSQoL54 Mental and Physical scores (+22.3%, +17.6%). Progressive patients (n = 22) only showed an increase in the MSQoL-54 Mental score (+11.5%) at 1 month. In the low-disability (EDSS < 4.0) subgroup the MSSES-Control score was increased (+23.8%) at 6 months, and the IPA-Limitations and -Problems scores decreased at 3 months (−6.1%, −8.8%); the MSQoL-54 Mental score had increased at 1, 3 and 6 months (+19.3%, +21.5%, +19.3%). In the high-disability (EDSS > =4.0) subgroup no significant changes occurred.ConclusionsResults from this observational study suggest that 6 months after an intense, 3-day, multidisciplinary, social cognitive wellness program with support partners, PwMS with a RR course or low disability may experience an improved self-efficacy-control and HRQoL.

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Section: Introductionmentioning

confidence: 99%

Improved self-efficacy in persons with relapsing remitting multiple sclerosis after an intensive social cognitive wellness program with participation of support partners: a 6-months observational study

Jongen

Ruimschotel²,

Heerings

et al. 2014

Health Qual Life Outcomes

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“…In addition, Yorkston, Kuehn, Johnson, Ehde, Jensen, & Amtmann (2008) concluded that the subjective importance of participation in everyday situations is relatively independent of measures of mobility, general health, depression, fatigue and pain, but closely linked to self-efficacy. Finally, various intervention studies have been carried out in which self-efficacy is a primary outcome and/or target of treatment (e.g., Ng et al, 2013; Stuifbergen, Becker, Blozis, Timmerman, Kullberg, 2003). For example, Ng et al, (2013) applied a wellness treatment program for a group of individuals with MS and found that it resulted in improved self-efficacy and importantly improved HrQOL.…”

Section: Introductionmentioning

confidence: 99%

Self-efficacy as a predictor of self-reported physical, cognitive, and social functioning in multiple sclerosis.

Schmitt¹,

Goverover

DeLuca

et al. 2014

Rehabilitation Psychology

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Objective Investigate whether self-efficacy is associated with physical, cognitive and social functioning in individuals with Multiple Sclerosis (MS) when controlling for disease-related characteristics and depressive symptomatology. Participants 81 individuals between the ages of 29 and 67 with a diagnosis of clinically definite MS. Method Hierarchical regression analysis was employed to examine the relationships between self-efficacy and self-reported physical, cognitive, and social functioning. Results Self-efficacy is a significant predictor of self-reported physical, cognitive and social functioning in MS after controlling for variance due to disease related factors and depressive symptomatology. Conclusions Self-efficacy plays a significant role in individual adjustment to MS across multiple areas of functional outcome, beyond that which is accounted for by disease related variables and symptoms of depression.

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“…For example, a study by Hart et al 19 of participants in a wellness program found improvements in depression, functional status, and fatigue. Another study by Ng et al 20 highlighted the positive impact of a wellness program on self-efficacy and health status; again, however, there was no control group. Tesar et al 21 examined the effectiveness of psychological interventions (although not in a formal wellness group), such as cognitive-behavioral strategies and stress-coping training, and found that depressive stress-coping style improved in the experimental group compared with the control group.…”

mentioning

confidence: 99%

Development and Effectiveness of a Psychoeducational Wellness Program for People with Multiple Sclerosis

McGuire¹,

Stojanovic-Radic²,

Strober³

et al. 2015

International Journal of MS Care

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Background: Multiple sclerosis (MS) mostly affects young and middle-aged adults and is known to be associated with a host of factors involved in overall quality of life and well-being. The biopsychosocial model of disease takes into account the multifaceted nature of chronic illness and is commonly applied to MS. The present investigation examined the effectiveness of a 10-week psychoeducational MS wellness program that was developed on the basis of the biopsychosocial model and a wellness approach to treatment.

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Self-efficacy and health status improve after a wellness program in persons with multiple sclerosis

Abstract: A 4-day multidisciplinary educational wellness program can result in improvement in self-efficacy and health-related QOL in persons with MS and can be stable up to at least 6 months. Improvements do not depend on degree of disability.

Cited by 29 publications

References 30 publications

Improved self-efficacy in persons with relapsing remitting multiple sclerosis after an intensive social cognitive wellness program with participation of support partners: a 6-months observational study

Improved self-efficacy in persons with relapsing remitting multiple sclerosis after an intensive social cognitive wellness program with participation of support partners: a 6-months observational study

Self-efficacy as a predictor of self-reported physical, cognitive, and social functioning in multiple sclerosis.

Development and Effectiveness of a Psychoeducational Wellness Program for People with Multiple Sclerosis

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