Study protocol for an online lifestyle modification education course for people living with multiple sclerosis: the multiple sclerosis online course (MSOC)

Reece, Jeanette C.; Yu, Maggie; Bevens, William; Simpson‐Yap, Steve; Jelinek, George A; Jelinek, Pia L.; Davenport, Rebekah A.; Nag, Nupur; Gray, Kathleen; Neate, Sandra L

doi:10.1186/s12883-023-03298-0

Cited by 9 publications

(3 citation statements)

References 79 publications

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“…The MSOC RCT study design and course content have been comprehensively described previously [17]. We developed 2 courses in conjunction with people living with MS: the standard care course (SCC) based on the information from MS websites and the intervention course (IC) based on the Overcoming MS program.…”

Section: Msoc Rct Study Designmentioning

confidence: 99%

“…We recruited participants for the MSOC RCT web-based across many Facebook (Meta Platforms, Inc) groups and MS websites and forums worldwide, as previously described [17]. The consenting participants completed a screening questionnaire on the study website to confirm eligibility: a self-reported diagnosis of MS by a physician and aged at least 18 years.…”

Section: Msoc Rct Study Designmentioning

confidence: 99%

“…This qualitative study formed a part of a large randomized controlled trial (RCT) comparing the effects of 2 web-based educational lifestyle programs on medium-and long-term health outcomes in people living with MS. This study presents a qualitative analysis of semistructured interviews of participants conducted 1 month after the completion of the MS Online Course (MSOC) RCT [17].…”

Section: Introductionmentioning

confidence: 99%

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Web-Based Health Information Seeking by People Living With Multiple Sclerosis: Qualitative Investigation of the Multiple Sclerosis Online Course

Bevens,

Davenport,

Neate

et al. 2024

J Med Internet Res

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Background Digital technologies have afforded people living with multiple sclerosis (MS) access to telehealth consultations, diagnostic tools, and monitoring. Although health care professionals remain the most trusted source of information, the internet has emerged as a valuable resource for providing MS-related information, particularly during the COVID-19 pandemic. Notably, people living with MS are increasingly seeking educational content for a range of topics related to the self-management of MS; however, web-based information seeking remains largely underevaluated. To address this gap and ensure that web-based health-related information is accessible and engaging, this study used qualitative methods to analyze the reflections from participants of web-based educational programs for people living with MS. Objective This study aimed to explore the motivations, behaviors, and expectations of web-based health information seeking for people living with MS. Methods We conducted semistructured interviews for 38 people living with MS 1 month after they completed the novel MS Online Course, which provided information on modifiable lifestyle-related risk factors for people living with MS. Of the 38 participants, 22 (58%) completed the intervention course and 16 (42%) completed the standard care course. Inductive thematic analysis was used within a qualitative paradigm, and 2 authors coded each interview separately and arrived at themes with consensus. Results We identified 2 themes: motivation to learn and MS information on the web. The diagnosis of MS was described as a pivotal moment for precipitating web-based information seeking. People living with MS sought lifestyle-related information to facilitate self-management and increase control of their MS. Although social media sites and MS websites were considered useful for providing both support and information, discretion was needed to critically appraise information. Recognizable institutions were frequently accessed because of their trustworthiness. Conclusions This study provided novel insights into the motivations of people living with MS for seeking web-based health information. Furthermore, their preferences for the content and format of the web-based information accessed and their experiences and reactions to this information were explored. These findings may guide educators, researchers, and clinicians involved in MS care to optimize the engagement and processing of web-based health information seeking by people living with MS.

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Section: Msoc Rct Study Designmentioning

confidence: 99%

Section: Msoc Rct Study Designmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Web-Based Health Information Seeking by People Living With Multiple Sclerosis: Qualitative Investigation of the Multiple Sclerosis Online Course

Bevens,

Davenport,

Neate

et al. 2024

J Med Internet Res

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Lifestyle changes and patient-reported outcomes over five years in a sample of people with multiple sclerosis after a single multimodal intensive lifestyle education workshop

Reece,

Jelinek,

Milanzi

et al. 2024

Neurol Sci

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Introduction Modifiable lifestyle risk factors for progression of multiple sclerosis (MS) have been increasingly studied. This study employed a single-group design involving a one-off intensive live-in educational workshop on lifestyle modification for people with MS. We aimed to examine changes in a range of clinical and lifestyle variables and quality of life, self-efficacy, physical impact of MS and disability from baseline to 3- and 5-years post-intervention. Methods 95 participants completed the baseline survey. Data included lifestyle risk factors of diet quality, meat and dairy consumption, omega 3 and vitamin D supplementation, physical activity, stress reducing activities, and smoking status, and use of disease-modifying therapies (DMTs). Patient-reported outcomes included health-related quality of life, self-efficacy, physical impact of MS and disability. Generalised estimating equation models were used to account for within-participant correlation over time. Results Sixty participants (63.2%) provided data at 3- and 5-years. Significant improvements in diet quality, omega 3 supplementation, and non-smoking were seen at both timepoints. Use of DMTs and disability remained unchanged. Mental (8.8- and 6.9-point) and physical (10.5- and 7.3-point) quality of life, and self-efficacy (2.4- and 1.9-point) improved significantly at 3- and 5-years, respectively. Physical impact of MS reduced from baseline to 3-years (-3.7 points) with a trend towards reduction at 5-years (-2.9 points; p = 0.079). Conclusions Education on lifestyle modification can lead to lifestyle modification and short and long-term improvements in mental and physical wellbeing outcomes. Results suggest potential value in lifestyle modification as an adjunctive component to standard therapy for MS.

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Baseline engagement with healthy lifestyles and their associations with health outcomes in people with multiple sclerosis enrolled in an online multimodal lifestyle course

Yu,

Neate,

Nag

et al. 2024

Euro J of Neurology

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Background and PurposeHealthy lifestyle behaviour modification may improve health outcomes in people with multiple sclerosis (pwMS), but empirical evidence is needed to confirm prior study findings. We developed an online multimodal lifestyle intervention (Multiple Sclerosis Online Course) to examine the impact of lifestyle modification on health outcomes in pwMS via a randomized control trial (RCT). However, the present study specifically analyses baseline data to assess engagement with healthy lifestyles by RCT participants and cross‐sectional associations with health outcomes.MethodsBaseline engagement with six “healthy lifestyle behaviours” of the intervention course (high‐quality, plant‐based diet; ≥5000 IU/day vitamin D; omega‐3 supplementation; ≥30 min physical activity 5 times/week; ≥30 min/week meditation; and nonsmoking) was examined. Associations between individual versus collective behaviours (individual behaviours summated) and health outcomes (quality of life [QoL]/fatigue/disability) were evaluated using multivariate modelling (linear/log‐binomial/multinomial).ResultsAt baseline, 33.7% and 30.0% of participants (n = 857) engaged in one or two healthy behaviours, respectively. In total, engagement with healthy lifestyles by participants was as follows: nonsmoking, 90.7%; omega‐3 supplementation, 34.5%; vitamin D supplementation, 29.8%; physical activity, 29.4%; diet, 10.7%; and meditation, 10.5%. Individual behaviours (nonsmoking/physical activity/diet) were independently associated with better health outcomes. Engagement with multiple behaviours, especially diet and physical activity, was associated with better outcomes; engaging with ≥4 behaviours was associated with a 9.0‐point higher mental QoL and a 9.5‐point higher physical QoL, as well as 23% and 56% lower prevalence of fatigue and moderate disability, respectively.ConclusionsBaseline engagement with ≥4 healthy behaviours, including diet and physical activity, was associated with better health outcomes.

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Study protocol for an online lifestyle modification education course for people living with multiple sclerosis: the multiple sclerosis online course (MSOC)

Cited by 9 publications

References 79 publications

Web-Based Health Information Seeking by People Living With Multiple Sclerosis: Qualitative Investigation of the Multiple Sclerosis Online Course

Web-Based Health Information Seeking by People Living With Multiple Sclerosis: Qualitative Investigation of the Multiple Sclerosis Online Course

Lifestyle changes and patient-reported outcomes over five years in a sample of people with multiple sclerosis after a single multimodal intensive lifestyle education workshop

Baseline engagement with healthy lifestyles and their associations with health outcomes in people with multiple sclerosis enrolled in an online multimodal lifestyle course

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