The Gap in the Current Research on the Link between Health Locus of Control and Multiple Sclerosis: Lessons and Insights from a Systematic Review

Bragazzi, Nicola Luigi

doi:10.1155/2013/972471

Cited by 19 publications

(19 citation statements)

References 40 publications

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“…Adopting healthy behaviours may be indirectly associated with QOL, as an externally oriented locus of control, with a feeling of being unable to influence health outcomes, predicts worse disability but also depression and fatigue [42], both determinants of QOL in their own right, and both strongly associated with the lifestyle factors examined here [43, 44]. Having healthy behaviours may be associated with positive orientation of locus of control, with attendant benefits in motivation to access health information and better adherence to treatment [42].…”

Section: Discussionmentioning

confidence: 99%

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Lifestyle, medication and socio-demographic determinants of mental and physical health-related quality of life in people with multiple sclerosis

et al. 2016

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BackgroundHealth-related quality of life (QOL) is a key outcome for people with multiple sclerosis (MS). While modifiable lifestyle factors, like smoking, physical activity and vitamin D, have strong associations with development and progression of MS, few studies have examined such associations with QOL.MethodsUsing patient-reported data from 2312 people with MS from 54 countries, regression models explored associations of socio-demographic, therapeutic and lifestyle factors with QOL, using the Multiple Sclerosis Quality of Life-54 (MSQOL-54).ResultsParticipants were on average 45.6 years old, 82.4% women, mostly partnered (74.1%), with a university degree (59.5%). Controlling for socio-demographic factors and disability, factors associated with better physical health composite (PHC) (on a 100 point scale) were: moderate and high physical activity compared to low (5.9 [95% confidence interval: 4.2, 7.6] and 9.9 [CI: 8.1, 11.6] points higher score respectively); non-smoking compared to current smoking (4.6 points [CI: 2.4, 6.7]); better diet (per 10 points on the 100 point Diet Habits Questionnaire scale (DHQ) 1.6 points [CI: 1.0, 2.2] points); normal body mass index (BMI) versus overweight or obese (2.1 points [CI: 0.4, 3.7] and 2.4 points [CI: 0.5, 4.3]); fewer comorbidities (4.4 points [CI: 3.9, 4.9]); and not taking a disease-modifying drug (DMD) (2.1 points [CI: 0.7, 3.4]).Better mental health composite (MHC) determinants were: moderate and high physical activity compared to low (4.0 points [CI: 2.0, 6.0] and 5.7 points [CI: 3.5, 8.0]); non-smoking compared to current (6.7 points [CI: 4.1, 9.3]); better diet (2.8 points [CI: 1.9, 3.5]); normal BMI versus overweight or obese (3.1 points [CI: 1.1, 5.1] and 3.5 points [CI: 1.3, 5.7]); meditating regularly (2.2 points [CI: 0.2, 4.2]); and no DMD use (2.9 points [CI: 1.3, 4.6]).ConclusionsWhile causality cannot be concluded from cross-sectional data, the associations between modifiable lifestyle factors and QOL suggest significant potential for secondary prevention of the known deterioration of QOL for people with MS through lifestyle risk factor modification.Electronic supplementary materialThe online version of this article (doi:10.1186/s12883-016-0763-4) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

“…Having healthy behaviours may be associated with positive orientation of locus of control, with attendant benefits in motivation to access health information and better adherence to treatment [42]. Where studied, the great majority of people with MS have an external locus of control, a proportion that increases with disease duration [45].…”

Section: Discussionmentioning

confidence: 99%

Lifestyle, medication and socio-demographic determinants of mental and physical health-related quality of life in people with multiple sclerosis

et al. 2016

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“…Being a chronic disorder, MS has a tremendous psycho-social burden [3, 4], and recently the concept of a Web-based aid for MS patients has emerged, collecting MS-related information and at the same time trying to reduce the stressors, enhancing the self-management of the disease, facilitating the interactions between the patients and the medical team, and accurately reporting to the physician the patients' symptoms after their online registration [5]. …”

Section: Introductionmentioning

confidence: 99%

Infodemiology and Infoveillance of Multiple Sclerosis in Italy

Bragazzi

2013

Multiple Sclerosis International

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Multiple Sclerosis (MS) is a chronic debilitating disease of probable autoimmune inflammatory nature, whose aetiology is not fully understood, despite the many efforts and investigations. In this manuscript, we review the concept of “Multiple Sclerosis 2.0”, that is to say the Internet usage by MS patients, for seeking health and disease-related material for self-care and self-management purposes, and we introduce a Google Trends-based approach for monitoring MS-related Google queries and searches, called MS infodemiology and infoveillance. Google Trends has already proven to be reliable for infectious diseases monitoring, and here we extend its application and potentiality in the field of neurological disorders.

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“…20 We found in a previous study of people with MS that self-identity was a strong independent correlate (β = 0.44) of physical activity behavior and was influenced by participating in a group wellness intervention. 21 Future research should examine whether promoting an internal locus of control, a sense of duty, and a self-identity consistent with the notion of wellness can promote multiple behavior changes in adults with MS. We also found that participants motivated to engage in multiple health behaviors often noted the importance of staying positive and engaged, persisting via trial and error, and setting goals and planning ahead.…”

Section: Theme 4: Taking Controlmentioning

confidence: 68%

A Qualitative Study of Multiple Health Behaviors in Adults with Multiple Sclerosis

Plow¹,

Golding²

2016

International Journal of MS Care

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Background: Evidence regarding inflammatory pathways, elevated cardiovascular risk, and negative effects of secondary conditions on disability progression provide a strong rationale for promoting multiple health behaviors in adults with multiple sclerosis (MS). However, many unanswered questions remain about the best ways to design multiple behavior change interventions for adults with MS. We sought to identify facilitators and barriers to engaging in multiple health behaviors (physical activity, nutrition, and sleep) and to gain further insights into how to develop multiple health behavior change interventions based on preferences of adults with MS. Methods: Focus groups and one-on-one interviews were conducted with 17 participants with MS. Results: Five qualitative themes were identified as either facilitating or hindering engagement in multiple health behaviors: 1) roles, priorities, and preferences; 2) sense of duty; 3) the fatigue and mobility problem; 4) taking control; and 5) resiliency. Participants identified advantages and disadvantages of delivery formats (eg, face-to-face group vs. telephone), frequency of contacts, and intervention strategies based on their individual circumstances and obligations. Participants felt that discussing the benefits of engaging in multiple health behaviors, developing action plans, accommodating preferences, and addressing health problems would be helpful strategies to include in a multiple behavior change intervention. Conclusions: These findings indicate that there may be common facilitators and barriers that can be targeted to promote multiple behavior changes. Future research should explore the best ways to tailor multiple behavior change interventions to preferences, symptoms, psychological traits, and social cognitions. Int J MS Care. 2016;18:248-256. There is now an extensive body of research indicating the need to develop and test multiple health behavior change interventions in people with multiple sclerosis (MS). Research on inflammatory pathways, 1 elevated cardiovascular risks, 2 and negative effects of secondary conditions on disability progression 3 all provide a strong rationale for designing and testing multiple behavior change interventions in adults with MS. Engaging in multiple health behaviors may have cumulative effects on reducing inflammation and secondary conditions. 1,4 Furthermore, expert consensus statements on managing common MS symptoms often make recommendations consistent with engaging in multiple health behaviors. 5,6 However, few studies of people with MS have addressed pertinent questions on how best to promote multiple health behavior changes.Although behavior change interventions have been examined in people with MS, the efficacy and theoretical underpinnings of these interventions to support multiple behavior changes are unclear. Behavior change intervention research in MS has typically focused on self-managing symptoms, promoting wellness, and encouraging physical activity. 7-9 Each of these types of interventions makes implicit assu...

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The Gap in the Current Research on the Link between Health Locus of Control and Multiple Sclerosis: Lessons and Insights from a Systematic Review

Cited by 19 publications

References 40 publications

Lifestyle, medication and socio-demographic determinants of mental and physical health-related quality of life in people with multiple sclerosis

Lifestyle, medication and socio-demographic determinants of mental and physical health-related quality of life in people with multiple sclerosis

Infodemiology and Infoveillance of Multiple Sclerosis in Italy

A Qualitative Study of Multiple Health Behaviors in Adults with Multiple Sclerosis

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