Effectiveness of an online fatigue self-management programme for people with chronic neurological conditions: a randomized controlled trial

Abstract

Although the fatigue self-management group improved over time, results did not demonstrate additional benefit in most outcome measures when compared with the control group.

A systematic review of internet-based self-help therapeutic interventions to improve distress and disease-control among adults with chronic health conditions

“…Table 1 summarises the characteristics of the 24 studies included. Eight chronic health conditions were represented: chronic pain (n = 9 studies) (Andersson, Lundstrom, & Strom, 2003;Brattberg, 2008;Buhrman, Faltenhag, Strom, & Andersson, 2004;Chiauzzi et al, 2010;Devineni & Blanchard, 2005;Lorig, Ritter, Laurent, & Plant, 2008;Ruehlman et al, 2012;Strom, Pettersson, & Andersson, 2000;Williams et al, 2010), diabetes (n = 5) (Glasgow, Boles, McKay, Feil, & Barrera, 2003;Glasgow et al, 2006;Lorig et al, 2010;McKay, Glasgow, Feil, Boles, & Barrera, 2002;McKay, King, Eakin, Seeley, & Glasgow, 2001), irritable bowel syndrome (n = 4) (Hunt, Moshier, & Milonova, 2009;Ljótsson et al, 2010Ljótsson et al, , 2011Oerlemans, van Cranenburgh, Herremans, Spreeuwenberg, & van Dulmen, 2011), tinnitus (n = 2) (Andersson, Stromgren, Strom, & Lyttkens, 2002;Kaldo et al, 2008), fatigue (n = 1) (Ghahari et al, 2010), epilepsy (n = 1) (DiIorio, Bamps, Walker, & Escoffery, 2011), breast cancer (n = 1) (Owen et al, 2005) and other chronic illnesses (n = 1) (Lorig, Ritter, Laurent, & Plant, 2006). Studies were predominantly conducted in the USA (n = 14), with Sweden being second most represented (n = 8; seven of these were conducted by Andersson and colleagues).…”

“…While these traditional face-to-face psychological therapies are demonstrably efficacious (Nathan & Gorman, 2007), there are numerous barriers to attendance. First, there are limited psychosocial services freely available in public health settings, and current capacity is not sufficient to meet the demand Ghahari, Leigh Packer, & Passmore, 2010;Ruehlman, Karoly, & Enders, 2012;Yates et al, 2001). This is particularly evident in rural and remote areas where access to psychological therapy is problematic.…”

Physical therapy and occupational therapy in Parkinson's disease

“…In moderate and severe disease, the planning task itself can take too much time and effort and caregivers may need to assist [33]. An energy conservation group program, in which optimizing daily structure and routines was one of the strategies to manage fatigue, showed effectiveness in patients with multiple sclerosis and a mixed population of multiple sclerosis, post-polio and PD [113,114].…”

Fatigue and Functional Capacity in Persons with Post-Polio Syndrome: Short-term Effects of Exercise and Lifestyle Modification Compared to Lifestyle Modification Alone

“…This suggests that PPS subjects may experience a gradual deterioration in their overall functional status if given no exercise or lifestyle modification. Consistent with these findings, various long term observational studies (Ghahari et al, 2010) have shown that there was a significant decrease in physical functioning and walking capacity and a significant increase in co-morbidity and extent of paresis, whereas continuous rehabilitation seems to maintain physical independence in polio clients, improves their ability to earn their own income, and lessens the need for disability pensions (Trojan et al, 2009). …”