Improved fatigue in individuals with multiple sclerosis after participating in a short-term self-care programme

Navipour, Hassan; Hossein, Moulavi; Mohebbi, Maryam; Navipour, Reza; Roozbayani, Parviz; Paydar, Afshin

doi:10.3233/nre-2006-21106

Cited by 18 publications

(8 citation statements)

References 17 publications

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“…We compute effect sizes expressed as Cohen's d [20] in one of two ways: (a) mean change from before to after the intervention of exercise training group minus mean change of control group divided by pre-intervention pooled standard deviation (experimental trials) or (b) mean change from before to after the intervention of exercise group divided by pre-intervention standard deviation (non-experimental trials). Within the experimental trials, the effect sizes were always generated such 1 Medical Outcomes Study Short Form-12 [25] 1 Multidimensional Fatigue Inventory [8] 1 Multiple Sclerosis Impact Scale-29 [26] 1 Satisfaction With Life Scale [25] 1 Sickness Impact Profile [24] 1 Visual Analogue Fatigue Scale [27] 1…”

Section: Methodsmentioning

confidence: 99%

Effect of exercise training on quality of life in multiple sclerosis: a meta-analysis

2008

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Using meta-analytic procedures, this study examined the overall effect of exercise training interventions on quality of life (QOL) among individuals with multiple sclerosis (MS). We searched MEDLINE, PSYCHINFO and CURRENT CONTENTS PLUS for the period of 1960 to November 2006 using the key words exercise, physical activity and physical fitness in conjunction with QOL and MS. We further conducted a manual search of bibliographies of the retrieved papers as well as literature reviews and contacted study authors about additional studies. Twenty-five journal articles were located and reviewed, and only 13 provided enough data to compute effect sizes expressed as Cohen's d. One hundred and nine effect sizes were retrieved from the 13 studies with 484 MS participants and yielded a weighted mean effect size of g=0.23 (95% CI=0.15, 0.31). There were larger effects associated with MS-specific measures of QOL and fatigue as an index of QOL. The nature of the exercise stimulus further influenced the magnitude of the mean effect size. The cumulative evidence supports that exercise training is associated with a small improvement in QOL among individuals with MS.

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Section: Methodsmentioning

confidence: 99%

Effect of exercise training on quality of life in multiple sclerosis: a meta-analysis

2008

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“…Recent studies provide significant evidence about the health advantages brought by self-management in people with MS [ 6 , 7 ]. It is associated with a reduction of fatigue [ 8 ], improvement in health-related quality of life [ 9 ], adherence to medication [ 10 ], and increase in physical functioning [ 11 , 12 ]. In the systematic review of Rae-Grant et al [ 13 ], treatment outcomes in MS were shown to improve with the efficacy of self-management.…”

Section: Introductionmentioning

confidence: 99%

The perceived impact of multiple sclerosis and self-management: The mediating role of coping strategies

Wilski¹,

Brola

Łuniewska³

et al. 2021

PLoS ONE

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Low level of self-management in people with multiple sclerosis (MS) is considered to be a predominant factor that leads to poor rehabilitation efficacy. Studies focusing on the relationship between self-management and psychological variables that can be modified could contribute to expanding the knowledge needed to propose interventional programs aiming at patient activation. This study aimed to analyze whether coping strategies play a mediating role in the association between the perceived impact of MS and level of self-management in people with MS. The cross-sectional study included 382 people with MS. The participants completed the Multiple Sclerosis Self-Management Scale—Revised, Multiple Sclerosis Impact Scale-29, and Coping Inventory for Stressful Situations. The study hypothesis was evaluated using mediation analysis. The STROBE checklist specifically prepared for cross-sectional research was applied in this study for reporting. Results indicate that the emotion- and problem-focused strategies of coping can be treated as mediating the association between the MS impact and level of self-management in people with MS. A negative relationship was found between the perceived MS impact and problem-oriented coping, while a positive relationship was found between problem-oriented coping and self-management. Furthermore, a positive relationship was found between the MS impact and emotion-oriented coping, while a negative relationship was found between emotion-oriented coping and self-management. The indirect role of avoidance-oriented coping was not significant. Our study confirms the role played by coping strategies in individuals’ self-management. In MS, self-management determined by perceived MS impact can be controlled by decreasing emotional-coping while increasing problem-coping strategies. Our study imparts new knowledge regarding the potential interventions for improving the level of self-management in people with MS. It indicates that recognition of individuals’ illness perceptions as well as maladaptive coping strategies can help health professionals identify those who might be having lower level of self-management.

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“…[8][9][10][11][12] However, relatively little published evidence about MS care management programs is available. Some earlier studies have shown the feasibility of programs for patient education, exercise, specialist nurse, depression disease management, and energy conservation among people with MS. [13][14][15][16][17] Most of these studies were symptom specific and few were conducted on a wide scale. There is a need to understand the impact of this type of program and facilitate informed decision-making for review and implementation.…”

Section: Introductionmentioning

confidence: 99%

Clinical and economic impact of a specialty care management program among patients with multiple sclerosis: a cohort study

Tan

Tabby

et al. 2010

Mult Scler

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Background: To evaluate the clinical and economic impact of a specialty care management program among patients with multiple sclerosis.Methods: This retrospective cohort analysis included patients aged ≥18 years with ≥2 claims of multiple sclerosis diagnosis and ≥1 multiple sclerosis medications from 1 January 2004 to 30 April 2008. The outcome metrics included medication adherence and persistence, multiple sclerosis-related hospitalization, and multiple sclerosis-related cost. Multivariate analyses were performed to adjust for demographics and clinical characteristics.Results: Among the 3993 patients identified, 78.3% participated in the program and 21.7% did not. Over 12 months, medication adherence and persistence improved among participants but deteriorated among non-participants (medication possession ratio change: +0.08 vs −0.03, p < 0.001; persistence change: +29.2 days vs −9.2 days, p < 0.001). Multiple sclerosis-related hospitalization decreased from 9.6% to 7.1% for participants, whereas it increased from 10.1% to 12.0% for the non-participant group (p < 0.001). Multiple sclerosis-related medical spending (non-pharmacy) decreased among participants, but it increased among non-participants (mean: −US$264 vs + US$1536, p < 0.001). Total multiple sclerosis-related cost for both groups increased over time (+US$4471 vs +US$4087, p < 0.001).Conclusions: This program was associated with improved medication adherence and persistence, reduced multiple sclerosis-related hospitalization, and decreased multiple sclerosis-related medical costs. Unfortunately, the cost savings in the medical component did not offset the increased pharmacy expenditures during the 12-month follow-up period.

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Improved fatigue in individuals with multiple sclerosis after participating in a short-term self-care programme

Cited by 18 publications

References 17 publications

Effect of exercise training on quality of life in multiple sclerosis: a meta-analysis

Effect of exercise training on quality of life in multiple sclerosis: a meta-analysis

The perceived impact of multiple sclerosis and self-management: The mediating role of coping strategies

Clinical and economic impact of a specialty care management program among patients with multiple sclerosis: a cohort study

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