Perceived Met and Unmet Health-Care Needs in a Community Population with Multiple Sclerosis

Patten, Scott B.; Williams, Jeanne V.A.; Lavorato, Dina H.; Terriff, D.L.; Metz, Luanne M.; Berzins, Sandy; Bulloch, Andrew G. M.

doi:10.7224/1537-2073-14.1.2

Cited by 24 publications

(21 citation statements)

References 11 publications

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“…Physical activity is a key component of health promotion, and evidence suggests that it may have positive impacts on functional impairment and quality of life in persons with MS [57]. Until recently, physical activity was believed to increase MS symptom progression, and patients were instructed to rest [58,59]. Notably, interventions in the reviewed studies were well tolerated by the participants, and no adverse effects attributable to the physical activity interventions were reported.…”

Section: Discussionmentioning

confidence: 99%

Physical activity and cognitive function in adults with multiple sclerosis: an integrative review

Morrison

Mayer

2016

Disability and Rehabilitation

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Purpose To identify and synthesize the research evidence concerning (1) the relationship between physical activity and cognitive performance in persons with multiple sclerosis (MS) and (2) to review the reported effects of physical activity interventions on neurocognitive performance conducted in this population. Methods Relevant peer-reviewed journal articles were identified by searching PubMed, PsychINFO, and SPORTDiscus through May 2016. Full-text articles meeting the inclusion criteria were evaluated for quality using tools developed by the National Institutes of Health. Studies deemed to be of poor quality were excluded from the review. Results Nineteen studies meeting the inclusion/exclusion criteria were analyzed. Nine studies reported significant relationships between higher levels of physical activity or cardiorespiratory fitness and measures of cognitive function. Data extracted from 10 physical activity intervention studies reported mixed results on the effectiveness of physical activity to improve selected domains of cognitive function in persons with MS. Conclusion Although correlational studies provide evidence to support a linkage between physical activity and cognitive function in persons with MS, this linkage is confounded by factors that may have influenced the studies’ results. Evidence derived from intervention studies that could support a positive effect of physical activity on cognition in persons with MS is equivocal.

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Section: Discussionmentioning

confidence: 99%

Physical activity and cognitive function in adults with multiple sclerosis: an integrative review

Morrison

Mayer

2016

Disability and Rehabilitation

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“…The disease commonly strikes young adults in their most active and productive years and is associated with significantly lower levels of physical activity throughout the course of this lifelong chronic disabling disease (Stuifbergen & Roberts, 1997; Stuifbergen, Blozis, Harrison, & Becker, 2006). Increasing and maintaining physical activity behavior in persons with MS is a recurrent theme in studies investigating health promotion and wellness due to its potential to enhance wellbeing and quality of life (Snook & Motl, 2009; Vollmer et al, 2012). Additionally, given evidence from the realm of geriatric research, physical activity may offer a much-needed therapeutic option for improving cognitive function for persons with MS (Motl, Sandroff, & Benedict, 2011).…”

Section: Introductionmentioning

confidence: 99%

“…A growing body of scientific research suggests that regular physical activity may have beneficial influences on physiologic and psychosocial sequelae of living with multiple sclerosis (MS) yet challenging personal, social, and environmental barriers to physical activity exist (Hebert, Corboy, Manago, & Schenkman, 2011; Motl & Gosney, 2008; Rietberg, Brooks, Uitdehaag, Kwakkel, 2004; Vollmer et al, 2012). Physical inactivity contributes to a progressively sedentary lifestyle, intensifies physical deconditioning and functional impairment, as well as the likelihood of developing secondary chronic conditions (e.g., cardiovascular disease, osteoporosis, depression, type 2 diabetes) as this population ages (Dalgas, Stenager, & Ingemann-Hansen, 2008).…”

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confidence: 99%

Outcome Expectations and Physical Activity in Persons With Longstanding Multiple Sclerosis

Morrison

Stuifbergen

2014

Journal of Neuroscience Nursing

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Research suggests that persons with multiple sclerosis (MS) are much less physically active than the general population and that increased physical activity in persons with MS is associated with numerous benefits such as improvements in fatigue, mobility and quality of life (Motl & Pilutti, 2012). Potentially modifiable theory-based determinants of physical activity behavior need to be identified so that researchers may study their effectiveness in randomized clinical trials and clinicians may integrate them into practice to promote physical activity in this population. The purpose of this study was to explore the multidimensional (physical, social, and self-evaluative) outcome expectations for physical activity among persons with longstanding MS. A sample of 369 participants diagnosed with MS for more than 15 years completed surveys to measure multidimensional outcome expectations for exercise, MS functional limitations, and physical activity using two different instruments – one measuring physical activity engagement and the other physical activity capability. Results indicated that MS functional limitation was the strongest predictor of both physical activity engagement and physical activity capability. Physical and social outcome expectations contributed to the model explaining 12% of the variation in physical activity engagement while none of the outcome expectancy dimensions (physical, social, or self-evaluative) contributed to the model explaining variation in physical activity capability. While analyses of cross-sectional data does not infer causation, these findings suggest that positive physical and social outcome expectations for physical activity are associated with engagement in physical activity as well as being potential sources of motivation for increasing physical activity behavior in individuals living with longstanding MS.

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“…Participation in Physical Activity (PA), particularly exercise training, represents the single most effective non-pharmacological approach for managing symptoms and improving the health-related quality of life (HRQoL) of people with MS [4][5][6]. However, people with MS do less PA compared to non-diseased people [7][8][9], but in similar way as other people suffering from a chronic disease [7].…”

Section: Introductionmentioning

confidence: 99%

The Relationships between Physical Activity, Self-Efficacy, and Quality of Life in People with Multiple Sclerosis

Guicciardi

Carta

Cocco

2019

Behavioral Sciences

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Regular physical activity (PA) can enhance the physical and mental health of people with Multiple Sclerosis (MS) because of its impact on muscular strength, mobility, balance, walking, fatigue, pain and health-related quality of life (HRQoL). Previous studies have hypothesized that the relationship between PA and HRQoL is mediated by self-efficacy. The aim of this research is to evaluate whether self-efficacy in goal setting and self-efficacy in the management of symptoms, mediate the relationship between PA and HRQoL, in a similar way to exercise self-efficacy. A sample of 28 participants with MS (18 females) and different levels of physical activity have been recruited and completed the following measures: (a) physical activity (GLTEQ); (b) health-related quality of life (SF-12); (c) self-efficacy in the management of Multiple Sclerosis (SEMS) and, (d) exercise self-efficacy (EXSE). The statistical analysis highlighted that self-efficacy in goal setting mediated the relationship between PA and mental health better than exercise self-efficacy. Our findings suggest that self-efficacy in goal setting can contribute to the adoption and maintenance of regular physical activity for long-lasting times, supporting and increasing the mental quality of life of people suffering from MS.Self-efficacy has been proven to be a key determinant related to adoption and maintenance of physical activity in people with chronic diseases, such as cancer, stroke, spinal cord injury, diabetes, and heart diseases [14][15][16][17][18][19][20].Exercise self-efficacy refers to the confidence people have in their ability to be physically active, such as, for example, their beliefs about achieving 30-150 min of moderate to vigorous physical activity per week [21,22].This aspect was repeatedly investigated in people with MS by Motl et al. [23][24][25][26][27][28][29], who found (a) a positive relationship between exercise self-efficacy and physical activity; (b) a moderate inverse relationship between MS symptoms and exercise self-efficacy.The management of MS-related symptoms (e.g., muscle spasms, balance disorders, thermoregulatory difficulties and muscle weakness) has been also invoked to predict both directly, and indirectly through self-efficacy, the adoption and maintenance of PA in individuals with MS [30].The relevance of symptom's management in people with MS was also stressed by Bonino et al. [31], who developed a new scale to measure self-efficacy in dealing with physical and psychological problems caused by MS. The management of symptoms (e.g., fatigue or negative emotions) allows the patients to experiment a satisfactory quality of life, which is often reduced in people with MS, even when compared with people suffering from other debilitating conditions [32][33][34].The goal setting, coupled with self-efficacy, has assumed a pivotal role in intervention studies aiming to enhance physical activity and to improve HRQoL in persons with MS [35]. In order to receive beneficial effects on physical and mental health, physical activity m...

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Perceived Met and Unmet Health-Care Needs in a Community Population with Multiple Sclerosis

Cited by 24 publications

References 11 publications

Physical activity and cognitive function in adults with multiple sclerosis: an integrative review

Physical activity and cognitive function in adults with multiple sclerosis: an integrative review

Outcome Expectations and Physical Activity in Persons With Longstanding Multiple Sclerosis

The Relationships between Physical Activity, Self-Efficacy, and Quality of Life in People with Multiple Sclerosis

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