The effectiveness of behaviour change interventions to increase physical activity participation in people with multiple sclerosis: a systematic review and meta-analysis

Sangelaji, Bahram; Smith, Christopher; Paul, Lorna; Sampath, Kesava Kovanur; Treharne, Gareth J.; Hale, Leigh

doi:10.1177/0269215515595274

Cited by 54 publications

(63 citation statements)

References 80 publications

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“…A recent review and meta‐analysis of the effectiveness of behaviour change interventions to increase physical activity in persons with MS indicated that behaviour change interventions have a significant effect on physical activity participation (ES = .64), which may result in health benefits. These results indicate that theories of health behaviour change should be incorporated into exercise promotional interventions in MS care.…”

Section: Discussionmentioning

confidence: 99%

Multiple sclerosis patients need and want information on exercise promotion from healthcare providers: a qualitative study

Learmonth

Adamson

Balto

et al. 2016

Health Expectations

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BackgroundThere is growing recognition of the benefits and safety of exercise and its importance in the comprehensive care of persons with multiple sclerosis (MS), yet uptake is low.ObjectiveWe explored the needs and wants of patients with MS regarding exercise promotion through healthcare providers.Setting and participantsParticipants were adults with MS who had mild‐or‐moderate disability and a range of exercise levels. All participants lived in the Midwest of the United States.MethodsFifty semi‐structured interviews were conducted and analysed using thematic analysis. Two themes emerged, namely interactions between patients and healthcare providers and needs and wants of patients.ResultsAnalysis of participant accounts illustrate that current exercise promotion by healthcare providers does not meet patient needs and wants. The identified needs and wants of persons with MS involved (i) information and knowledge on the benefits of exercise and exercise prescription, (ii) materials to allow home and community exercise and (iii) tools for initiating and maintaining exercise behaviour.Discussion and conclusionPatients with MS frequently interact with healthcare providers and are generally unsatisfied with exercise promotion during interactions. Healthcare providers can address the low uptake of exercise among persons with MS by acting upon the identified unmet needs involving materials, knowledge and behaviour change strategies for exercise.

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Section: Discussionmentioning

confidence: 99%

Multiple sclerosis patients need and want information on exercise promotion from healthcare providers: a qualitative study

Learmonth

Adamson

Balto

et al. 2016

Health Expectations

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“…Whilst a variety of approaches have been used, for the purposes of this systematic review, behavior change interventions are defined as any psychology-based interventions (used alone or in combination with other interventions, such as exercise therapy) aimed directly or indirectly at behavior change with regard to level of physical activity participation or change in perceived physical function. 23 The National Institute of Health and Clinical Care Excellence (NICE) Public Health Guidance has identified a number of elements for inclusion in an effective behavior change intervention, which includes the use of goal setting, feedback and monitoring, fostering of self-efficacy, and social support. 21 While NICE does not recommended one specific behavior change approach, it does recommend that it should match the service users' needs and be evaluated.…”

Section: Introductionmentioning

confidence: 99%

Experiences of people with Parkinson's disease and their views of physical activity interventions: a qualitative systematic review protocol

Hunter

Lovegrove

Haas

et al. 2017

JBI Database of Systematic Reviews and Implementation Reports

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This review aims to explore the experiences of people with Parkinson's disease (pwPD) participation in physical activity and their views of interventions designed to engage and sustain engagement. Synthesis of the best available evidence will be used to determine any gaps in the research literature and make recommendations on approaches to increase and maintain engagement in physical activity in pwPD living in a community setting. The specific objectives are to.

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“…Although the intervention was less intensive than other behaviour-change interventions in the literature, 31 it was delivered face-to-face, on a one-to-one basis, unlike previous interventions that delivered group sessions, 32,33 or delivered telephone 20,34 or internet interventions. [17][18][19] Participants emphasised the strong therapeutic relationship was key to developing confidence and competence for PA enactment.…”

Section: Discussionmentioning

confidence: 99%

Safety, feasibility, acceptability and effects of a behaviour-change intervention to change physical activity behaviour among people with multiple sclerosis: Results from the iStep-MS randomised controlled trial

et al. 2019

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Background: There is limited information regarding the safety, feasibility and acceptability of behaviour-change interventions to increase physical activity (PA) and reduce sedentary behaviour among people with multiple sclerosis (MS). Prior to evaluating efficacy, it is important to identify problems with feasibility and acceptability, which may undermine effectiveness. Objective: To examine the safety, feasibility and acceptability of a behaviour-change intervention to increase PA and reduce sedentary behaviour among people with MS. Methods: Sixty people received a 3-month intervention or usual care. Fatigue, pain and adverse events (AEs) were assessed. Feasibility and acceptability were explored through focus groups with physiotherapists and interviews with participants. Fidelity to intervention content, delivery skills, programme receipt and programme task were assessed. Results: There was no difference in AE rate between groups ( p = 0.965). Fatigue and pain were not higher in the intervention group at 3 or 9 months. Therapists reported the intervention was feasible to deliver and fidelity was acceptable. Twenty-nine participants (97%) attended at least 75% of sessions. Participants found the intervention acceptable but suggested some amendments were required to intervention components. Conclusions: The intervention was safe, feasible and acceptable. Although modifications are required to intervention components, the intervention warrants further evaluation in a future trial.

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The effectiveness of behaviour change interventions to increase physical activity participation in people with multiple sclerosis: a systematic review and meta-analysis

Cited by 54 publications

References 80 publications

Multiple sclerosis patients need and want information on exercise promotion from healthcare providers: a qualitative study

Multiple sclerosis patients need and want information on exercise promotion from healthcare providers: a qualitative study

Experiences of people with Parkinson's disease and their views of physical activity interventions: a qualitative systematic review protocol

Safety, feasibility, acceptability and effects of a behaviour-change intervention to change physical activity behaviour among people with multiple sclerosis: Results from the iStep-MS randomised controlled trial

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