The effectiveness of a self-management occupational therapy intervention on activity performance in individuals with multiple sclerosis-related fatigue: a randomized-controlled trial. Issue 3 (September 2016)

• Record Type: Journal Article
• Authors: Kos, Daphne; Duportail, Marijke; Meirte, Jill; Meeus, Mira; D'hooghe, Marie B.; Nagels, Guy; Willekens, Barbara; Meurrens, Tom; Ilsbroukx, Stephan; Nijs, Jo
• Is Part Of: International journal of rehabilitation research. Volume 39:Issue 3(2016:Sep.)
• Publication Date: 2016-09
• Subjects: energy conservation -- energy management -- fatigue -- occupational balance -- occupational therapy -- rehabilitation -- self-care; Rehabilitation -- Periodicals; Rehabilitation -- periodicals; Disabled Persons -- periodicals; 617.03
• DOI: 10.1097/MRR.0000000000000178
• Languages: English
• ISSNs: 0342-5282

Abstract

Abstract : Purpose to evaluate the effectiveness of an individual self-management occupational therapy intervention program (SMOoTh) versus relaxation on the performance of and satisfaction with relevant daily activities in individuals with multiple sclerosis (MS)-related fatigue. in a single-blind randomized-controlled trial, 31 patients with MS (SMOoTh: n =17, relaxation: n =14) were randomly allocated to three individual sessions focusing on pacing, prioritizing, ergonomics, and self-management (SMOoTh) or on stress management and relaxation (relaxation). Outcomes (blind assessor): Canadian Occupational Performance Measure (COPM) (primary), Modified Fatigue Impact Scale, Checklist Individual Strength and Short-Form Health Measure. COPM improved in the SMOoTh and relaxation group after the intervention and 3 months later (COPM performance: F =13.1, P =0.001 and COPM satisfaction: F =10.4, P =0.001); nonsignificant group differences showed a trend in favor of SMOoTh. Modified Fatigue Impact Scale, Checklist Individual Strength, and most of the Short-Form Health Measure subscales did not change. Clinically relevant changes in COPM performance scores were found in 71 and 27% of patients in the SMOoTh versus the relaxation group. Both interventions seem to be feasible approaches to improve performance of and satisfaction with relevant daily activities in people with MS, with a sustained effect after 3 months. Neither program altered change fatigue (impact) or quality of life. Future studies with larger sample sizes are needed.