Busse, M;
Playle, R;
Latchem-Hastings, J;
Button, K;
Lowe, R;
Barlow, C;
Lloyd, B;
Dean-Young, A;
Poile, V;
Dawes, H;
et al.
Busse, M; Playle, R; Latchem-Hastings, J; Button, K; Lowe, R; Barlow, C; Lloyd, B; Dean-Young, A; Poile, V; Dawes, H; Davies, F; O'Halloran, R; Tallantyre, E; Edwards, A; Wood, F; Jones, F
(2022)
A web-based life-style, exercise and activity intervention for people with progressive multiple sclerosis: Results of a single-arm feasibility study.
Mult Scler Relat Disord, 57.
p. 103388.
ISSN 2211-0356
https://doi.org/10.1016/j.msard.2021.103388
SGUL Authors: Jones, Fiona
Abstract
BACKGROUND: People with progressive Multiple Sclerosis often struggle to access appropriate and inclusive support for regular physical activity. The Lifestyle, Exercise and Activity Package (LEAP-MS) intervention, is a co-designed web-based physical activity intervention for people with progressive Multiple Sclerosis (MS). It consists of two key components; (1) web-based physical activity coaching with physiotherapists using self-management support strategies and 2) an interactive web-based platform including a physical activity information suite, an activity selection and planning tool and a participant-physiotherapist messaging system. We aimed to evaluate recruitment, retention and uptake, in a single arm feasibility study. METHODS: Participants with primary or secondary progressive MS with an Expanded Disability Status Scale score of 6 to 8 were recruited. Assessments included the MS Impact Scale (MSIS-29) and measures of participation at baseline, three and six months. All participants received the intervention which consisted of up to six web-based physiotherapy- led physical activity coaching sessions alongside access to web-based education and activity suites. Recruitment, retention and uptake data were summarised. Pre-defined progression criteria were used to guide feasibility assessment. Clinical outcome data were analysed descriptively. RESULTS: Fifty-eight percent (21/36) of those submitting expressions of interest were recruited; 76% completed follow-up. Pre-specified progression criteria for retention were met but recruitment did not meet progression criteria. The intervention achieved set fidelity criteria. At three months, 12 participants (75%) reported improvements in routine activities after the intervention. MSIS-29 physical scores improved by an average of eight points (95% CI -12.6 to -3.3). Improvements were also seen in MSIS-29 psychological scores and fatigue. Some improvements were maintained at six months. CONCLUSIONS: The LEAP-MS intervention is feasible and associated with improvements in MSIS-29 scores. The intervention facilitated partnership working between physiotherapists and people with progressive MS. Users developed valuable skills in supported self-management by focussing on enhancing physical activity to support overall wellbeing. This work has laid the foundations for a large-scale evaluation of a co-designed intervention with potential for far reaching impact on the lives of people with progressive MS.
Item Type: |
Article
|
Additional Information: |
© 2021. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/ |
Keywords: |
Feasibility study, Intervention, Multiple sclerosis, Physical activity, Physiotherapy, Self-management, Exercise, Feasibility Studies, Humans, Internet, Life Style, Multiple Sclerosis, Humans, Multiple Sclerosis, Exercise, Feasibility Studies, Life Style, Internet, 1109 Neurosciences |
SGUL Research Institute / Research Centre: |
Academic Structure > Population Health Research Institute (INPH) |
Journal or Publication Title: |
Mult Scler Relat Disord |
ISSN: |
2211-0356 |
Language: |
eng |
Dates: |
Date | Event |
---|
9 February 2022 | Published | 8 November 2021 | Published Online | 5 November 2021 | Accepted |
|
Publisher License: |
Creative Commons: Attribution-Noncommercial-No Derivative Works 4.0 |
Projects: |
|
PubMed ID: |
35158478 |
![](http://static.pubmed.gov/portal/portal3rc.fcgi/2745237/img/27842) |
Go to PubMed abstract |
URI: |
https://openaccess.sgul.ac.uk/id/eprint/115245 |
Publisher's version: |
https://doi.org/10.1016/j.msard.2021.103388 |
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