Hersche-Cupelli, Ruth and Weise, Andrea and Della Bella, Sara and Michel, Gisela and Barbero, Marco and Kool, Jan (2019) Inpatient Energy Management Education (IEME) for persons with MS related fatigue. In: UNSPECIFIED.
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Abstract
Research Objectives: To explore the feasibility, effect, and costs of a newly developed inpatient energy management education (IEME) Design: Feasibility randomized controlled trial with mixed methods analysis Setting: 3-week multidisciplinary inpatient rehabilitation Participants: Random sample of 47 persons with MS-related fatigue (FSS >4), >18 years, EDSS (≤6.5). Exclusion criteria: depression or cognitive impairment Interventions: Six IEME (intervention) or progressive muscle relaxation (PMR; control) group sessions (1x6h) during a personalized rehabilitation program. IEME was led by an occupational therapist (OT). An individual introduction session was followed by five group sessions on break management, occupational balance, ergonomics, activity analysis, communication. Participants trained the use of energy conservation strategies and planned the implementation of behavioral change in their daily routine. Main Outcome Measure(s): User-experiences was assessed by focus groups and telephone interviews. Amount of group and individual OT-treatment minutes consumed. Change in fatigue impact, self-efficacy, occupational performance and quality of life between baseline (T0), discharge (T1) and 16 weeks follow-up (T2). Results: IEME participants confirmed the adequacy of the developed program. OTs reported high treatment fidelity. Within-group difference on fatigue impact and some dimensions of quality of life (QoL) at discharge were significant (p < 0.05) in both groups. The IEME alone resulted in significant improvements in self-efficacy in performing energy conservation strategies (p = 0.001) and in the perceived physical functioning dimension of QoL, with large effect sizes at T2 (d: 1.32, CI: 2.11 - 0.53), despite less OT minutes. Conclusions: IEME positively influenced the perception of competence in performing daily activities and reduced the perceived influence of MS-fatigue on physical functioning. This cost-friendly intervention may help persons with MS-related fatigue to better manage their energy. Author(s) Disclosures: authors confirm NO affiliations or involvement in organizations with any financial interest.
| Item Type: | Article in conference proceedings or Presentation at a conference (Poster) |
|---|---|
| Subjects: | Subjects Allied to Medicine > Others in subjects allied to medicine > Occupational therapy |
| Department/unit: | Dipartimento economia aziendale, sanità e sociale > Laboratorio di ricerca in riabilitazione |
| Depositing User: | Ruth Hersche-Cupelli |
| Date Deposited: | 11 Sep 2019 04:42 |
| Last Modified: | 11 Sep 2019 04:42 |
| URI: | http://repository.supsi.ch/id/eprint/10979 |
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