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Title
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The effectiveness of a self-management occupational therapy intervention on activity performance in individuals with multiple sclerosis-related fatigue : a randomized-controlled trial
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Author
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Abstract
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| 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. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved. |
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Language
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English
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Source (journal)
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International journal of rehabilitation research. - Heidelberg
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Publication
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Heidelberg
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2016
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ISSN
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0342-5282
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DOI
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10.1097/MRR.0000000000000178
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Volume/pages
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39
:3
(2016)
, p. 255-262
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ISI
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000380763300009
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Pubmed ID
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27182847
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Full text (Publisher's DOI)
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Full text (open access)
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Full text (publisher's version - intranet only)
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