Physical activity together for MS (PAT-MS): Secondary outcomes of a randomized controlled feasibility trial.
| Autor: | Cardwell K; Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Canada., Awadia Z; Faculty of Health Sciences, McMaster University, Hamilton, Canada., McKenna O; Faculty of Medicine, University of Ottawa, Ottawa, Canada., Venasse M; Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Canada., Hume T; Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Canada., Ludgate J; Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Canada., Freedman M; Faculty of Medicine, University of Ottawa, Ottawa, Canada; The Ottawa Hospital Research Institute, Ottawa, Canada., Finlayson M; School of Rehabilitation Therapy, Queen's University, Louise D. Acton Building, 31 George Street, Kingston, Ontario K7L 3N6, Canada., Latimer-Cheung A; School of Kinesiology and Health Studies, Queen's University, Kingston, Canada., Pilutti LA; Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Canada; Brain and Mind Research Institute, University of Ottawa, Ottawa, Canada., Fakolade A; School of Rehabilitation Therapy, Queen's University, Louise D. Acton Building, 31 George Street, Kingston, Ontario K7L 3N6, Canada. Electronic address: a.fakolade@queensu.ca. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Multiple sclerosis and related disorders [Mult Scler Relat Disord] 2024 Feb; Vol. 82, pp. 105399. Date of Electronic Publication: 2023 Dec 22. |
| DOI: | 10.1016/j.msard.2023.105399 |
| Abstrakt: | Background: Care partners provide essential care to those with multiple sclerosis (MS). Dyadic interventions promoting health behaviours have wide-reaching benefits for individuals with MS and their care partners. However, behavioural interventions to promote physical activity in patient-caregiver dyads have yet to be explored in an MS-specific context. This study examined the secondary outcomes of the "Physical Activity Together for Multiple Sclerosis (PAT-MS)" intervention, including dyadic adjustment, caregiving tasks, caregiver quality of life, coping, and MS impact in MS dyads. Methods: A randomized controlled feasibility trial of the 12-week behavioural PAT-MS intervention. The Dyadic Adjustment Scale, Caregiving Tasks in MS Scale, Caregiver Quality of Life in MS Scale, Coping with MS Caregiving Inventory, and MS Impact Scale measured secondary outcomes of interest. Mixed-model ANOVAs were used to test changes in variables between groups (PAT-MS vs wait-list control) over time. Results: 20 participants, including 10 people with MS (51.4 ± 10.1 years old; median patient-determined disease steps (PDDS) score= 4, IQR= 1.25) and 10 care partners (48.5 ± 12.1 years old) were recruited and randomized. There was no statistically significant effect of the intervention on any of the secondary outcomes (p= 0.67-1.00). However, large effect sizes and condition-by-time interaction effects indicated improvement in dyadic adjustment (d= 1.03, η Conclusion: While this pilot feasibility study was not powered based on the secondary outcomes herein, our findings indicate improvement in dyadic adjustment and emotional and social caregiving tasks, with reduced reliance on criticism-coercion coping in the PAT-MS group compared to controls following the intervention. Findings indicate that PAT-MS may improve dyadic psychosocial well-being of people with moderate-to-severe MS and their care partners, and this should be examined next in a fully-powered study. Competing Interests: Declaration of competing interest The authors declare no conflicts of interest with the associated manuscript. (Copyright © 2023 Elsevier B.V. All rights reserved.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|
Full Text from ScienceDirect