Publication type: Conference poster
Type of review: Peer review (abstract)
Title: Feasibility and preliminary results of a short inpatient energy-management education for person with MS-fatigue
Authors : Hersche, Ruth
Weise, Andrea
Della Bella, S.
Michel, Gisela
Barbero, Marco
Kool, Jan
et. al : No
Conference details: American Congress Rehabilitation Medicine, Chicago, 2019
Issue Date: 2019
Language : English
Subjects : Fatiguemanagement; Ergotherapie
Subject (DDC) : 616: Internal medicine and diseases
Abstract: Objective : 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 (or Animals, Specimens, Cadavers) : 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. 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.
Fulltext version : Published version
License (according to publishing contract) : Licence according to publishing contract
Departement: Health Professions
Organisational Unit: Institute of Occupational Therapy (IER)
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