| Development and preliminary evaluation of a cognitive behavioural approach to fatigue management in people with multiple sclerosis. | |
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MedLine Citation:
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PMID: 19665337 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: (i) To develop a group-based intervention for the management of multiple sclerosis (MS) fatigue incorporating energy effectiveness and cognitive behavioural approaches and (ii) to undertake a process and preliminary evaluation. METHODS: Drawing upon a literature search, a local model of good practice and the views of service users and health professionals, a manualised group-based fatigue management programme was developed, designed to be delivered by health professionals. A process and preliminary outcome evaluation was undertaken. Sixteen participants attended across two iterations. Participant feedback, obtained via a focus group and evaluation questionnaires, was used to refine the programme. Outcomes were collected pre- and post-programme (including fatigue severity, quality of life, self-efficacy). RESULTS: Focus group feedback suggested the programme was well received, reflected in high attendance and positive ratings on evaluation questionnaires. At follow-up, despite the small sample size, there were significant improvements in perceived self-efficacy for managing fatigue. CONCLUSION: An evidence-based fatigue management intervention has been developed and preliminary findings look promising. In the next phase we will examine whether the programme transfers satisfactorily to other centres and collect data in preparation for a randomised controlled trial (RCT). PRACTICE IMPLICATIONS: Implications for practice will emerge when the results of our RCT are published. |
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Authors:
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S Thomas; P W Thomas; A Nock; V Slingsby; K Galvin; R Baker; N Moffat; C Hillier |
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Publication Detail:
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Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't Date: 2009-08-07 |
Journal Detail:
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Title: Patient education and counseling Volume: 78 ISSN: 1873-5134 ISO Abbreviation: Patient Educ Couns Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-02-01 Completed Date: 2010-04-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8406280 Medline TA: Patient Educ Couns Country: Ireland |
Other Details:
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Languages: eng Pagination: 240-9 Citation Subset: N |
Copyright Information:
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Copyright 2009 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Dorset Research and Development Support Unit, Poole Hospital NHS Foundation Trust, Poole, Dorset BH15 2JB, UK. sarah.thomas@poole.nhs.uk |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Cognitive Therapy / methods* Fatigue / etiology, psychology*, therapy* Female Focus Groups Humans Male Middle Aged Multiple Sclerosis / complications*, psychology Program Evaluation Psychotherapy, Group Quality of Life / psychology Questionnaires Self Efficacy Treatment Outcome |
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