The “Managing Fatigue” programme for people with multiple sclerosis – acceptance and feasibility with Swedish occupational therapists.

The “Managing Fatigue” programme for people with multiple sclerosis – acceptance and feasibility with Swedish occupational therapists.

Publication date: Jul 08, 2019

Background: Fatigue is common among people with multiple sclerosis (MS), and significantly influences engagement in occupations. The Managing Fatigue (MF) programme is an evidence-based occupational therapy group-based intervention, utilising self-management science that provides people with tools to manage fatigue. Although the national MS-guidelines in Sweden cite this as best practice, a Swedish version is not available. Aim: To translate and investigate the feasibility of a Swedish MF programme delivered by occupational therapists working with MS clients in Sweden. Material and methods: We used a mixed-methods design. Eight recruited occupational therapists, participated in a workshop prior to delivering the MF programme. Following programme delivery, they completed a questionnaire and participated in focus group interviews. Results: Each therapist conducted one programme with 5-9 MS clients. Overall, therapists were satisfied with programme content, and delivery was followed. Minor improvements were suggested, specifically in relation to how cognitive fatigue can be managed. Therapists acknowledged challenges moving from “expert” to supporting self-management. Conclusion: The MF programme is feasible in Sweden, and its client-centred and occupation focus is consistent with therapists’ scope of practice. In the future, acceptability and satisfaction from the perspectives of MS participants should be examined. Larger, more robust intervention studies evaluating effectiveness are also warranted.

Mansson Lexell, E., Haglund, L., and Packer, T. The “Managing Fatigue” programme for people with multiple sclerosis – acceptance and feasibility with Swedish occupational therapists. 18545. 2019 Scand J Occup Ther.

Concepts Keywords
Aim Relation cognitive fatigue
Cognitive MS
Content Delivery Fatigue MF
Fatigue Self management
Focus Group Occupational therapy
MF Occupational therapist
Multiple Sclerosis Occupational therapy
Occupational Therapists
Occupational Therapy
Questionnaire
Sweden
Swedish

Semantics

Type Source Name
disease MESH satisfaction
gene UNIPROT NR4A3
gene UNIPROT DNMT1
gene UNIPROT CD69
gene UNIPROT CD5L
gene UNIPROT BEST1
disease DOID multiple sclerosis
disease MESH multiple sclerosis

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