Multiple sclerosis patients need and want information on exercise promotion from healthcare providers: a qualitative study (original) (raw)
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Disability and rehabilitation, 2017
We undertook a qualitative study that explored the needs of healthcare providers for promoting exercise behaviour among persons with mild or moderate multiple sclerosis (MS). We used interpretive description methodology, and conducted semi-structured interviews with Neurologists (n = 13), occupational therapists (n = 10), physical therapists (n = 11), and nurses (n = 10). The interviews were analysed using thematic analysis. We identified three themes with multiple subthemes regarding exercise promotion by healthcare providers. The first theme was "opportunities for exercise promotion" through the healthcare system, healthcare team, and clinical appointment. The second theme was "healthcare provider education" that included professional training, training among healthcare providers, and clear and defined exercise promotion protocols. The third theme was "patient tools/strategies" that should be delivered among persons with MS as part of the exercise pre...
Qualitative Health Research, 2018
Nearly 80% of persons with multiple sclerosis (MS) do not engage in sufficient amounts of exercise for managing symptoms and improving quality of life. We have addressed this problem by developing a systematic line of qualitative research targeting the patient–provider interaction for promotion of exercise within comprehensive MS care. This research resulted in a conceptual model that guides health care providers in promoting exercise among persons with MS. The current study involves a final evaluation of the model based on semistructured interviews with 28 MS health care providers. Providers perceived that the model was a strong conceptualization of practice that reflected the MS illness course and supported exercise behavior change, but more steps were required to translate the model from concept into practice, including improved clarity of the model, and the development of practice models. The evaluation yielded a final conceptual model for exercise promotion in MS through the pa...
Translational Journal of the American College of Sports Medicine, 2020
Purpose There is a significant gap between translation of evidence-based benefits of exercise and the adoption of this exercise behavior among persons with multiple sclerosis (MS). Health care providers could be the means by which this translational gap is narrowed, but these individuals require support and resources to effectively promote exercise. The purpose of this study was to develop and evaluate practice models that guide health care providers in delivering exercise promotion in comprehensive MS care. Methods Over a 6-wk period, primary data were collected from health care providers who worked in comprehensive MS care centers across the United States. This study adopted a quality improvement approach, Plan-Do-Study-Act, to evaluate the practice models. We asked health care providers to complete one online survey evaluating the models and thereafter adopted a case study design to evaluate the practice models according to health care provider feedback. Data were collected throu...