Article

The purpose of this scoping review is to identify self-management tasks and
skills that are being taught in existing interventions for persons with multiple
sclerosis and to describe intervention strategies used to facilitate the learning
of self-management tasks and skills. Multiple strategies were used to search for
studies published or in press between 1980 and 2008 that evaluated
self-management interventions. The main exclusion criteria were case studies,
inadequate description of the intervention, and traditional clinical patient
education interventions. Two independent coders categorized the interventions by
using Lorig and Holman's self-management framework and Abraham and Michie's
taxonomy of behavior change techniques. Twenty-seven interventions were
identified from 34 articles. Common intervention topics included fatigue
management (n = 12), coping, depression, and stress management (n = 10), and
medication management (n = 6). Also, no 2 interventions used the same delivery
format to implement the same combination of intervention strategies. Furthermore,
markedly different intervention strategies were used to improve the same
outcomes. These results highlight a need to systematically test intervention
strategies one at a time, or in a clear specified combination, as well as compare
existing interventions to determine which are most effective in supporting
persons with multiple sclerosis to learn and incorporate self-management tasks
and skills.
CI - Copyright (c) 2011 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS