Article

PURPOSE: To evaluate effectiveness of a face-to-face and an online fatigue
self-management programme and to compare these to two control groups
(information-only and no-intervention) in a sample of adults (n = 115) with
neurological conditions reporting extreme fatigue. METHOD: Non-equivalent
pre-test post-test control group design using the Fatigue Impact Scale, Personal
Wellbeing Index and Activity Card Sort as primary outcome measures. RESULTS:
Participants in the two intervention groups and the information-only group showed
clinically significant improvements in fatigue over time (p < 0.05). When
compared to the no-intervention group, face-to-face participants showed
significantly greater improvement in overall and cognitive fatigue, while
participants in the online group showed significant improvement in self-efficacy
and stress. CONCLUSION: Participation in either the online or face-to-face
programme appears to result in improved self-management, however, with different
potency depending on outcomes. The improvement in the online information only
group further complicates the understanding of the results. With few other
comparisons of online and face-to-face self-management protocols available,
further research is needed to understand differential impacts which may be
related to the delivery format, the rural versus urban split of participants or
other unknown factors.

Langue : ANGLAIS