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Comparing individual and group intervention for psychological adjustment in people with multiple sclerosis

DAS NAIR R; KONTOU E; SMALE K; BARKER A; LINCOLN NB
CLIN REHABIL , 2016, vol. 30, n° 12, p. 1156-1164
Doc n°: 180830
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1177/0269215515616446
Descripteurs : AE3 - SEP

OBJECTIVE: To modify a published group intervention for adjustment to multiple
sclerosis (MS) to suit an individual format, and to assess the feasibility of a
randomised controlled trial (RCT) to compare individual and group intervention
for people with multiple sclerosis and low mood.
DESIGN: Feasibility randomised
controlled trial. SETTING: Participants were recruited through healthcare
professionals at a hospital-based multiple sclerosis service and the MS Society.
SUBJECTS: People with multiple sclerosis. INTERVENTIONS: Adjustment to multiple
sclerosis in individual or group delivery format. MAIN MEASURES: Participants
completed mood and quality of life assessments at baseline and at four-month
follow-up. Measures of feasibility included: recruitment rate, acceptability of
randomisation and the intervention (content and format), and whether the
intervention could be adapted for individual delivery. Participants were screened
for inclusion using the General Health Questionnaire-12 and Hospital Anxiety and
Depression Scale, and were randomly allocated to receive either individual or
group intervention, with the same content. RESULTS: Twenty-one participants were
recruited (mean age 48.5 years, SD 10.5) and were randomly allocated to
individual (n=11) or group (n=10) intervention. Of those offered individual
treatment, nine (82%) completed all six sessions. Of those allocated to group
intervention, two (20%) attended all six sessions and three (30%) attended five
sessions. There were no statistically significant differences between the groups
on the outcome measures of mood and quality of life. CONCLUSIONS: The
intervention could be provided on an individual basis and the trial design was
feasible. There were lower attendance rates at group sessions compared to
individual sessions.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS

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