Article

Purpose to evaluate the effectiveness of an individual self-management
occupational therapy intervention program (SMOoTh) versus relaxation on the
performance of and satisfaction with relevant daily activities in individuals
with multiple sclerosis (MS)-related fatigue. in a single-blind
randomized-controlled trial, 31 patients with MS (SMOoTh:
n=17, relaxation: n=14)
were randomly allocated to three individual sessions focusing on pacing,
prioritizing, ergonomics, and self-management (SMOoTh) or on stress management
and relaxation (relaxation). Outcomes (blind assessor): Canadian Occupational
Performance Measure (COPM) (primary), Modified Fatigue Impact Scale, Checklist
Individual Strength and Short-Form Health Measure. COPM improved in the SMOoTh
and relaxation group after the intervention and 3 months later (COPM performance:
F=13.1, P=0.001 and COPM satisfaction: F=10.4, P=0.001); nonsignificant group
differences showed a trend in favor of SMOoTh. Modified Fatigue Impact Scale,
Checklist Individual Strength, and most of the Short-Form Health Measure
subscales did not change. Clinically relevant changes in COPM performance scores
were found in 71 and 27% of patients in the SMOoTh versus the relaxation group.
Both interventions seem to be feasible approaches to improve performance of and
satisfaction with relevant daily activities in people with MS,
with a sustained
effect after 3 months. Neither program altered change fatigue (impact) or quality
of life. Future studies with larger sample sizes are needed.

Langue : ANGLAIS