期刊
INTERNATIONAL JOURNAL OF REHABILITATION RESEARCH
卷 30, 期 4, 页码 305-313出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MRR.0b013e3282f14434
关键词
energy effectiveness; fatigue; occupational therapy; outcomes; quality of life; rehabilitation; work simplification
In this randomized controlled trial, 169 persons with multiple sclerosis were randomly assigned to an immediate intervention group or a delayed control group using a crossover design. The outcome measures (Fatigue Impact Scale and SF-36 Health Survey) were measured four times before and after courses. This study investigated whether the immediate benefits of a 6-week, community-based, energy conservation course for persons with multiple sclerosis were maintained at 1 -year follow-up. We performed intent-to-treat and compliers-only analyses using mixed effects analysis of variance models. Results showed that the beneficial effects were maintained 1 -year postcourse compared with immediate postcourse. In addition, there were significant improvements in all three subscales of the Fatigue Impact Scale and in four subscales of SF-36 Health Survey 1 -year postcourse compared with precourse. Together, these results provide strong evidence that the beneficial effects of the energy conservation course taught by occupational therapists were maintained up to 1 -year postcourse.
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