Energy Conservation Management for People With Multiple Sclerosis-Related Fatigue: Who Benefits?

Lyan J. M. Blikman, Jetty van Meeteren, Jos W. R. Twisk, Fred A. J. de Laat, Vincent de Groot, Heleen Beckerman, Henk J. Stam, Johannes B. J. Bussmann, TREFAMS-ACE Study Group

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: We investigated whether demographic, disease-related, or personal baseline determinants can predict a positive response to energy conservation management (ECM). METHOD: We conducted a secondary analysis of a single-blind, two-parallel-arms randomized controlled trial that included ambulatory adults with severe MS-related fatigue. Therapy responders and nonresponders were categorized by Checklist Individual Strength fatigue change scores between baseline and end of treatment. Logistic regression analyses were used to assess the determinants of response. RESULTS: Sixty-nine participants were included (ECM group, n = 34; control group, n = 35). In the ECM group, fatigue severity, perception of fatigue, illness cognitions about MS, and social support discrepancies were related to the probability of being a responder. CONCLUSION: The results suggest that people with MS-related fatigue who had a less negative perception of fatigue and who perceived fewer disease benefits and a higher discrepancy in social support had the best response to ECM treatment.

Cite this

@article{64b1c1cb3cdc4ca48f540f5e69191ed5,
title = "Energy Conservation Management for People With Multiple Sclerosis-Related Fatigue: Who Benefits?",
abstract = "OBJECTIVE: We investigated whether demographic, disease-related, or personal baseline determinants can predict a positive response to energy conservation management (ECM). METHOD: We conducted a secondary analysis of a single-blind, two-parallel-arms randomized controlled trial that included ambulatory adults with severe MS-related fatigue. Therapy responders and nonresponders were categorized by Checklist Individual Strength fatigue change scores between baseline and end of treatment. Logistic regression analyses were used to assess the determinants of response. RESULTS: Sixty-nine participants were included (ECM group, n = 34; control group, n = 35). In the ECM group, fatigue severity, perception of fatigue, illness cognitions about MS, and social support discrepancies were related to the probability of being a responder. CONCLUSION: The results suggest that people with MS-related fatigue who had a less negative perception of fatigue and who perceived fewer disease benefits and a higher discrepancy in social support had the best response to ECM treatment.",
author = "Blikman, {Lyan J. M.} and {van Meeteren}, Jetty and Twisk, {Jos W. R.} and {de Laat}, {Fred A. J.} and {de Groot}, Vincent and Heleen Beckerman and Stam, {Henk J.} and Bussmann, {Johannes B. J.} and {TREFAMS-ACE Study Group}",
year = "2019",
doi = "10.5014/ajot.2019.032474",
language = "English",
volume = "73",
journal = "The American journal of occupational therapy : official publication of the American Occupational Therapy Association",
issn = "0272-9490",
number = "4",

}

Energy Conservation Management for People With Multiple Sclerosis-Related Fatigue: Who Benefits? / Blikman, Lyan J. M.; van Meeteren, Jetty; Twisk, Jos W. R.; de Laat, Fred A. J.; de Groot, Vincent; Beckerman, Heleen; Stam, Henk J.; Bussmann, Johannes B. J.; TREFAMS-ACE Study Group.

In: The American journal of occupational therapy : official publication of the American Occupational Therapy Association, Vol. 73, No. 4, 2019.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Energy Conservation Management for People With Multiple Sclerosis-Related Fatigue: Who Benefits?

AU - Blikman, Lyan J. M.

AU - van Meeteren, Jetty

AU - Twisk, Jos W. R.

AU - de Laat, Fred A. J.

AU - de Groot, Vincent

AU - Beckerman, Heleen

AU - Stam, Henk J.

AU - Bussmann, Johannes B. J.

AU - TREFAMS-ACE Study Group

PY - 2019

Y1 - 2019

N2 - OBJECTIVE: We investigated whether demographic, disease-related, or personal baseline determinants can predict a positive response to energy conservation management (ECM). METHOD: We conducted a secondary analysis of a single-blind, two-parallel-arms randomized controlled trial that included ambulatory adults with severe MS-related fatigue. Therapy responders and nonresponders were categorized by Checklist Individual Strength fatigue change scores between baseline and end of treatment. Logistic regression analyses were used to assess the determinants of response. RESULTS: Sixty-nine participants were included (ECM group, n = 34; control group, n = 35). In the ECM group, fatigue severity, perception of fatigue, illness cognitions about MS, and social support discrepancies were related to the probability of being a responder. CONCLUSION: The results suggest that people with MS-related fatigue who had a less negative perception of fatigue and who perceived fewer disease benefits and a higher discrepancy in social support had the best response to ECM treatment.

AB - OBJECTIVE: We investigated whether demographic, disease-related, or personal baseline determinants can predict a positive response to energy conservation management (ECM). METHOD: We conducted a secondary analysis of a single-blind, two-parallel-arms randomized controlled trial that included ambulatory adults with severe MS-related fatigue. Therapy responders and nonresponders were categorized by Checklist Individual Strength fatigue change scores between baseline and end of treatment. Logistic regression analyses were used to assess the determinants of response. RESULTS: Sixty-nine participants were included (ECM group, n = 34; control group, n = 35). In the ECM group, fatigue severity, perception of fatigue, illness cognitions about MS, and social support discrepancies were related to the probability of being a responder. CONCLUSION: The results suggest that people with MS-related fatigue who had a less negative perception of fatigue and who perceived fewer disease benefits and a higher discrepancy in social support had the best response to ECM treatment.

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UR - https://www.ncbi.nlm.nih.gov/pubmed/31318668

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DO - 10.5014/ajot.2019.032474

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JO - The American journal of occupational therapy : official publication of the American Occupational Therapy Association

JF - The American journal of occupational therapy : official publication of the American Occupational Therapy Association

SN - 0272-9490

IS - 4

ER -