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

doi:10.5014/ajot.2019.032474

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 journal › Article › Academic › peer-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.

Original language	English
Journal	The American journal of occupational therapy : official publication of the American Occupational Therapy Association
Volume	73
Issue number	4
DOIs	https://doi.org/10.5014/ajot.2019.032474
Publication status	Published - 1 Jan 2019

Access to Document

10.5014/ajot.2019.032474

Cite this

Blikman, L. J. M., van Meeteren, J., Twisk, J. W. R., de Laat, F. A. J., de Groot, V., Beckerman, H., ... TREFAMS-ACE Study Group (2019). Energy Conservation Management for People With Multiple Sclerosis-Related Fatigue: Who Benefits? The American journal of occupational therapy : official publication of the American Occupational Therapy Association, 73(4). https://doi.org/10.5014/ajot.2019.032474

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. / Energy Conservation Management for People With Multiple Sclerosis-Related Fatigue: Who Benefits?. In: The American journal of occupational therapy : official publication of the American Occupational Therapy Association. 2019 ; Vol. 73, No. 4.

@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",

month = "1",

day = "1",

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",

publisher = "American Occupational Therapy Association, Inc",

number = "4",

}

Blikman, LJM, van Meeteren, J, Twisk, JWR, de Laat, FAJ, de Groot, V, Beckerman, H, Stam, HJ, Bussmann, JBJ & TREFAMS-ACE Study Group 2019, 'Energy Conservation Management for People With Multiple Sclerosis-Related Fatigue: Who Benefits?', The American journal of occupational therapy : official publication of the American Occupational Therapy Association, vol. 73, no. 4. https://doi.org/10.5014/ajot.2019.032474