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The "Managing Fatigue" programme for people with multiple sclerosis - acceptance and feasibility with Swedish occupational therapists
Lund Univ, Sweden; Skane Univ Hosp, Sweden.
Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
Dalhousie Univ, Canada; Radboud Univ Nijmegen, Netherlands.
2019 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: Fatigue is common among people with multiple sclerosis (MS), and significantly influences engagement in occupations. The Managing Fatigue (MF) programme is an evidence-based occupational therapy group-based intervention, utilising self-management science that provides people with tools to manage fatigue. Although the national MS-guidelines in Sweden cite this as best practice, a Swedish version is not available. Aim: To translate and investigate the feasibility of a Swedish MF programme delivered by occupational therapists working with MS clients in Sweden. Material and methods: We used a mixed-methods design. Eight recruited occupational therapists, participated in a workshop prior to delivering the MF programme. Following programme delivery, they completed a questionnaire and participated in focus group interviews. Results: Each therapist conducted one programme with 5-9 MS clients. Overall, therapists were satisfied with programme content, and delivery was followed. Minor improvements were suggested, specifically in relation to how cognitive fatigue can be managed. Therapists acknowledged challenges moving from "expert" to supporting self-management. Conclusion: The MF programme is feasible in Sweden, and its client-centred and occupation focus is consistent with therapists scope of practice. In the future, acceptability and satisfaction from the perspectives of MS participants should be examined. Larger, more robust intervention studies evaluating effectiveness are also warranted.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD , 2019.
Keywords [en]
Collaboration; communication; self-management; group intervention; occupational performance; fatigue
National Category
Occupational Therapy
Identifiers
URN: urn:nbn:se:liu:diva-159150DOI: 10.1080/11038128.2019.1634149ISI: 000474843700001PubMedID: 31282796OAI: oai:DiVA.org:liu-159150DiVA, id: diva2:1339526
Note

Funding Agencies|Swedish National Board of Health and Welfare; Swedish Council for Working Life and Social Research; Everyday Living Collaboratory in the School of Occupational Therapy at Dalhousie University, Canada

Available from: 2019-07-30 Created: 2019-07-30 Last updated: 2019-11-13

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