Evidence map›Paper›PMID 27252598›Full record

ArticleInternational journal of MS care

Evaluation of a Fatigue Self-Management Program for People with Multiple Sclerosis.

Hilda Mulligan, Amanda Wilkinson, Amelia Barclay, Hayley Whiting, Christelle Heynike, Jessie Snowdon

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of MS care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Hilda MulliganCentre for Health, Activity, and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand (HM, AW); School of Physiotherapy, University of Otago, Dunedin, New Zealand (AB, HW, CH); and Multiple Sclerosis and Parkinson's Society Canterbury Inc, Christchurch, New Zealand (JS).
Amanda WilkinsonCentre for Health, Activity, and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand (HM, AW); School of Physiotherapy, University of Otago, Dunedin, New Zealand (AB, HW, CH); and Multiple Sclerosis and Parkinson's Society Canterbury Inc, Christchurch, New Zealand (JS).
Amelia BarclayCentre for Health, Activity, and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand (HM, AW); School of Physiotherapy, University of Otago, Dunedin, New Zealand (AB, HW, CH); and Multiple Sclerosis and Parkinson's Society Canterbury Inc, Christchurch, New Zealand (JS).
Hayley WhitingCentre for Health, Activity, and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand (HM, AW); School of Physiotherapy, University of Otago, Dunedin, New Zealand (AB, HW, CH); and Multiple Sclerosis and Parkinson's Society Canterbury Inc, Christchurch, New Zealand (JS).
Christelle HeynikeCentre for Health, Activity, and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand (HM, AW); School of Physiotherapy, University of Otago, Dunedin, New Zealand (AB, HW, CH); and Multiple Sclerosis and Parkinson's Society Canterbury Inc, Christchurch, New Zealand (JS).
Jessie SnowdonCentre for Health, Activity, and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand (HM, AW); School of Physiotherapy, University of Otago, Dunedin, New Zealand (AB, HW, CH); and Multiple Sclerosis and Parkinson's Society Canterbury Inc, Christchurch, New Zealand (JS).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFatigue is one of the most common and debilitating symptoms of multiple sclerosis (MS). The program "Minimise Fatigue, Maximise Life: Creating Balance with Multiple Sclerosis" (MFML) was created in New Zealand because of the lack of a fatigue management program for people with MS in that country. This program aims to empower individuals with MS to manage their own symptoms of fatigue. The objective of this study was to evaluate the MFML fatigue self-management program.

methodsSelf-report questionnaires were used to measure impact of fatigue (5-item Modified Fatigue Impact Scale), self-efficacy (MS Self-efficacy Scale), and quality of life (12-item Short Form Health Status Survey [SF-12]) 1 month before (T1), at commencement of (T2) (to investigate the stability of questionnaire scores before the intervention), and at the end of (T3) the 6-week group-based program. Increased self-efficacy and quality of life scores and a decrease in reported impact of fatigue were the anticipated primary outcomes, with participants acting as their own controls.

resultsTwenty-five women (aged 37-63 years) participated. Stability of scores for all the questionnaires was evidenced between T1 and T2. After the intervention (T3), scores showed a significant improvement in self-efficacy and impact of fatigue, with large effect sizes, but no change in either the physical or mental component summary of the SF-12.

conclusionsDespite the small sample size, this study showed an organized approach to the management of fatigue for people living with MS, and its outcomes demonstrated benefits for participants.

Identifiers

PMID27252598
PMCPMC4886997

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.