Evidence map›Paper›PMID 41220960›Full record

ArticleFrontiers in neurology2025

Factors influencing health behavior changes in people with early multiple sclerosis: process evaluation of the multicenter randomized controlled POWER@MS1 trial.

Barbara von Glasenapp, Nicole Krause, Carlotta Derad, Karin Riemann-Lorenz, Björn Meyer, Markus van de Loo, Herbert Temmes, Stefan Gold, Christoph Heesen

Abstract read
In one paragraph

Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Effectiveness of a digital health application (Multiple sclerosis journal - experimental, translational and clinical
    Article
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

9 authors.

Barbara von GlasenappInstitute of Neuroimmunology and Multiple Sclerosis, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Nicole KrauseInstitute of Neuroimmunology and Multiple Sclerosis, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Carlotta DeradDepartment of Medical Statistics, University Medical Centre Göttingen, Göttingen, Germany.
Karin Riemann-LorenzInstitute of Neuroimmunology and Multiple Sclerosis, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Björn MeyerResearch and Development Department, GAIA Group, Hamburg, Germany.
Markus van de LooGerman Multiple Sclerosis Society, Federal Association, Hannover, Germany.
Herbert TemmesGerman Multiple Sclerosis Society, Federal Association, Hannover, Germany.
Stefan GoldDepartment of Psychiatry (CBF), Charité Universitätsmedizin Berlin, Berlin, Germany.
Christoph HeesenInstitute of Neuroimmunology and Multiple Sclerosis, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Health behavior changes, i.e., optimizations of physical activity, diet, sleep and stress management, are increasingly considered as modifiers of prognostic risk in multiple sclerosis (MS). A personalized digital lifestyle management application ("levidex"), designed to support people with MS (pwMS) in coping with their diagnosis and adopting healthier behaviors, was evaluated against an active psychoeducational control program ("dexilev") in a randomized controlled trial (RCT; "POWER@MS1"). Objectives: This study evaluates the POWER@MS1 trial, focusing on the processes and organizational aspects of the study. Specifically, it seeks to (1) identify the contextual factors that influence behavior change in pwMS and (2) assess how the intervention and study design were perceived by pwMS and involved health care professionals (HCPs; neurologists, study nurses, radiologists). Methods: A mixed methods approach was applied. During the study period questionnaire data were collected from all trial participants ( Results: Quantitative trial data revealed that the levidex group significantly agreed more to behavioral changes after 3 months [levidex (6.65); dexilev (5.23), Conclusion: Health behavior change was rated as an important component of MS treatment. A digital application was perceived to be beneficial for the facilitation of relevant behavior change.

Indexed as

digital health applicationhealth behavior changemixed methodsmultiple sclerosisprocess evaluation

Identifiers

PMID41220960
PMCPMC12599142

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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.