1
|
Thompson CM, Pulido MD, Babu S, Zenzola N, Chiu C. Communication between persons with multiple sclerosis and their health care providers: A scoping review. PATIENT EDUCATION AND COUNSELING 2022; 105:3341-3368. [PMID: 35927111 DOI: 10.1016/j.pec.2022.07.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 06/30/2022] [Accepted: 07/19/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVES This study undertakes a scoping review of research about communication between persons with MS and their health care providers. DESIGN PubMed, PsycInfo, Communication Source, Socindex, Sociological Abstracts, Cinahl, and Proquest Dissertations and Theses were used to identify studies since each database's inception. Research team members engaged in study selection, coding for communication issues, and data extraction for descriptive information. RESULTS Of the 419 empirical articles identified, 175 were included. Codes represented all elements of ecological and pathway models, emphasizing emerging technologies for facilitating communication, uncertainty and anxiety for persons with MS, and communication issues surrounding diagnosis, information seeking, and decision making. CONCLUSION This review synthesizes and organizes influences on communication, communication processes, and health outcomes of communication for persons with MS and their providers. Findings extend the ecological model with illness context and the pathway model with communication breakdowns and provider outcomes. PRACTICE IMPLICATIONS Health care providers should consider the complexity of communication when interacting with persons with MS, including the larger context in which it occurs, communication processes and their purposes, and short-term and long-term consequences of interactions. Ecological and pathway models can be frameworks for developing educational materials, as they succinctly capture key communication issues and outcomes.
Collapse
Affiliation(s)
- Charee M Thompson
- Department of Communication, University of Illinois, Urbana-Champaign, Urbana, USA.
| | - Manuel D Pulido
- Department of Communication, University of Illinois, Urbana-Champaign, Urbana, USA
| | - Sara Babu
- Department of Communication, University of Illinois, Urbana-Champaign, Urbana, USA
| | - Nicole Zenzola
- Department of Communication, University of Illinois, Urbana-Champaign, Urbana, USA
| | - Chungyi Chiu
- Department of Kinesiology and Community Health, University of Illinois, Urbana-Champaign, Urbana, USA
| |
Collapse
|
2
|
Martínez O, Amayra I, López-Paz JF, Lázaro E, Caballero P, García I, Rodríguez AA, García M, Luna PM, Pérez-Núñez P, Barrera J, Passi N, Berrocoso S, Pérez M, Al-Rashaida M. Effects of Teleassistance on the Quality of Life of People With Rare Neuromuscular Diseases According to Their Degree of Disability. Front Psychol 2021; 12:637413. [PMID: 33737897 PMCID: PMC7960659 DOI: 10.3389/fpsyg.2021.637413] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Accepted: 02/11/2021] [Indexed: 01/22/2023] Open
Abstract
Rare neuromuscular diseases (RNMDs) are a group of pathologies characterized by a progressive loss of muscular strength, atrophy, fatigue, and other muscle-related symptoms, which affect quality of life (QoL) levels. The low prevalence, high geographical dispersion and disability of these individuals involve difficulties in accessing health and social care services. Teleassistance is presented as a useful tool to perform psychosocial interventions in these situations. The main aim of this research is to assess the effects of a teleassistance psychosocial program on the QoL levels of people with RNMDs who have different levels of disability. A sample of 73 participants was divided into an experimental group (n = 40), which participated in the intervention, and a control wait list group (n = 33). QoL was evaluated through the SIP and the SF-36, and disability through the WHO-DAS II. The participants with a moderate to severe level of disability were those who most benefited from the intervention. The results also revealed that the psychosocial teleassistance program was suitable to improve physical and psychosocial aspects of people suffering from a rare neuromuscular disease with a moderate level of disability, but just psychosocial aspects in those with a severe level of disability.
Collapse
Affiliation(s)
- Oscar Martínez
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - Imanol Amayra
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - Juan Francisco López-Paz
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - Esther Lázaro
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - Patricia Caballero
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - Irune García
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - Alicia Aurora Rodríguez
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - Maitane García
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - Paula María Luna
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - Paula Pérez-Núñez
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - Jaume Barrera
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - Nicole Passi
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - Sarah Berrocoso
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - Manuel Pérez
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| | - Mohammad Al-Rashaida
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Education, University of Deusto, Bilbao, Spain
| |
Collapse
|
3
|
Akyirem S, Forbes A, Wad JL, Due-Christensen M. Psychosocial interventions for adults with newly diagnosed chronic disease: A systematic review. J Health Psychol 2021; 27:1753-1782. [PMID: 33586486 PMCID: PMC9092922 DOI: 10.1177/1359105321995916] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
While the need for psychosocial interventions in the early formative period of
chronic disease diagnosis is widely acknowledged, little is known about the
currently available interventions and what they entail. This review sought to
collate existing interventions to synthesize their active ingredients. A
systematic search on five electronic databases yielded 2910 records, 12 of which
were eligible for this review. Evidence synthesis revealed three broad
categories of interventions which used at least two out of eight active
techniques. Future studies should adhere to known frameworks for intervention
development, and focus on developing core outcome measures to enhance evidence
synthesis
Collapse
Affiliation(s)
- Samuel Akyirem
- King's College London, UK.,SDA Nursing and Midwifery Training College, Asanta, Ghana
| | | | | | | |
Collapse
|
4
|
Thomas PW, Thomas S, Kersten P, Jones R, Nock A, Slingsby V, Green C, Baker R, Galvin K, Hillier C. Multi-centre parallel arm randomised controlled trial to assess the effectiveness and cost-effectiveness of a group-based cognitive behavioural approach to managing fatigue in people with multiple sclerosis. BMC Neurol 2010; 10:43. [PMID: 20553617 PMCID: PMC2905353 DOI: 10.1186/1471-2377-10-43] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2010] [Accepted: 06/16/2010] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Fatigue is one of the most commonly reported and debilitating symptoms of multiple sclerosis (MS); approximately two-thirds of people with MS consider it to be one of their three most troubling symptoms. It may limit or prevent participation in everyday activities, work, leisure, and social pursuits, reduce psychological well-being and is one of the key precipitants of early retirement. Energy effectiveness approaches have been shown to be effective in reducing MS-fatigue, increasing self-efficacy and improving quality of life. Cognitive behavioural approaches have been found to be effective for managing fatigue in other conditions, such as chronic fatigue syndrome, and more recently, in MS. The aim of this pragmatic trial is to evaluate the clinical and cost-effectiveness of a recently developed group-based fatigue management intervention (that blends cognitive behavioural and energy effectiveness approaches) compared with current local practice. METHODS/DESIGN This is a multi-centre parallel arm block-randomised controlled trial (RCT) of a six session group-based fatigue management intervention, delivered by health professionals, compared with current local practice. 180 consenting adults with a confirmed diagnosis of MS and significant fatigue levels, recruited via secondary/primary care or newsletters/websites, will be randomised to receive the fatigue management intervention or current local practice. An economic evaluation will be undertaken alongside the trial. Primary outcomes are fatigue severity, self-efficacy and disease-specific quality of life. Secondary outcomes include fatigue impact, general quality of life, mood, activity patterns, and cost-effectiveness. Outcomes in those receiving the fatigue management intervention will be measured 1 week prior to, and 1, 4, and 12 months after the intervention (and at equivalent times in those receiving current local practice). A qualitative component will examine what aspects of the fatigue management intervention participants found helpful/unhelpful and barriers to change. DISCUSSION This trial is the fourth stage of a research programme that has followed the Medical Research Council guidance for developing and evaluating complex interventions. What makes the intervention unique is that it blends cognitive behavioural and energy effectiveness approaches. A potential strength of the intervention is that it could be integrated into existing service delivery models as it has been designed to be delivered by staff already working with people with MS. Service users will be involved throughout this research. TRIAL REGISTRATION Current Controlled Trials ISRCTN76517470.
Collapse
Affiliation(s)
- Peter W Thomas
- Dorset Research and Development Support Unit, Poole Hospital NHS Foundation Trust, Poole, Dorset, UK
- The School of Health and Social Care, Bournemouth University, Bournemouth, Dorset, UK
| | - Sarah Thomas
- Dorset Research and Development Support Unit, Poole Hospital NHS Foundation Trust, Poole, Dorset, UK
| | - Paula Kersten
- School of Health Sciences, University of Southampton, Hampshire, UK
| | - Rosemary Jones
- Joint Clinical Research Unit, BrAMS Building, University Hospitals and Frenchay Hospital Bristol, UK
| | - Alison Nock
- Dorset MS Service, Poole Hospital NHS Foundation Trust, Poole, Dorset, UK
| | - Vicky Slingsby
- Dorset MS Service, Poole Hospital NHS Foundation Trust, Poole, Dorset, UK
| | - Colin Green
- Peninsula Medical School, University of Exeter, Devon, UK
| | - Roger Baker
- Dorset Research and Development Support Unit, Poole Hospital NHS Foundation Trust, Poole, Dorset, UK
- The School of Health and Social Care, Bournemouth University, Bournemouth, Dorset, UK
- Dorset Healthcare NHS Foundation Trust, Bournemouth, Dorset, UK
| | - Kate Galvin
- The School of Health and Social Care, Bournemouth University, Bournemouth, Dorset, UK
| | - Charles Hillier
- Dorset MS Service, Poole Hospital NHS Foundation Trust, Poole, Dorset, UK
| |
Collapse
|
5
|
Rigby SA, Thornton EW, Young CA. A randomized group intervention trial to enhance mood and self-efficacy in people with multiple sclerosis. Br J Health Psychol 2007; 13:619-31. [PMID: 17845738 DOI: 10.1348/135910707x241505] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVES To document mood, self-efficacy, and resiliency in people with multiple sclerosis (MS) following a brief group psychological intervention, and to examine whether benefits were greater than those derived from provision of education or group social interaction. DESIGN A randomized controlled intervention trial assessing outcomes at five time points over a 1-year follow-up. METHODS Participants with MS were assigned to one of three groups: one receiving brief group psychological intervention (PG) comprising three 90 minute cognitive behavioural sessions supported by an Information Booklet dealing with mental and emotional issues relating to MS; a group provided only with educational material - the information booklet group (IBG); and a group who not only received the booklet but also participated in non-structured social discussion (SDG) sessions similar in length and number to PG participants. Outcomes were documented using questionnaires. RESULTS Outcomes were assessed using area under the curve (AUC) analysis: a summary measure that considers individual changes serially over time to provide a more meaningful picture than the one based on single time points. Ninety participants were followed up over the 12-month post-intervention, and their data are included in the analysis. Analyses indicated benefits in all outcome dimensions for the psychotherapeutic (PG) and social discussion groups (SDG) relative to the IBG group, but no differences between PG and SDG. CONCLUSION The study indicates benefits from psychosocial intervention compared with bibliotherapy, with some additional benefit from psychological intervention compared with a social discussion group. Results suggest that much of the benefit may derive from non-specific therapeutic components. Without psychosocial intervention, the psychological status of people with MS worsened over time.
Collapse
Affiliation(s)
- S A Rigby
- School of Psychology, The University of Liverpool, Liverpool, UK
| | | | | |
Collapse
|
6
|
Twork S, Schwermer KH, Kugler J. [Coping training for patients with multiple sclerosis. Evaluation from a neurologic standpoint]. DER NERVENARZT 2007; 78:429-36. [PMID: 17375276 DOI: 10.1007/s00115-006-2253-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Multiple sclerosis (MS) is a challenging disease for patients, the social environment, and therapists. We analysed how coping training and compliance of MS patients are assessed by neurologists in private practice. METHOD One thousand five hundred and seventy-five neurologists in private practice were asked to fill in short, standardised, anonymous questionnaires concerning number of MS patients treated per year, experience with coping training methods, assessments of requirements, aims, location, and suitable trainer, financial aspects of coping training, assessment of patient compliance concerning immunomodulating therapies, and possibilities of increasing compliance. RESULTS The response rate was 25.7% (404 questionnaires). Of these, 344 (21.8%) could be included in the analysis. Many neurologists had no experience with coping training methods but saw a reasonable demand, especially for newly diagnosed MS patients, those with psychological problems, and for their relatives. Most of them would like to provide such training themselves in their own locations. Useful aims of coping training included reduction of anxiety, uncertainty, and depression and increased patient compliance and well-being. They proposed that coping training should mainly be financed by health care insurers and patients. Neurologists assessed the compliance of MS patients concerning immunomodulating therapies as being moderate to high. Increased compliance was understood as better doctor-patient conversations, involvement of MS nurses, and support from self-help groups. CONCLUSION There is a reasonable need of coping training for MS patients that is also seen by privately practicing neurologists, the main therapists for MS patients. The selection of adequate and scientifically reliable training should be improved. Thus coping with the disease, compliance, and well-being can all be improved.
Collapse
Affiliation(s)
- S Twork
- Lehrstuhl Gesundheitswissenschaften/Public Health, Medizinische Fakultät TU Dresden, Fetscherstrasse 74, 01307 Dresden.
| | | | | |
Collapse
|
7
|
Malcomson KS, Dunwoody L, Lowe-Strong AS. Psychosocial interventions in people with multiple sclerosis: a review. J Neurol 2007; 254:1-13. [PMID: 17508135 DOI: 10.1007/s00415-006-0349-y] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2006] [Accepted: 08/21/2006] [Indexed: 10/23/2022]
Abstract
BACKGROUND Upon diagnosis individuals with Multiple Sclerosis (MS) must cope with both day to day and disease-related stressors in addition to unpredictable, fluctuating and confusing symptoms. Furthermore, disease progression may interfere with employment, family life, relationships and social activities. Psychosocial interventions aim to help individuals manage these psychological, social and emotional challenges. However, there are no specific guidelines available regarding the most effective intervention content, format or delivery. Therefore, a review of the research that has utilised these interventions, specifically those which, by definition, aimed to improve quality of life (QoL) and/or well-being in people with MS, was considered essential in order to identify which aspects of these interventions may help alleviate the psychosocial challenges associated with MS. OBJECTIVES To identify all randomised controlled trials (RCTs), quasi-experimental, cohort, case control and case series studies that have investigated psychosocial interventions in people with MS which aimed to improve QoL and/or well-being, to establish the methodological quality of such studies, and to determine the effectiveness of the interventions. SEARCH STRATEGY Searches were carried out using computerised databases with predefined search terms; this was supplemented by manual searches of reference lists of all retrieved articles. Relevant journals were also hand searched. SELECTION CRITERIA Studies written in English and published before January 2006, investigating the effectiveness of psychosocial interventions on QoL and/or well-being in people with MS, were eligible for inclusion. DATA COLLECTION AND ANALYSIS Methodological quality was independently assessed by two reviewers using the Downs and Black quality scoring checklist. The qualitative and quantitative characteristics of studies were extracted using a data extraction sheet. MAIN RESULTS Thirty-three studies fulfilled the inclusion criteria; however, interventions varied widely in content, delivery and duration. Furthermore, failure to report full methodological details, as well as weaknesses in study design, reduced the strength of inferences that could be drawn from these studies. These notwithstanding, there were three studies of sufficient quality to provide some evidence regarding the value of education/information, goal setting, homework assignments, exercise, discussion forums and multidisciplinary team support. Thus, this review has identified the potential benefit of the aforementioned activities in the psychosocial management of this population. However, further well designed clinical trials are warranted to determine, definitively, the effectiveness, or otherwise, of these components.
Collapse
Affiliation(s)
- K S Malcomson
- Health and Rehabilitation Sciences, Research Institute, University of Ulster, Shore Road, Newtownabbey, BT37 0QB, Northern Ireland
| | | | | |
Collapse
|