How fatigue influences exercise participation in men with multiple sclerosis

Area of Science:

• Neurology
• Rehabilitation Science
• Health Psychology

Background:

• Self-efficacy, the belief in one's ability to succeed, is linked to healthy behaviors like exercise.
• Men with multiple sclerosis (MS) may have lower self-efficacy compared to women with MS.
• Fatigue is a common and debilitating symptom of multiple sclerosis, impacting daily activities and exercise participation.

Purpose of the Study:

• To explore how multiple sclerosis (MS)-related fatigue influences exercise participation in men.
• To understand the experiences of men with MS regarding fatigue and their engagement in physical activity.

Main Methods:

• Qualitative study employing the interpretive description method.
• Interviews conducted with 18 men diagnosed with multiple sclerosis.
• Thematic analysis of interview data to identify patterns and themes.

Main Results:

• Men with MS described a process of "goal readjustment" to remain engaged in exercise.
• This readjustment allowed them to continue meaningful physical activity despite experiencing MS-related fatigue.
• Maintaining perceived control over exercise was a key factor in sustained engagement.

Conclusions:

• Goal readjustment strategies can help men with MS manage fatigue and maintain exercise participation.
• Supporting men with MS in adjusting exercise goals can enhance their self-efficacy and perceived control.
• Healthcare professionals should consider incorporating goal readjustment discussions into MS management plans.