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Participation as an Outcome in Multiple Sclerosis Falls-Prevention Research: Consensus Recommendation from the
Marcia Finlayson1, Elizabeth Peterson1, Patricia N Matsuda1
1School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada (MF); Department of Occupational Therapy, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL, USA (EP); and Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA (PNM).
Abstract:
Selecting the outcomes for an intervention trial is a key decision that influences many other aspects of the study design. One of the major tasks during the 3-day inaugural meeting of the International MS Falls Prevention Research Network was to identify the key outcomes for the falls-prevention intervention that was being designed by the Network members for testing across their multiple sites. Through a nominal group process, meeting participants described how engagement in important, meaningful everyday activities, beyond traditional basic and instrumental activities of daily living, should be a long-term outcome of a successful falls-prevention intervention for people with MS. Post-meeting work, which involved literature reviews and comparisons of definitions of major constructs identified during the meeting discussions, led to the consensus recommendation of including participation as a long-term outcome in MS falls-prevention interventions. Participation reflects involvement in a life situation. This article explains the rationale for this recommendation and presents four measures that have the potential for use in tracking long-term participation outcomes in MS falls-prevention research.