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Updated: Jan 31, 2026

A Protocol for the Use of Remotely-Supervised Transcranial Direct Current Stimulation tDCS in Multiple Sclerosis MS
Published on: December 26, 2015
Multiple sclerosis self-management model: Personal and contextual requirements for successful self-management
Setareh Ghahari1, Susan J Forwell2, Melinda J Suto2
1School of Rehabilitation Therapy, Queen's University, Kingston, Canada; Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, Canada.
People with multiple sclerosis (MS) successfully manage their condition through personal strategies like outlook adjustment and stress management, alongside navigating environmental and social contexts. This research develops a comprehensive MS self-management model.
Area of Science:
- Neurology
- Rehabilitation Science
- Health Psychology
Background:
- Multiple sclerosis (MS) presents unique challenges requiring effective self-management strategies.
- Understanding the lived experiences of individuals with MS is crucial for developing supportive interventions.
Purpose of the Study:
- To explore self-management strategies employed by individuals with multiple sclerosis (MS).
- To develop a comprehensive MS self-management model based on patient perspectives.
Main Methods:
- Grounded theory approach utilized.
- Interviews conducted with 18 individuals living with MS for over three years.
- Qualitative analysis of interview data and field notes.
Main Results:
- Identified six person-related self-management categories: outlook adjustment, stress management, symptom management, healthy lifestyle, communication, and planning.
- Identified three context-related categories: physical environment, social network, and community resources.
- Developed a MS self-management model integrating person and context strategies.
Conclusions:
- The developed MS self-management model incorporates both individual and environmental factors.
- This model provides a framework for concurrent self-management strategies to address diverse MS challenges.
- The model is grounded in the experiences of people living with MS.
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