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Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
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Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
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Updated: Jan 20, 2026

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Beyond supervised therapy: Promoting behavioral changes in people with MS.

Matthew Plow1, Marcia Finlayson2

  • 1Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA.

Multiple Sclerosis (Houndmills, Basingstoke, England)
|August 31, 2019
PubMed
Summary
This summary is machine-generated.

This review summarizes rehabilitation interventions for multiple sclerosis (MS) that support behavior change. It recommends using frameworks like the Behavior Change Wheel to enhance future randomized clinical trials (RCTs).

Keywords:
Multiple sclerosisadherencebehaviorcompliancehealth promotionrandomized controlled trialrehabilitationself-management

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Area of Science:

  • Rehabilitation science
  • Behavioral science
  • Clinical trials

Background:

  • Behavior change is crucial for rehabilitation interventions in multiple sclerosis (MS).
  • Recent randomized clinical trials (RCTs) focus on skill acquisition and healthy behaviors.
  • The Capability, Opportunity, Motivation, and Behavior (COM-B) framework aids in classifying strategies.

Purpose of the Study:

  • To review recent RCTs of rehabilitation interventions promoting behavior change in MS.
  • To classify behavior-change strategies using the COM-B framework.
  • To provide recommendations for future research and clinical practice.

Main Methods:

  • Systematic review of recent randomized clinical trials (RCTs).
  • Classification of behavior-change strategies using the Capability, Opportunity, Motivation, and Behavior (COM-B) framework.
  • Analysis of intervention characteristics such as dosing, delivery format, and interventionist type.

Main Results:

  • Commonly employed behavior-change strategies include education, persuasion, and training.
  • Significant variation exists in intervention dosing, delivery, and interventionist roles across studies.
  • The COM-B framework provides a structure for understanding intervention components.

Conclusions:

  • Researchers and clinicians should utilize frameworks like the Behavior Change Wheel and Behavior Change Technique Taxonomy.
  • More sophisticated RCT designs, such as sequential multiple assignment randomized trials and three-arm RCTs, are recommended.
  • Enhanced understanding of behavior change promotion in MS rehabilitation is needed.