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Related Experiment Video

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The SitLess With MS Program: Intervention Feasibility and Change in Sedentary Behavior.

Patricia J Manns1, Golnoush Mehrabani1, Sarah Norton1

  • 1Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada.

Archives of Rehabilitation Research and Clinical Translation
|February 5, 2021
PubMed
Summary

The SitLess with MS trial demonstrated feasibility in reducing sedentary behavior for individuals with multiple sclerosis (MS). This intervention showed small but positive changes in sitting time and movement patterns.

Keywords:
EDSS, expanded disability status scaleFSS, Fatigue Severity ScaleFeasibility studiesMS, multiple sclerosisMultiple sclerosisRehabilitationTelerehabilitation

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Area of Science:

  • Rehabilitation Science
  • Neurology
  • Public Health

Background:

  • Sedentary behavior is a significant concern for individuals with multiple sclerosis (MS), potentially exacerbating disability and impacting quality of life.
  • Existing interventions often lack tailored approaches to address the unique challenges faced by people with MS in reducing sedentary time.

Purpose of the Study:

  • To assess the feasibility of the SitLess with MS trial, a novel intervention designed to decrease sedentary behavior in individuals with mild to moderate MS.
  • To evaluate preliminary efficacy and participant experiences with the intervention.

Main Methods:

  • A single-group, pre-post intervention design was employed with 41 participants with MS.
  • The 15-week intervention involved two stages: 'SitLess' (breaking up sitting) and 'MoveMore' (increasing steps and reducing sitting), delivered via telerehabilitation coaching and newsletters.
  • Activity was monitored using Fitbit, and sedentary behavior was measured with ActivPal; effect sizes and participant satisfaction were assessed.

Main Results:

  • The study successfully recruited and retained participants, with 39 out of 41 completing the intervention.
  • Feasibility criteria were met, and participant satisfaction was high (all but one participant were satisfied).
  • Small, positive effect sizes were observed for reductions in total sedentary time (0.34) and long sitting bouts (0.39), though transitions to standing showed minimal change (0.02).

Conclusions:

  • The SitLess with MS program is a feasible intervention for individuals with multiple sclerosis.
  • The intervention facilitated reductions in sedentary behavior, indicating potential for improving health outcomes in this population.
  • Further research with larger sample sizes and control groups is warranted to confirm efficacy.