Web-based physical activity intervention for people with progressive multiple sclerosis: application of...

Area of Science:

• Neurology
• Rehabilitation Medicine
• Health Psychology

Background:

• People with progressive multiple sclerosis (PwPMS) recognize the health benefits of physical activity but require support to meet their goals.
• Developing effective interventions for PwPMS is crucial for improving their quality of life.

Purpose of the Study:

• To systematically develop a theoretically informed intervention to help PwPMS engage in regular physical activity.
• To address the need for support in achieving physical activity goals among PwPMS.

Main Methods:

• Employed an intervention mapping approach for systematic development.
• Conducted semistructured interviews with PwPMS, families/carers, and physiotherapists.
• Utilized insights to develop the Lifestyle Exercise and Activity Package for Multiple Sclerosis (LEAP-MS).

Main Results:

• Interview data highlighted the importance of supportive coaching relationships with physiotherapists.
• Developed LEAP-MS, a package including a web platform, coaching sessions, and messaging support.
• Intervention components draw on behavior change theories like active learning, reinforcement, and goal setting.

Conclusions:

• The LEAP-MS intervention was developed through an inclusive, systematic process.
• PwPMS emphasized the need for autonomy, which is integrated into LEAP-MS through self-management principles.
• LEAP-MS provides a detailed framework for ongoing evaluation and implementation.