Formative evaluation of an exercise training program for persons with multiple sclerosis who are wheelchair users

Area of Science:

• Neurology
• Rehabilitation Medicine
• Exercise Science

Background:

• Exercise training is a recommended therapy for multiple sclerosis (MS).
• Adapting exercise programs for wheelchair users with MS is crucial for accessibility and effectiveness.
• Novel interventions are needed to optimize physical function and quality of life in this population.

Purpose of the Study:

• To assess the suitability of a newly developed exercise training program for adults with MS who use wheelchairs.
• To gather qualitative and quantitative feedback on program components from target users.

Main Methods:

• Ten wheelchair users with MS participated in online focus groups.
• A semi-structured interview format was used to collect feedback on various program elements.
• Participants also completed an evaluation survey for quantitative ratings.

Main Results:

• Focus group participants provided feedback on exercise prescription, modes, manual, equipment, and coaching.
• Minor adjustments were suggested, such as avoiding the color red due to potential optic neuritis issues.
• Coaching calls received the highest rating (4.7/5), followed by exercise prescription (4.4/5) and fitness tracker (4.3/5).

Conclusions:

• The novel exercise training program is considered appropriate for wheelchair users with MS.
• Participant feedback is invaluable for refining the program for enhanced usability and impact.
• The program shows promise for improving exercise adherence and outcomes in this specific MS population.