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Healthcare provider beliefs about exercise and fatigue in people with multiple sclerosis

Healthcare provider beliefs about exercise and fatigue in people with multiple sclerosis. Catherine M. Smith, PhD; Leigh Anne Hale, PhD; Karin Olson, PhD, Distinguished Scholar; G. David Baxter, PhD; Anthony G. Schneiders, PhD. Aim

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Healthcare provider beliefs about exercise and fatigue in people with multiple sclerosis

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  1. Healthcare provider beliefs about exercise and fatigue in people withmultiple sclerosis Catherine M. Smith, PhD; Leigh Anne Hale, PhD; Karin Olson, PhD, Distinguished Scholar; G. David Baxter, PhD; Anthony G. Schneiders, PhD

  2. Aim • Describe experiences of healthcare providers who facilitate exercise interventions for people with multiple sclerosis (MS)-related fatigue. • Relevance • Fatigue is complex symptom frequently experienced by people with MS, yet is poorly understood by clinicians and clinical researchers.

  3. Method • Interpretive description methodology guided data collection and analysis. • Focus group discussions or individual interviews were conducted with 4 groups of healthcare providers in New Zealand: • Consultant neurologists. • Physiotherapists/physical therapists (PTs). • Occupational therapists (OTs) • MS Society support workers. • Transcripts were analyzed for key meanings.

  4. Results • Healthcare providers described their perceptions of “nature of fatigue” and how this raised “professional challenges,” specifically: • “Barriers to implementation” of interventions. • “Stirring conflict” among interdisciplinary members. • “Modifying roles.” • Nature of fatigue and professional challenges influenced clinician practice: • “Demanded creativity” with regard to exercise prescription and advice.

  5. Conclusion • Healthcare providers are encouraged to use active listening and careful observation when providing individualized exercise programs for people with MS-related fatigue. • Interdisciplinary team’s recognition and understanding of complex nature of fatigue might facilitate more positive exercise experiences for this population.

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