Ontology highlight
ABSTRACT: Objectives
The purpose of this study was to explore the experiences of people with multiple sclerosis (MS) who participated in iStep-MS, a feasibility randomised controlled trial of a behaviour change intervention that aimed to increase physical activity and reduce sedentary behaviour.Design
A qualitative approach was undertaken embedded in the feasibility randomised controlled trial. One-to-one semi-structured interviews were conducted and analysed using Framework analysis.Setting
Participants were recruited from a single MS therapy centre in the southeast of England, UK.Participants
Sixty people with MS were randomly allocated in a 1:1 ratio to the intervention or usual care. Following a purposive sampling strategy, 15 participants from the intervention arm undertook 1:1 semi-structured interviews.Interventions
The iStep-MS intervention consisted of four therapist-led sessions over 12 weeks, supported by a handbook and pedometer.Results
Three themes were identified from the data. "I can do this": developing competence in physical activity highlights the enhanced physical activity confidence gained through goal setting and accomplishment. "I felt valued": the nurturing culture provides an overview of the supportive and non-judgemental environment created by the programme structure and therapeutic relationship. Finally, "What can I do?": empowered enactment describes the transition from the supported iStep-MS intervention to intrinsically motivated physical activity enactment.Conclusions
Overall, this study supports the acceptability of the iStep-MS intervention and identified key areas that supported participants to be physically active.Trial registration number
ISRCTN15343862.
SUBMITTER: Fortune J
PROVIDER: S-EPMC7064077 | biostudies-literature | 2020 Mar
REPOSITORIES: biostudies-literature
Fortune Jennifer J Norris Meriel M Stennett Andrea A Kilbride Cherry C Lavelle Grace G Hendrie Wendy W de Souza Lorraine L Abdul Mohamed M Brewin Debbie D David Lee L Anokye Nana N Victor Christina C Ryan Jennifer M JM
BMJ open 20200306 3
<h4>Objectives</h4>The purpose of this study was to explore the experiences of people with multiple sclerosis (MS) who participated in iStep-MS, a feasibility randomised controlled trial of a behaviour change intervention that aimed to increase physical activity and reduce sedentary behaviour.<h4>Design</h4>A qualitative approach was undertaken embedded in the feasibility randomised controlled trial. One-to-one semi-structured interviews were conducted and analysed using Framework analysis.<h4>S ...[more]