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'I can do this': a qualitative exploration of acceptability and experiences of a physical activity behaviour change intervention in people with multiple sclerosis in the UK.


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

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Publications

'I can do this': a qualitative exploration of acceptability and experiences of a physical activity behaviour change intervention in people with multiple sclerosis in the UK.

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]

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