Efficacy of an energy conservation course for persons with multiple sclerosis.
OBJECTIVE
To evaluate the efficacy of an energy conservation course on fatigue impact, self-efficacy, and quality of life (QOL) for persons with multiple sclerosis (MS).


METHODS
Repeated measures with control and experimental interventions conducted during a 19-week study.


METHODS
Community-based treatment center.


METHODS
A convenience sample of 54 individuals from 79 community-dwelling volunteers with fatigue secondary to MS.


METHODS
A 6-session, 2-hr/wk energy conservation course taught by occupational therapists for groups of 8 to 10 participants.


METHODS
Fatigue Impact Scale (self-report measure of fatigue impact on cognitive, physical, social functions), Self-Efficacy Gauge (self-report measure of confidence in ability to perform specific behaviors), and Medical Outcomes Study Short-Form Health Survey (QOL measure).


RESULTS
Participants reported, as predicted, significantly less fatigue impact, increased self-efficacy, and improved QOL (ie, 3 of 4 subscales expected to improve). There were no significant differences, as predicted, in any of the dependent variables after the control (ie, support group) and no intervention periods.


CONCLUSIONS
Results provide strong evidence for the efficacy of this energy conservation course for persons with MS.
Mathiowetz
V
V
Department of Physical Medicine & Rehabilitation, University of Minnesota, Minneapolis, MN 55455, USA. mathi@tc.umn.edu
Matuska
K M
KM
Murphy
M E
ME
D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D005221:Fatigue / Q000503:physiopathology* / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000503:physiopathology* / Q000534:rehabilitation*; D009788:Occupational Therapy / Q000379:methods*; D011788:Quality of Life; D020377:Self Efficacy; D012720:Severity of Illness Index