Development and preliminary evaluation of a cognitive behavioural approach to fatigue management in people with multiple sclerosis.
OBJECTIVE
(i) To develop a group-based intervention for the management of multiple sclerosis (MS) fatigue incorporating energy effectiveness and cognitive behavioural approaches and (ii) to undertake a process and preliminary evaluation.


METHODS
Drawing upon a literature search, a local model of good practice and the views of service users and health professionals, a manualised group-based fatigue management programme was developed, designed to be delivered by health professionals. A process and preliminary outcome evaluation was undertaken. Sixteen participants attended across two iterations. Participant feedback, obtained via a focus group and evaluation questionnaires, was used to refine the programme. Outcomes were collected pre- and post-programme (including fatigue severity, quality of life, self-efficacy).


RESULTS
Focus group feedback suggested the programme was well received, reflected in high attendance and positive ratings on evaluation questionnaires. At follow-up, despite the small sample size, there were significant improvements in perceived self-efficacy for managing fatigue.


CONCLUSIONS
An evidence-based fatigue management intervention has been developed and preliminary findings look promising. In the next phase we will examine whether the programme transfers satisfactorily to other centres and collect data in preparation for a randomised controlled trial (RCT).


CONCLUSIONS
Implications for practice will emerge when the results of our RCT are published.
Thomas
S
S
Dorset Research and Development Support Unit, Poole Hospital NHS Foundation Trust, Poole, Dorset BH15 2JB, UK. sarah.thomas@poole.nhs.uk
Thomas
P W
PW
Nock
A
A
Slingsby
V
V
Galvin
K
K
Baker
R
R
Moffat
N
N
Hillier
C
C
D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005221:Fatigue / Q000209:etiology / Q000523:psychology* / Q000628:therapy*; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000150:complications* / Q000523:psychology; D015397:Program Evaluation; D011615:Psychotherapy, Group; D011788:Quality of Life / Q000523:psychology; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D016896:Treatment Outcome