title: The feasibility and short-term benefits of Blue Prescription: a novel intervention to enable physical activity for people with multiple sclerosis.
abstract: OBJECTIVE
  Participation in physical activity for people with Multiple sclerosis (MS) is important but can be difficult to sustain long-term. Facilitators for long-term adherence include choice over activity and control over level of engagement, coupled with support, advice and encouragement from a physiotherapist. This is the basis of Blue Prescription, a novel physiotherapy approach aimed at optimising long-term adherence with physical activity. We evaluated the feasibility and short-term benefits of Blue Prescription in people with MS.
  
  
  METHODS
  Twenty-seven people with MS (mean age: 51 ± 11 years, with a range of MS type and disability) were assessed at baseline and immediately post-intervention with the MS Impact Scale, MS Self-efficacy Scale, and European Quality of Life Questionnaire. Change in outcomes were analysed with Wilcoxon signed ranks tests.
  
  
  RESULTS
  All participants, irrespective of level of disability, were able to choose a physical activity and to engage in it. The physical component MS Impact Scale score significantly improved by a median change of 6.5 (95% CI = -10.5 to -2.0; p = 0.007; effect size = 0.38). There were no other significant changes in outcomes.
  
  
  CONCLUSIONS
  Blue Prescription appears feasible and potentially beneficial, particularly in reducing the negative impacts of MS upon individuals, and thus warrants further evaluation.
authors.affiliation: The REAL Research Group, Centre for Physiotherapy Research, University of Otago, Dunedin, New Zealand. leigh.hale@otago.ac.nz
authors.forename: L A
authors.initials: LA
authors.lastname: Hale
authors.forename: H F
authors.initials: HF
authors.lastname: Mulligan
authors.forename: G J
authors.initials: GJ
authors.lastname: Treharne
authors.forename: C M
authors.initials: CM
authors.lastname: Smith
mesh_terms: D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D009103:Multiple Sclerosis / Q000534:rehabilitation*; D009520:New Zealand; D017063:Outcome Assessment, Health Care; D010342:Patient Acceptance of Health Care; D026741:Physical Therapy Modalities / Q000639:trends*; D011788:Quality of Life; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D013997:Time Factors