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- Title
(REH29) Lifestyle Redesign for Multiple Sclerosis: A Case Series of Female Hispanic Patients.
- Authors
Miller, Vanessa; Cunningham, Rebecca
- Abstract
Background: Research indicates that the incidence rate and clinical presentation of multiple sclerosis (MS) varies between patients of different ethnic backgrounds. On average, the incidence rate of Hispanic patients with MS tends to be lower than that of non-Hispanic whites, while the average age of first reported MS symptom is earlier in the Hispanic population. Hispanic patients have higher incidence of cervical spinal lesions, mobility impairments, and optic neuritis at first MS-related event. Patients with MS of Hispanic descent may be at a higher risk of disability earlier in the disease process. Due to the identified clinical presentation and disability risks, it is critical to provide rehabilitation services that will support symptom and disease management. Evidence in the MS literature supports behavior and lifestyle interventions as critical components for symptom and disease management, as well as improved quality of life. Lifestyle Redesign is an occupational therapy (OT) approach that focuses on helping patients acquire health-promoting habits and routines to improve overall function, health, and quality of life, as well as to improve self-management of chronic conditions. This methodology involves education, occupational self-analysis, personal exploration, and goal setting interventions, to facilitate reflection and increase motivation for and the enactment of health-promoting behavior changes. Objectives: Describe the delivery of Lifestyle Redesign to address chronic disease and symptom management in patients with MS within an OT plan of care and provide a descriptive case series with clinical outcomes to demonstrate how this intervention can be applied clinically with Hispanic females with MS. Methods: The subjects included in this case series participated in an average of 11 OT sessions. All subjects are female, of Hispanic descent, and between the ages of 20 and 45. The Canadian Occupational Performance Measure (COPM), Multiple Sclerosis Quality of Life Inventory (MSQLI), and Health Related Quality of Life Short Form-36 (SF-36) were used at pre- and postintervention. Results: Clinically significant improvements occurred in the COPM overall performance and satisfaction scores, with patients demonstrating an average 5.3-point increase on performance and an average 7.2-point increase on satisfaction. On average, SF-36 scores improved in 7 subscales including emotional well-being, social functioning, and bodily pain, and MSQLI scores improved in 3 subscales including the MFIS. Conclusions: This case series supports the use of Lifestyle Redesign to address symptom and chronic disease management in Hispanic females with MS because of the demonstrated benefits in the areas of functional performance and symptom presentation. Additionally, this case series contributes to the broader evidence for the feasibility of Lifestyle Redesign services for neurologic populations.
- Subjects
MULTIPLE sclerosis prevention; BEHAVIOR modification; CONFERENCES &; conventions; HEALTH behavior; HISPANIC Americans
- Publication
International Journal of MS Care, 2020, Vol 22, Issue S2, p76
- ISSN
1537-2073
- Publication type
Article