PMID- 31668138 OWN - NLM STAT- MEDLINE DCOM- 20210924 LR - 20210924 IS - 1477-0970 (Electronic) IS - 1352-4585 (Linking) VI - 26 IP - 14 DP - 2020 Dec TI - Safety, feasibility, acceptability and effects of a behaviour-change intervention to change physical activity behaviour among people with multiple sclerosis: Results from the iStep-MS randomised controlled trial. PG - 1907-1918 LID - 10.1177/1352458519886231 [doi] AB - BACKGROUND: There is limited information regarding the safety, feasibility and acceptability of behaviour-change interventions to increase physical activity (PA) and reduce sedentary behaviour among people with multiple sclerosis (MS). Prior to evaluating efficacy, it is important to identify problems with feasibility and acceptability, which may undermine effectiveness. OBJECTIVE: To examine the safety, feasibility and acceptability of a behaviour-change intervention to increase PA and reduce sedentary behaviour among people with MS. METHODS: Sixty people received a 3-month intervention or usual care. Fatigue, pain and adverse events (AEs) were assessed. Feasibility and acceptability were explored through focus groups with physiotherapists and interviews with participants. Fidelity to intervention content, delivery skills, programme receipt and programme task were assessed. RESULTS: There was no difference in AE rate between groups (p = 0.965). Fatigue and pain were not higher in the intervention group at 3 or 9 months. Therapists reported the intervention was feasible to deliver and fidelity was acceptable. Twenty-nine participants (97%) attended at least 75% of sessions. Participants found the intervention acceptable but suggested some amendments were required to intervention components. CONCLUSIONS: The intervention was safe, feasible and acceptable. Although modifications are required to intervention components, the intervention warrants further evaluation in a future trial. FAU - Ryan, Jennifer M AU - Ryan JM AD - Ageing Studies Theme, Institute of Environment, Health and Societies, Brunel University London, London, UK/Department of Epidemiology and Public Health Medicine, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland. FAU - Fortune, Jennifer AU - Fortune J AD - Ageing Studies Theme, Institute of Environment, Health and Societies, Brunel University London, London, UK. FAU - Stennett, Andrea AU - Stennett A AD - Ageing Studies Theme, Institute of Environment, Health and Societies, Brunel University London, London, UK. FAU - Kilbride, Cherry AU - Kilbride C AD - Ageing Studies Theme, Institute of Environment, Health and Societies, Brunel University London, London, UK. FAU - Lavelle, Grace AU - Lavelle G AD - Ageing Studies Theme, Institute of Environment, Health and Societies, Brunel University London, London, UK. FAU - Hendrie, Wendy AU - Hendrie W AD - MS Therapy Centre, Norwich, UK. FAU - DeSouza, Lorraine AU - DeSouza L AD - Ageing Studies Theme, Institute of Environment, Health and Societies, Brunel University London, London, UK. FAU - Abdul, Mohammed AU - Abdul M AD - The Berkshire MS Therapy Centre, Reading, UK. FAU - Brewin, Debbie AU - Brewin D AD - Health Economics Theme, Institute of Environment, Health and Societies, Brunel University London, London, UK. FAU - David, Lee AU - David L AD - Health Economics Theme, Institute of Environment, Health and Societies, Brunel University London, London, UK. FAU - Anokye, Nana AU - Anokye N AD - 10 Minute CBT, Letchworth Garden City, UK. FAU - Victor, Christina AU - Victor C AD - Ageing Studies Theme, Institute of Environment, Health and Societies, Brunel University London, London, UK. FAU - Norris, Meriel AU - Norris M AD - Ageing Studies Theme, Institute of Environment, Health and Societies, Brunel University London, London, UK. LA - eng SI - ISRCTN/ISRCTN15343862 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20191031 PL - England TA - Mult Scler JT - Multiple sclerosis (Houndmills, Basingstoke, England) JID - 9509185 SB - IM MH - Exercise MH - Exercise Therapy MH - Feasibility Studies MH - Humans MH - *Multiple Sclerosis/therapy MH - Sedentary Behavior OTO - NOTNLM OT - Clinical trial OT - fatigue OT - multiple sclerosis OT - pain OT - rehabilitation EDAT- 2019/11/02 06:00 MHDA- 2021/09/25 06:00 CRDT- 2019/11/01 06:00 PHST- 2019/11/02 06:00 [pubmed] PHST- 2021/09/25 06:00 [medline] PHST- 2019/11/01 06:00 [entrez] AID - 10.1177/1352458519886231 [doi] PST - ppublish SO - Mult Scler. 2020 Dec;26(14):1907-1918. doi: 10.1177/1352458519886231. Epub 2019 Oct 31.