A Dyadic Approach for Promoting Physical Activity Among People with MS
Physical Activity Together for MS (PAT-MS): Pilot Study of a Dyadic Rehabilitation Intervention for People with Moderate-to-Severe Multiple Sclerosis Disability and Their Family Caregivers
What it found
A paper reports the results; we have not read it yet. See Papers below.
What was tested
Treatment tested
- Physical Activity Together for PwMS and their CGs (PAT-MS)
What it measured
Main measures
Safety of the PAT-MS intervention
Assessed weekly through study completion at 12 weeks
RelapsesWalking and mobilitySafetyFeasibility: Participant recruitment rate
Recorded through the 6-month recruitment period
FeasibilityFeasibility: Participant compliance rate
Recorded weekly through study completion at 12 weeks
FeasibilityFeasibility: Participant attrition rate
Will be assessed at T2 (12 Weeks)
FeasibilityFeasibility: Monetary cost of research
Recorded from study initiation to completion, approximately 2 years
FeasibilityFeasibility: Staff time
Recorded weekly through study completion at 12 weeks
FeasibilityFeasibility: Research ethics procedures
Recorded from study initiation to completion, approximately 2 years
FeasibilityFeasibility: Data collection at T1
Will be assessed at T1 (Baseline)
MRI lesionsFeasibilityFeasibility: Data collection at T2
Will be assessed at T2 (12 Weeks)
MRI lesionsFeasibilityChange in Self-Reported Physical Activity - Primary Efficacy Outcome
Change in Self-reported PA (total PA minutes) between T1 (Baseline) and T2 (12 Weeks)
Physical function
Other measures (13)
Change in Accelerometer-measured Physical Activity - steps/day
Change in accelerometer-measured steps/day between T1 (Baseline) and T2 (12 Weeks).
Physical functionChange in Accelerometer-measured Physical Activity - minutes of PA
Change in accelerometer-measured minutes of PA between T1 (Baseline) and T2 (12 Weeks).
Physical functionChange in Walking Speed
Change in walking speed between T1 (Baseline) and T2 (12 Weeks).
Disability progressionWalking and mobilityChange in Walking Endurance
Change in Walking endurance between T1 (Baseline) and T2 (12 Weeks)
Walking and mobilityChange in Agility
Change in Agility between T1 (Baseline) and T2 (12 Weeks).
Walking and mobilityChange in Physical Functional Limitations and Disability
Change in Physical functional limitations and disability between T1 (Baseline) and T2 (12 Weeks).
Arm and hand functionChange in MS Self-Efficacy
Change in MS self-efficacy between T1 (Baseline) and T2 (12 Weeks).
Change in Quality of Life in PwMS
Change in Quality of life in PwMS between T1 (Baseline) and T2 (12 Weeks).
Quality of life (reported by participants)Change in Dyadic Relationship Quality
Change in Dyadic relationship quality between T1 (Baseline) and T2 (12 Weeks)
Change in Perceptions of Social Support
Change in perceptions of social support between T1 (Baseline) and T2 (12 Weeks).
Who could take part
MS (type not specified) · 18 and over
Show the full criteria
Inclusion criteria
For persons with MS: * Physician-confirmed MS diagnosis and stable course of disease modifying therapies over the past 6 months * Expanded Disability Status Scale (EDSS) score between 6.0 (intermittent or unilateral constant assistance (cane, crutch, brace) required to walk about 100 meters with or without resting) and 6.5 (constant bilateral assistance (canes, crutches, braces) required to walk about 20 meters without resting), based on a Neurostatus-certified assessor examination. * Relapse-free in the past 30 days * Support Partner (i.e., relative or close friend) who provides greater than or equal to 1.0 hours per day of unpaid care Additional inclusion criteria for both persons with MS and caregivers: * Greater than or equal to 18 years of age * Currently inactive (i.e., purposeful exercise less than or equal to 2 days/week for 30 minutes) * Asymptomatic (i.e. no major signs or symptoms of acute or uncontrolled cardiovascular, metabolic, or renal disease) based on the Get Active Questionnaire * Ability to communicate in English Exclusion Criteria for both persons with MS and caregivers: * diagnosis of other neurological condition(s)
Exclusion criteria
Not separately supplied in the registry.
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
Both people with multiple sclerosis (MS) and their family caregivers experience the impact of this neurodegenerative disease on their health and well-being. The person living with MS and their support partner need to work together as a team to find ways to manage the disease. A physical activity (PA) program that uses a 'dyadic approach' is one possible way of managing the impact of MS. Dyadic programs are unique because they target both people with the disease and their caregivers together to increase their PA levels. This pilot study will deliver a 12-week program using group teleconference and one-on-one support phone calls to teach participants simple methods to change PA patterns in daily life. For example, they will learn how to set personal goals to increase PA and reduce sitting time.
Papers
Results
Fakolade A, Awadia Z, Cardwell K, McKenna O, Venasse M, Hume T, Ludgate J, Freedman MS, Finlayson M, Latimer-Cheung AE, Pilutti LA. Physical Activity Together for Multiple Sclerosis (PAT-MS): A randomized controlled feasibility trial of a dyadic behaviour change intervention. Contemp Clin Trials Commun. 2023 Oct 16;36:101222. doi: 10.1016/j.conctc.2023.101222. eCollection 2023 Dec.Results
Fakolade A, Cameron J, McKenna O, Finlayson ML, Freedman MS, Latimer-Cheung AE, Pilutti LA. Physical Activity Together for People With Multiple Sclerosis and Their Care Partners: Protocol for a Feasibility Randomized Controlled Trial of a Dyadic Intervention. JMIR Res Protoc. 2021 Jun 1;10(6):e18410. doi: 10.2196/18410.Background
Fakolade A, Lamarre J, Latimer-Cheung A, Parsons T, Morrow SA, Finlayson M. Understanding leisure-time physical activity: Voices of people with MS who have moderate-to-severe disability and their family caregivers. Health Expect. 2018 Feb;21(1):181-191. doi: 10.1111/hex.12600. Epub 2017 Jul 19.Background
Fakolade A, Latimer-Cheung A, Parsons T, Finlayson M. A concerns report survey of physical activity support needs of people with moderate-to-severe MS disability and family caregivers. Disabil Rehabil. 2019 Dec;41(24):2888-2899. doi: 10.1080/09638288.2018.1479781. Epub 2018 Jun 29.Background
Fakolade A, Finlayson M, Parsons T, Latimer-Cheung A. Correlating the Physical Activity Patterns of People with Moderate to Severe Multiple Sclerosis Disability and Their Family Caregivers. Physiother Can. 2018 Fall;70(4):373-381. doi: 10.3138/ptc.2017-36.ep.
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History
Started
Feb 2020
Main results due
Jun 2022
Finished
Oct 2022