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A multiple sclerosis lifestyle behavior online course: Qualitative analysis of participants' motivations, expectations and experiences

BACKGROUND: Modification of lifestyle-related risk factors for multiple sclerosis (MS) has been associated with improved health outcomes when compared with standard medical management alone. Based on an existing lifestyle modification program offered as a residential workshop, the MS Online Course (...

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Autores principales: Neate, Sandra L., Bevens, William, Jelinek, Pia L., Gray, Kathleen M., Weiland, T. J., Nag, Nupur, Simpson-Yap, Steve, Jelinek, George A., Yu, M., Reece, Jeanette C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9768550/
https://www.ncbi.nlm.nih.gov/pubmed/36568793
http://dx.doi.org/10.3389/fpubh.2022.1022185
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author Neate, Sandra L.
Bevens, William
Jelinek, Pia L.
Gray, Kathleen M.
Weiland, T. J.
Nag, Nupur
Simpson-Yap, Steve
Jelinek, George A.
Yu, M.
Reece, Jeanette C.
author_facet Neate, Sandra L.
Bevens, William
Jelinek, Pia L.
Gray, Kathleen M.
Weiland, T. J.
Nag, Nupur
Simpson-Yap, Steve
Jelinek, George A.
Yu, M.
Reece, Jeanette C.
author_sort Neate, Sandra L.
collection PubMed
description BACKGROUND: Modification of lifestyle-related risk factors for multiple sclerosis (MS) has been associated with improved health outcomes when compared with standard medical management alone. Based on an existing lifestyle modification program offered as a residential workshop, the MS Online Course (MSOC) was developed to translate the workshop into an online intervention. We performed a pilot randomized controlled trial (RCT), to assess the feasibility concepts of accessibility, learnability and desirability through quantitative and qualitative analyzes. In the present study, we performed additional qualitative analyzes to explore participants' motivations, expectations, and experiences of the MSOC. This study aims to complement prior feasibility analyzes and inform recruitment strategies and course content redevelopment so that its effectiveness may be assessed by examining behavior change and health outcomes in a future larger RCT. METHODS: Participants were recruited via online advertisements and randomized to either: the standard care course, containing material sourced from public facing MS websites; or the intervention course, based on an evidence-based lifestyle modification program for people with MS. Course completers were invited to participate in semi-structured interviews. Within a qualitative paradigm, reflexive thematic analysis of interviews was undertaken. RESULTS: Of 31 eligible participants, 17 completed the MSOC and 14 agreed to be interviewed. Four themes were identified in this analysis: (1) “Wanting to help others” (helping through volunteering, contributing to knowledge base, spreading the word; (2) “Seeking knowledge” (confirmation of existing knowledge; obtaining new knowledge, relevant, credible information); (3) “Doing what I can to help myself” (understanding lifestyle modification, changing my lifestyle, remaining well); and (4) “Changing attitudes” (finding positivity, feeling more confident and in control). CONCLUSIONS: Participants were motivated to help others through research, help themselves by improving knowledge and to find ways to better manage their MS. Expectations included obtaining credible, reliable information, to substantiate existing knowledge, and to further understand lifestyle modification. Participants' experiences included confirmation of and obtaining new knowledge, and early implementation of modified lifestyle behaviors. These insights surrounding participants' motivations, expectations and experiences will assist in recruitment strategies, course redevelopment and outcome measures for the future RCT to examine the effectiveness of the MSOC.
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spelling pubmed-97685502022-12-22 A multiple sclerosis lifestyle behavior online course: Qualitative analysis of participants' motivations, expectations and experiences Neate, Sandra L. Bevens, William Jelinek, Pia L. Gray, Kathleen M. Weiland, T. J. Nag, Nupur Simpson-Yap, Steve Jelinek, George A. Yu, M. Reece, Jeanette C. Front Public Health Public Health BACKGROUND: Modification of lifestyle-related risk factors for multiple sclerosis (MS) has been associated with improved health outcomes when compared with standard medical management alone. Based on an existing lifestyle modification program offered as a residential workshop, the MS Online Course (MSOC) was developed to translate the workshop into an online intervention. We performed a pilot randomized controlled trial (RCT), to assess the feasibility concepts of accessibility, learnability and desirability through quantitative and qualitative analyzes. In the present study, we performed additional qualitative analyzes to explore participants' motivations, expectations, and experiences of the MSOC. This study aims to complement prior feasibility analyzes and inform recruitment strategies and course content redevelopment so that its effectiveness may be assessed by examining behavior change and health outcomes in a future larger RCT. METHODS: Participants were recruited via online advertisements and randomized to either: the standard care course, containing material sourced from public facing MS websites; or the intervention course, based on an evidence-based lifestyle modification program for people with MS. Course completers were invited to participate in semi-structured interviews. Within a qualitative paradigm, reflexive thematic analysis of interviews was undertaken. RESULTS: Of 31 eligible participants, 17 completed the MSOC and 14 agreed to be interviewed. Four themes were identified in this analysis: (1) “Wanting to help others” (helping through volunteering, contributing to knowledge base, spreading the word; (2) “Seeking knowledge” (confirmation of existing knowledge; obtaining new knowledge, relevant, credible information); (3) “Doing what I can to help myself” (understanding lifestyle modification, changing my lifestyle, remaining well); and (4) “Changing attitudes” (finding positivity, feeling more confident and in control). CONCLUSIONS: Participants were motivated to help others through research, help themselves by improving knowledge and to find ways to better manage their MS. Expectations included obtaining credible, reliable information, to substantiate existing knowledge, and to further understand lifestyle modification. Participants' experiences included confirmation of and obtaining new knowledge, and early implementation of modified lifestyle behaviors. These insights surrounding participants' motivations, expectations and experiences will assist in recruitment strategies, course redevelopment and outcome measures for the future RCT to examine the effectiveness of the MSOC. Frontiers Media S.A. 2022-12-07 /pmc/articles/PMC9768550/ /pubmed/36568793 http://dx.doi.org/10.3389/fpubh.2022.1022185 Text en Copyright © 2022 Neate, Bevens, Jelinek, Gray, Weiland, Nag, Simpson-Yap, Jelinek, Yu and Reece. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Neate, Sandra L.
Bevens, William
Jelinek, Pia L.
Gray, Kathleen M.
Weiland, T. J.
Nag, Nupur
Simpson-Yap, Steve
Jelinek, George A.
Yu, M.
Reece, Jeanette C.
A multiple sclerosis lifestyle behavior online course: Qualitative analysis of participants' motivations, expectations and experiences
title A multiple sclerosis lifestyle behavior online course: Qualitative analysis of participants' motivations, expectations and experiences
title_full A multiple sclerosis lifestyle behavior online course: Qualitative analysis of participants' motivations, expectations and experiences
title_fullStr A multiple sclerosis lifestyle behavior online course: Qualitative analysis of participants' motivations, expectations and experiences
title_full_unstemmed A multiple sclerosis lifestyle behavior online course: Qualitative analysis of participants' motivations, expectations and experiences
title_short A multiple sclerosis lifestyle behavior online course: Qualitative analysis of participants' motivations, expectations and experiences
title_sort multiple sclerosis lifestyle behavior online course: qualitative analysis of participants' motivations, expectations and experiences
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9768550/
https://www.ncbi.nlm.nih.gov/pubmed/36568793
http://dx.doi.org/10.3389/fpubh.2022.1022185
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