Self-management in neurological disorders: systematic review of the literature and potential interventions in multiple sclerosis care

Our objective was to review the current body of evidence supporting the efficacy of self-management programs in individuals with multiple sclerosis (MS) and other chronic neurological conditions. We reviewed published literature using standardized search terms; examined self-management interventions...

Full description

Saved in:
Bibliographic Details
Published in:Journal of rehabilitation research and development 2011-01, Vol.48 (9), p.1087-1100
Main Authors: Rae-Grant, Alex D, Turner, Aaron P, Sloan, Alicia, Miller, Deborah, Hunziker, James, Haselkorn, Jodie K
Format: Article
Language:English
Subjects:
Care and treatment
Caregivers
Disease management
Evidence-Based Medicine
Health Promotion
Health services
Humans
Methods
Multiple sclerosis
Multiple Sclerosis - rehabilitation
Nervous system diseases
Nervous System Diseases - rehabilitation
Neurological disorders
Quality of life
Randomized Controlled Trials as Topic
Rehabilitation
Self Care - methods
Self-care, Health
Systematic review
Wellness programs
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Our objective was to review the current body of evidence supporting the efficacy of self-management programs in individuals with multiple sclerosis (MS) and other chronic neurological conditions. We reviewed published literature using standardized search terms; examined self-management interventions in a variety of chronic neurological disorders, including MS; and classified studies using the evidence classification established by the American Academy of Neurology. We reviewed 527 abstracts, of which 39 met our inclusion criteria for evaluation. Of the 39 studies, 3 provided class I evidence assessing the efficacy of self-management interventions: a randomized controlled trial of a telephone counseling program for health promotion in MS, a home-based exercise program for reducing falls in people with Parkinson disease, and the comparison of a fitness center program versus a home-based exercise program for people with traumatic brain injury. The remaining studies provided additional support for self-management interventions with a lesser degree of methodologic rigor (class II, class III, or class IV evidence). We concluded that self-management strategies are applicable to chronic neurological diseases, but a need exists for more rigorous studies in this area. We provide recommendations for future intervention study methodologies with a specific emphasis on MS care.
ISSN:0748-7711
1938-1352
DOI:10.1682/jrrd.2010.08.0159