The Experience of Persons With Multiple Sclerosis Using MS INFoRm: An Interactive Fatigue Management Resource

Qual Health Res. 2018 Apr;28(5):778-788. doi: 10.1177/1049732317753584. Epub 2018 Feb 7.

Abstract

We aimed to understand participants' experiences with a self-guided fatigue management resource, Multiple Sclerosis: An Interactive Fatigue Management Resource ( MS INFoRm), and the extent to which they found its contents relevant and useful to their daily lives. We recruited 35 persons with MS experiencing mild to moderate fatigue, provided them with MS INFoRm, and then conducted semistructured interviews 3 weeks and 3 months after they received the resource. Interpretive description guided the analysis process. Findings indicate that participants' experience of using MS INFoRm could be understood as a process of change, influenced by their initial reactions to the resource. They reported experiencing a shift in knowledge, expectations, and behaviors with respect to fatigue self-management. These shifts led to multiple positive outcomes, including increased levels of self-confidence and improved quality of life. These findings suggest that MS INFoRm may have a place in the continuum of fatigue management interventions for people with MS.

Keywords: Canada; fatigue; interpretive description; multiple sclerosis; patient education; qualitative; self-care; symptom management.

MeSH terms

  • Adult
  • Fatigue / etiology*
  • Fatigue / therapy*
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Multiple Sclerosis / complications*
  • Multiple Sclerosis / psychology*
  • Qualitative Research
  • Quality of Life
  • Self Concept
  • Self Efficacy
  • Self-Management / methods*
  • Severity of Illness Index
  • Socioeconomic Factors