Lifestyle, exercise and activity package for people living with progressive multiple sclerosis (LEAP-MS): protocol for a single-arm feasibility study

Abstract Background We have co-designed a tailored blended physiotherapy intervention for people with progressive multiple sclerosis (PwPMS) who often struggle to access support for physical activity. Underpinned by self-management principles, the Lifestyle, Exercise and Activity Package for people...

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Main Authors: Julie Latchem-Hastings, Elizabeth Randell, Kate Button, Fiona Jones, Rachel Lowe, Helen Dawes, Fiona Wood, Freya Davies, Vincent Poile, Rhian O’Halloran, Barbara Stensland, Emma Tallantyre, Rebecca Playle, Adrian Edwards, Monica Busse
Format: Article
Language:English
Published: BMC 2021-05-01
Series:Pilot and Feasibility Studies
Subjects:
Online Access:https://doi.org/10.1186/s40814-021-00852-w
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author Julie Latchem-Hastings
Elizabeth Randell
Kate Button
Fiona Jones
Rachel Lowe
Helen Dawes
Fiona Wood
Freya Davies
Vincent Poile
Rhian O’Halloran
Barbara Stensland
Emma Tallantyre
Rebecca Playle
Adrian Edwards
Monica Busse
author_facet Julie Latchem-Hastings
Elizabeth Randell
Kate Button
Fiona Jones
Rachel Lowe
Helen Dawes
Fiona Wood
Freya Davies
Vincent Poile
Rhian O’Halloran
Barbara Stensland
Emma Tallantyre
Rebecca Playle
Adrian Edwards
Monica Busse
author_sort Julie Latchem-Hastings
collection DOAJ
description Abstract Background We have co-designed a tailored blended physiotherapy intervention for people with progressive multiple sclerosis (PwPMS) who often struggle to access support for physical activity. Underpinned by self-management principles, the Lifestyle, Exercise and Activity Package for people with Multiple Sclerosis (LEAP-MS) intervention incorporates face-to-face or online physiotherapy coaching sessions with an accompanying online physical activity platform. The LEAP-MS platform is a multi-user system enabling user and physiotherapist to co-create activity plans. The LEAP-MS platform consists of an information and activity suite, interactive components enabling selection of exercises into an activity programme, goal setting and activity logging. The platform also facilitates online remote support from a physiotherapist through an embedded online messaging function. We aim to evaluate the LEAP-MS platform in a feasibility trial. Methods LEAP-MS will be evaluated within a single-arm feasibility study with embedded process evaluation. After registration and initial eligible screening, 21 participants will be required to complete baseline self-completion measures. This will be followed by an initial home-based or online coaching session with a physiotherapist (who has received tailored self-management and digital resource training) and access to the online intervention for an initial 3-month period. During this period, participants are given the option to request up to five further home-based or online physiotherapy coaching sessions. Follow-up questionnaires and semi-structured interviews will be administered 3 months after baseline with participants and intervention physiotherapists. The LEAP-MS platform will be available to participants for a further 3 months. Usage of the LEAP-MS platform will be tracked during the full 6-month period and final follow-up will be conducted 6 months after baseline. Discussion Feasibility outcomes (recruitment, retention, intervention uptake and safety) will be reported. The process evaluation will be undertaken to identify possible mechanisms for any observed effects. The data will inform full-scale evaluations of this co-produced, blended physiotherapy intervention. Trial registration ClinicalTrials.gov , NCT03951181 . Registered 15 May 2019
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spelling doaj.art-0825a658042e4acd9aec02672901a4112022-12-21T22:30:51ZengBMCPilot and Feasibility Studies2055-57842021-05-017111410.1186/s40814-021-00852-wLifestyle, exercise and activity package for people living with progressive multiple sclerosis (LEAP-MS): protocol for a single-arm feasibility studyJulie Latchem-Hastings0Elizabeth Randell1Kate Button2Fiona Jones3Rachel Lowe4Helen Dawes5Fiona Wood6Freya Davies7Vincent Poile8Rhian O’Halloran9Barbara Stensland10Emma Tallantyre11Rebecca Playle12Adrian Edwards13Monica Busse14Centre for Trials Research, Cardiff UniversityCentre for Trials Research, Cardiff UniversitySchool of Healthcare Sciences, Cardiff UniversityFaculty of Health and Social Care Science, St George’s University of London and Kingston UniversityCentre for Trials Research, Cardiff UniversityMovement Science Group, Oxford Brookes UniversityDivision of Population Medicine and PRIME Centre Wales, School of Medicine, Cardiff UniversityDivision of Population Medicine and PRIME Centre Wales, School of Medicine, Cardiff UniversityCentre for Trials Research, Cardiff UniversityHelen Durham Neuro-Inflammatory Centre, University Hospital of WalesCentre for Trials Research, Cardiff UniversityHelen Durham Neuro-Inflammatory Centre, University Hospital of WalesCentre for Trials Research, Cardiff UniversityDivision of Population Medicine and PRIME Centre Wales, School of Medicine, Cardiff UniversityCentre for Trials Research, Cardiff UniversityAbstract Background We have co-designed a tailored blended physiotherapy intervention for people with progressive multiple sclerosis (PwPMS) who often struggle to access support for physical activity. Underpinned by self-management principles, the Lifestyle, Exercise and Activity Package for people with Multiple Sclerosis (LEAP-MS) intervention incorporates face-to-face or online physiotherapy coaching sessions with an accompanying online physical activity platform. The LEAP-MS platform is a multi-user system enabling user and physiotherapist to co-create activity plans. The LEAP-MS platform consists of an information and activity suite, interactive components enabling selection of exercises into an activity programme, goal setting and activity logging. The platform also facilitates online remote support from a physiotherapist through an embedded online messaging function. We aim to evaluate the LEAP-MS platform in a feasibility trial. Methods LEAP-MS will be evaluated within a single-arm feasibility study with embedded process evaluation. After registration and initial eligible screening, 21 participants will be required to complete baseline self-completion measures. This will be followed by an initial home-based or online coaching session with a physiotherapist (who has received tailored self-management and digital resource training) and access to the online intervention for an initial 3-month period. During this period, participants are given the option to request up to five further home-based or online physiotherapy coaching sessions. Follow-up questionnaires and semi-structured interviews will be administered 3 months after baseline with participants and intervention physiotherapists. The LEAP-MS platform will be available to participants for a further 3 months. Usage of the LEAP-MS platform will be tracked during the full 6-month period and final follow-up will be conducted 6 months after baseline. Discussion Feasibility outcomes (recruitment, retention, intervention uptake and safety) will be reported. The process evaluation will be undertaken to identify possible mechanisms for any observed effects. The data will inform full-scale evaluations of this co-produced, blended physiotherapy intervention. Trial registration ClinicalTrials.gov , NCT03951181 . Registered 15 May 2019https://doi.org/10.1186/s40814-021-00852-wMultiple sclerosisPhysiotherapyInterventionPhysical activitySelf-managementFeasibility study
spellingShingle Julie Latchem-Hastings
Elizabeth Randell
Kate Button
Fiona Jones
Rachel Lowe
Helen Dawes
Fiona Wood
Freya Davies
Vincent Poile
Rhian O’Halloran
Barbara Stensland
Emma Tallantyre
Rebecca Playle
Adrian Edwards
Monica Busse
Lifestyle, exercise and activity package for people living with progressive multiple sclerosis (LEAP-MS): protocol for a single-arm feasibility study
Pilot and Feasibility Studies
Multiple sclerosis
Physiotherapy
Intervention
Physical activity
Self-management
Feasibility study
title Lifestyle, exercise and activity package for people living with progressive multiple sclerosis (LEAP-MS): protocol for a single-arm feasibility study
title_full Lifestyle, exercise and activity package for people living with progressive multiple sclerosis (LEAP-MS): protocol for a single-arm feasibility study
title_fullStr Lifestyle, exercise and activity package for people living with progressive multiple sclerosis (LEAP-MS): protocol for a single-arm feasibility study
title_full_unstemmed Lifestyle, exercise and activity package for people living with progressive multiple sclerosis (LEAP-MS): protocol for a single-arm feasibility study
title_short Lifestyle, exercise and activity package for people living with progressive multiple sclerosis (LEAP-MS): protocol for a single-arm feasibility study
title_sort lifestyle exercise and activity package for people living with progressive multiple sclerosis leap ms protocol for a single arm feasibility study
topic Multiple sclerosis
Physiotherapy
Intervention
Physical activity
Self-management
Feasibility study
url https://doi.org/10.1186/s40814-021-00852-w
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