This article and any supplementary material should be cited as follows: Dlugonski D, Motl RW, McAuley E. Increasing physical activity in multiple sclerosis:

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Self-efficacy and Walking Performance in Multiple Sclerosis
Symptom Cluster and Quality of Life in Multiple Sclerosis
Accelerometry and Its Association With Objective Markers of Walking Limitations in Ambulatory Adults With Multiple Sclerosis  Robert W. Motl, PhD, Deirdre.
Robert W. Motl, PhD, Edward McAuley, PhD 
Rachel E. Klaren, BS, Robert W
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This article and any supplementary material should be cited as follows: Dlugonski D, Motl RW, McAuley E. Increasing physical activity in multiple sclerosis: Replicating Internet intervention effects using objective and self-report outcomes. J Rehabil Res Dev. 2011;48(9):1129–36. DOI: /JRRD Increasing physical activity in multiple sclerosis: Replicating Internet intervention effects using objective and self-report outcomes Deirdre Dlugonski, BS; Robert W. Motl, PhD; Edward McAuley, PhD

This article and any supplementary material should be cited as follows: Dlugonski D, Motl RW, McAuley E. Increasing physical activity in multiple sclerosis: Replicating Internet intervention effects using objective and self-report outcomes. J Rehabil Res Dev. 2011;48(9):1129–36. DOI: /JRRD Study Aim – Examine efficacy of Internet intervention to increase physical activity in persons with multiple sclerosis (MS). Relevance – Physical activity is associated with improvements in fatigue, spasticity, depression, quality of life, and walking mobility in persons with MS. – However, this population engages in substantially less physical activity than general population.

This article and any supplementary material should be cited as follows: Dlugonski D, Motl RW, McAuley E. Increasing physical activity in multiple sclerosis: Replicating Internet intervention effects using objective and self-report outcomes. J Rehabil Res Dev. 2011;48(9):1129–36. DOI: /JRRD Methods Before and after 12-week Internet intervention – Participants completed: International Physical Activity Questionnaire (IPAQ). Godin Leisure-Time Exercise Questionnaire (GLTEQ). Patient-Determined Disease Steps (PDDS) scale. – Participants wore: Accelerometer on a belt around waist for 7 days.

This article and any supplementary material should be cited as follows: Dlugonski D, Motl RW, McAuley E. Increasing physical activity in multiple sclerosis: Replicating Internet intervention effects using objective and self-report outcomes. J Rehabil Res Dev. 2011;48(9):1129–36. DOI: /JRRD Internet Intervention Multimedia – Text supplemented by videos and PDF files. – Focused on self-efficacy, outcome expectations, impediments, goal setting. 4 modules – Getting Started. – Planning for Success. – Beating the Odds. – Sticking with It. Support – Online group chat sessions 2x/week. – Participant forum. – Toll-free telephone line and study address. – Automated s about new information, updates, and changes.

This article and any supplementary material should be cited as follows: Dlugonski D, Motl RW, McAuley E. Increasing physical activity in multiple sclerosis: Replicating Internet intervention effects using objective and self-report outcomes. J Rehabil Res Dev. 2011;48(9):1129–36. DOI: /JRRD Results Internet intervention resulted in moderate increases in accelerometer activity counts and steps counts, which were paralleled by small increases in IPAQ and GLTEQ scores. Number of weeks that persons logged on was correlated with change in accelerometer activity counts and step counts but not change in IPAQ or GLTEQ scores.

This article and any supplementary material should be cited as follows: Dlugonski D, Motl RW, McAuley E. Increasing physical activity in multiple sclerosis: Replicating Internet intervention effects using objective and self-report outcomes. J Rehabil Res Dev. 2011;48(9):1129–36. DOI: /JRRD Conclusions Both objective and self-report measures supported that the Internet intervention effectively increased physical activity in persons with MS. Participant feedback will help improve the Internet intervention for subsequent administrations.