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This article and any supplementary material should be cited as follows: Smith CM, Hale LA, Olson K, Baxter GD, Schneiders AG. Healthcare provider beliefs.

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Presentation on theme: "This article and any supplementary material should be cited as follows: Smith CM, Hale LA, Olson K, Baxter GD, Schneiders AG. Healthcare provider beliefs."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Smith CM, Hale LA, Olson K, Baxter GD, Schneiders AG. Healthcare provider beliefs about exercise and fatigue in people with multiple sclerosis. J Rehabil Res Dev. 2013;50(5):733–44. http://dx.doi.org/10.1682/JRRD.2012.01.0012 Slideshow Project DOI:10.1682/JRRD.2012.01.0012JSP Healthcare provider beliefs about exercise and fatigue in people with multiple sclerosis Catherine M. Smith, PhD; Leigh Anne Hale, PhD; Karin Olson, PhD, Distinguished Scholar; G. David Baxter, PhD; Anthony G. Schneiders, PhD

2 This article and any supplementary material should be cited as follows: Smith CM, Hale LA, Olson K, Baxter GD, Schneiders AG. Healthcare provider beliefs about exercise and fatigue in people with multiple sclerosis. J Rehabil Res Dev. 2013;50(5):733–44. http://dx.doi.org/10.1682/JRRD.2012.01.0012 Slideshow Project DOI:10.1682/JRRD.2012.01.0012JSP Aim – Describe experiences of healthcare providers who facilitate exercise interventions for people with multiple sclerosis (MS)-related fatigue. Relevance – Fatigue is complex symptom frequently experienced by people with MS, yet is poorly understood by clinicians and clinical researchers.

3 This article and any supplementary material should be cited as follows: Smith CM, Hale LA, Olson K, Baxter GD, Schneiders AG. Healthcare provider beliefs about exercise and fatigue in people with multiple sclerosis. J Rehabil Res Dev. 2013;50(5):733–44. http://dx.doi.org/10.1682/JRRD.2012.01.0012 Slideshow Project DOI:10.1682/JRRD.2012.01.0012JSP Method Interpretive description methodology guided data collection and analysis. Focus group discussions or individual interviews were conducted with 4 groups of healthcare providers in New Zealand: – Consultant neurologists. – Physiotherapists/physical therapists (PTs). – Occupational therapists (OTs) – MS Society support workers. Transcripts were analyzed for key meanings.

4 This article and any supplementary material should be cited as follows: Smith CM, Hale LA, Olson K, Baxter GD, Schneiders AG. Healthcare provider beliefs about exercise and fatigue in people with multiple sclerosis. J Rehabil Res Dev. 2013;50(5):733–44. http://dx.doi.org/10.1682/JRRD.2012.01.0012 Slideshow Project DOI:10.1682/JRRD.2012.01.0012JSP Results Healthcare providers described their perceptions of “nature of fatigue” and how this raised “professional challenges,” specifically: – “Barriers to implementation” of interventions. – “Stirring conflict” among interdisciplinary members. – “Modifying roles.” Nature of fatigue and professional challenges influenced clinician practice: – “Demanded creativity” with regard to exercise prescription and advice.

5 This article and any supplementary material should be cited as follows: Smith CM, Hale LA, Olson K, Baxter GD, Schneiders AG. Healthcare provider beliefs about exercise and fatigue in people with multiple sclerosis. J Rehabil Res Dev. 2013;50(5):733–44. http://dx.doi.org/10.1682/JRRD.2012.01.0012 Slideshow Project DOI:10.1682/JRRD.2012.01.0012JSP Conclusion Healthcare providers are encouraged to use active listening and careful observation when providing individualized exercise programs for people with MS-related fatigue. Interdisciplinary team’s recognition and understanding of complex nature of fatigue might facilitate more positive exercise experiences for this population.

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