Creating Satisfying Engagement in Daily Life Through Coaching for People With Multiple Sclerosis

NCT04908085 | Completed

• 1 other identifier: 6032454
• Study Type: interventional
• Target: 31
• Locations: 1 country
• Sites: 1

Brief Summary

Multiple sclerosis (MS) is a complex disease that negatively impacts a person's ability to participate in a wide range of important and meaningful activities1-4. MS rehabilitation interventions often focus on reducing symptoms, with the assumption that fewer symptoms will lead to improved participation in daily activities5-8. Yet, literature shows that engagement in necessary and desired activities requires more than symptom reduction - it requires people with chronic diseases like MS to apply their knowledge and skills to a complex self-management process9-11 that balances personal values, and activity and environmental demands. Core self-management skills include self-monitoring, problem-solving, decision-making, goal setting, action planning, and the ability to adjust plans when necessary12. Looking beyond MS, coaching interventions have enabled people with stroke13-16, traumatic brain injury17, and Parkinson's disease18, 19 to develop self-management skills and achieve personally meaningful activity goals. Occupational Performance Coaching (OPC) is a well-developed form of coaching that builds competence in core self-management skills and improves participation in daily activities20, 21. The investigator's preliminary work indicates that OPC is an acceptable and feasible intervention for people with MS22. The investigators now must determine if OPC reduces the impact of MS on participation in daily activities and increases the satisfaction of people with MS in performance of personally important daily activities. Therefore, the investigators will conduct a waitlist-control randomized clinical trial (RCT) with 30 adults with MS to determine if receipt of six OPC sessions improves participants' satisfaction with performance in daily activities (primary outcome). The investigators will also examine whether OPC reduces illness intrusiveness (MS impact), improves resilience, and improves autonomy and participation (secondary outcomes).

Conditions

Multiple Sclerosis; Quality of Life

Keywords

Coaching

Outcome Measures

Primary Outcomes (1)

• Change in Canadian Occupational Performance Measure

  Measure of performance and satisfaction with performance and satisfaction on a scale of 1-10 where 10 indicates higher performance or satisfaction with performance.

  Pre-intervention, 10 weeks, and 2 months post intervention

Secondary Outcomes (4)

• Illness Intrusiveness Rating Scale

  Pre-intervention, 10 weeks, and 2 months post intervention

• MS Impact Scale-29

  Pre-intervention, 10 weeks, and 2 months post intervention

• Connor-Davidson Resilience Scale-10

  Pre-intervention, 10 weeks, and 2 months post intervention

• Impact on Participation and Autonomy Questionnaire

  Pre-intervention, 10 weeks, and 2 months post intervention

Study Arms (2)

OPC

EXPERIMENTAL

Occupational Performance Coaching delivered by telephone

Behavioral: Occupational Performance Coaching

Waitlist control

NO INTERVENTION

Intervention provided after post intervention assessment

Interventions

Occupational Performance Coaching BEHAVIORAL

Six sessions of OPC delivered by telephone over 10 weeks.

Also known as: OPC

OPC

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• able to participate in coaching in English.

You may not qualify if:

• serious cognitive impairment as indicated by a score of 10 or more on the Short Blessed Test,
• severe depression as measured by the PHQ-2
• are receiving life, health or executive coaching by a certified coach

Sponsors & Collaborators

• Dorothy Kessler: lead

Study Sites (1)

Queen's University

Kingston, Ontario, K7L 3N6, Canada

Location

Related Publications (1)

• Kessler D, Franz M, Malakouti N, Rajachandrakumar R, Baharnoori M, Finlayson M. Randomized Controlled Trial of Occupational Performance Coaching for Adults With Multiple Sclerosis. Arch Phys Med Rehabil. 2024 Sep;105(9):1649-1656. doi: 10.1016/j.apmr.2024.05.022. Epub 2024 Jun 6.

  PMID: 38851554 DERIVED

MeSH Terms

Conditions

Multiple Sclerosis

Condition Hierarchy (Ancestors)

Demyelinating Autoimmune Diseases, CNS; Autoimmune Diseases of the Nervous System; Nervous System Diseases; Demyelinating Diseases; Autoimmune Diseases; Immune System Diseases

Study Officials

• Dorothy Kessler

  Queen's University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Waitlist control trial

Study Record Dates

• First Submitted: May 19, 2021
• First Posted: June 1, 2021
• Study Start: October 1, 2021
• Primary Completion: June 30, 2022
• Study Completion: June 30, 2022
• Last Updated: April 19, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)