CoreDISTParticipation: CoreDISTparticipation is a multi-disciplinary individualized intervention that concurrently combine 1) providing PwMS and their employers with information on MS, possibilities for work-adaptations within the welfare system and the importance of physical activity 2) Structured goal-setting regarding reducing barriers for work and regarding physical function and activity for PwMS 3) A physiotherapy intervention focusing on improving the underlying prerequisites for balance and walking along with high intensive training and promotion of physical activity 4) structured evaluation and adjustment of goals.
Study summary
Employment is low in people with MS, even when physical levels of functioning are high. The purpose of this study is to investigate if an individually tailored intervention combining individualized physiotherapy and work adaptation works better than usual care in terms of reducing barriers for work and improving levels of physical activity. The utility of the intervention will be investigated in terms of quality adjusted life years, long-term employment status and work-related costs.
Eligibility
Sex
ALL
Min age
18 Years
Max age
67 Years
Healthy volunteers
No
Inclusion Criteria:
* Diagnosed with Multiple Sclerosis according to the McDonald's criteria
* Extended Disability Status Scale (EDSS) 0-4
* Being employed, part time or full time, may include various degrees of sick leave, disability pension or AAP.
* Living in the participating 18 municipalities (Hammerfest, Alta, Senja, Målselv, Tromsø, Harstad, Narvik, Fauske, Bodø, Meløy, Vågan, Vestvågøy, Sortland, Hadsel, Rana, Vefsn, Alstadhaug, Brønnøy).
Exclusion Criteria:
* Pregnancy at enrolment.
* Exacerbation of symptoms (i.e. relapse) within two weeks prior to enrolment.
* Other serious conditions.
Primary outcome measure(s)
Multiple Sclerosis Work Difficulties Questionnaire -23 Norwegian version — Baseline, 9, 16 and 52 weeks post baseline How frequently individuals with MS perceive psychological/cognitive (11 items), physical (8 items), external, (4 items) barriers related to work, scored by a 5-point scale (0=best).
Levels of physical activity measured using ActiGraph wGT3x-BT monitors — Participants will wear device for one week after testing at baseline and at 9, 16 and 52 weeks post baseline % of time in mild, moderate, intensive physical activity and sedate time
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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