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Providing Emotional Support During the Process of Multiple Sclerosis Diagnosis (PrEliMS): A Feasibility Randomised Controlled Trial

Roshan das Nair, Jacqueline R Mhizha-Murira Orcid Logo, Gogem Topcu Orcid Logo, Tierney Tindall, Clare Bale, Nima Moghaddam, Grit Scheffler-Ansari, Avril Drummond, Deborah Fitzsimmons Orcid Logo, Nikos Evangelou

Clinical Rehabilitation, Volume: 38, Issue: 11, Pages: 1506 - 1520

Swansea University Author: Deborah Fitzsimmons Orcid Logo

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DOI (Published version): 10.1177/02692155241284781

Abstract

ObjectivesTo evaluate the feasibility and acceptability of an emotional support programme for newly diagnosed people with multiple sclerosis.DesignThree-arm, mixed methods, randomised controlled trial comparing usual care, versus usual care plus nurse-specialist support, versus usual care plus nurse...

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Published in: Clinical Rehabilitation
ISSN: 0269-2155 1477-0873
Published: SAGE Publications 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa68404
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One version of the intervention was provided by nurse-specialists alone and the other was provided by nurse-specialists plus peer support.Main measuresThe main outcome of interest was the feasibility of proceeding to a definitive trial, exploring recruitment rate, acceptability, completion of outcome measures (perceived stress, mood, self-efficacy, psychological impact, and service use), and signal of efficacy.ResultsOf 40 participants randomised (mean age 36.2 years (SD&#x2009;=&#x2009;14.8); 54% women; 85% with relapsing-remitting MS), 36 and 38 returned 3- and 6-month questionnaires, respectively. Participant interviews suggested the trial was largely feasible, and the intervention acceptable, with some amendments to trial procedures and intervention delivery noted. There were, however, no statistically significant differences between groups at followup for any measures, and effect-size estimates were small.ConclusionA definitive trial combining nurse-specialist and peer support adjustment to diagnosis intervention is warranted, but more work exploring the delivery and fidelity of the intervention is needed before this is pursued.</abstract><type>Journal Article</type><journal>Clinical Rehabilitation</journal><volume>38</volume><journalNumber>11</journalNumber><paginationStart>1506</paginationStart><paginationEnd>1520</paginationEnd><publisher>SAGE Publications</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>0269-2155</issnPrint><issnElectronic>1477-0873</issnElectronic><keywords>Multiple sclerosis, diagnosis, emotional support, psychological adjustment, peer support</keywords><publishedDay>1</publishedDay><publishedMonth>11</publishedMonth><publishedYear>2024</publishedYear><publishedDate>2024-11-01</publishedDate><doi>10.1177/02692155241284781</doi><url/><notes/><college>COLLEGE NANME</college><department>Health and Social Care School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HSOC</DepartmentCode><institution>Swansea University</institution><apcterm>Another institution paid the OA fee</apcterm><funders>This study was funded by the MS Society UK (Grant reference 63).</funders><projectreference/><lastEdited>2025-02-04T11:58:59.8547211</lastEdited><Created>2024-12-02T09:26:32.3356209</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Health and Social Care - Public Health</level></path><authors><author><firstname>Roshan das</firstname><surname>Nair</surname><order>1</order></author><author><firstname>Jacqueline R</firstname><surname>Mhizha-Murira</surname><orcid>0000-0002-1976-0195</orcid><order>2</order></author><author><firstname>Gogem</firstname><surname>Topcu</surname><orcid>0000-0002-7400-5686</orcid><order>3</order></author><author><firstname>Tierney</firstname><surname>Tindall</surname><order>4</order></author><author><firstname>Clare</firstname><surname>Bale</surname><order>5</order></author><author><firstname>Nima</firstname><surname>Moghaddam</surname><order>6</order></author><author><firstname>Grit</firstname><surname>Scheffler-Ansari</surname><order>7</order></author><author><firstname>Avril</firstname><surname>Drummond</surname><order>8</order></author><author><firstname>Deborah</firstname><surname>Fitzsimmons</surname><orcid>0000-0002-7286-8410</orcid><order>9</order></author><author><firstname>Nikos</firstname><surname>Evangelou</surname><order>10</order></author></authors><documents><document><filename>68404__33489__d3340568a6a049d781bbed3cb3764267.pdf</filename><originalFilename>68404.VoR.pdf</originalFilename><uploaded>2025-02-04T11:56:53.1690635</uploaded><type>Output</type><contentLength>1047584</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>&#xA9; The Author(s) 2024. 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spelling 2025-02-04T11:58:59.8547211 v2 68404 2024-12-02 Providing Emotional Support During the Process of Multiple Sclerosis Diagnosis (PrEliMS): A Feasibility Randomised Controlled Trial e900d99a0977beccf607233b10c66b43 0000-0002-7286-8410 Deborah Fitzsimmons Deborah Fitzsimmons true false 2024-12-02 HSOC ObjectivesTo evaluate the feasibility and acceptability of an emotional support programme for newly diagnosed people with multiple sclerosis.DesignThree-arm, mixed methods, randomised controlled trial comparing usual care, versus usual care plus nurse-specialist support, versus usual care plus nurse-specialist support plus peer support.ParticipantsCommunity-dwelling adults within two years of diagnosis or undergoing diagnosis.InterventionsPrEliMS involves information provision, emotional support, and strategies and techniques based on psychoeducation, Acceptance and Commitment Therapy principles, supportive listening. One version of the intervention was provided by nurse-specialists alone and the other was provided by nurse-specialists plus peer support.Main measuresThe main outcome of interest was the feasibility of proceeding to a definitive trial, exploring recruitment rate, acceptability, completion of outcome measures (perceived stress, mood, self-efficacy, psychological impact, and service use), and signal of efficacy.ResultsOf 40 participants randomised (mean age 36.2 years (SD = 14.8); 54% women; 85% with relapsing-remitting MS), 36 and 38 returned 3- and 6-month questionnaires, respectively. Participant interviews suggested the trial was largely feasible, and the intervention acceptable, with some amendments to trial procedures and intervention delivery noted. There were, however, no statistically significant differences between groups at followup for any measures, and effect-size estimates were small.ConclusionA definitive trial combining nurse-specialist and peer support adjustment to diagnosis intervention is warranted, but more work exploring the delivery and fidelity of the intervention is needed before this is pursued. Journal Article Clinical Rehabilitation 38 11 1506 1520 SAGE Publications 0269-2155 1477-0873 Multiple sclerosis, diagnosis, emotional support, psychological adjustment, peer support 1 11 2024 2024-11-01 10.1177/02692155241284781 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University Another institution paid the OA fee This study was funded by the MS Society UK (Grant reference 63). 2025-02-04T11:58:59.8547211 2024-12-02T09:26:32.3356209 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Roshan das Nair 1 Jacqueline R Mhizha-Murira 0000-0002-1976-0195 2 Gogem Topcu 0000-0002-7400-5686 3 Tierney Tindall 4 Clare Bale 5 Nima Moghaddam 6 Grit Scheffler-Ansari 7 Avril Drummond 8 Deborah Fitzsimmons 0000-0002-7286-8410 9 Nikos Evangelou 10 68404__33489__d3340568a6a049d781bbed3cb3764267.pdf 68404.VoR.pdf 2025-02-04T11:56:53.1690635 Output 1047584 application/pdf Version of Record true © The Author(s) 2024. This article is distributed under the terms of the Creative Commons Attribution 4.0 License. true eng https://creativecommons.org/licenses/by/4.0/
title Providing Emotional Support During the Process of Multiple Sclerosis Diagnosis (PrEliMS): A Feasibility Randomised Controlled Trial
spellingShingle Providing Emotional Support During the Process of Multiple Sclerosis Diagnosis (PrEliMS): A Feasibility Randomised Controlled Trial
Deborah Fitzsimmons
title_short Providing Emotional Support During the Process of Multiple Sclerosis Diagnosis (PrEliMS): A Feasibility Randomised Controlled Trial
title_full Providing Emotional Support During the Process of Multiple Sclerosis Diagnosis (PrEliMS): A Feasibility Randomised Controlled Trial
title_fullStr Providing Emotional Support During the Process of Multiple Sclerosis Diagnosis (PrEliMS): A Feasibility Randomised Controlled Trial
title_full_unstemmed Providing Emotional Support During the Process of Multiple Sclerosis Diagnosis (PrEliMS): A Feasibility Randomised Controlled Trial
title_sort Providing Emotional Support During the Process of Multiple Sclerosis Diagnosis (PrEliMS): A Feasibility Randomised Controlled Trial
author_id_str_mv e900d99a0977beccf607233b10c66b43
author_id_fullname_str_mv e900d99a0977beccf607233b10c66b43_***_Deborah Fitzsimmons
author Deborah Fitzsimmons
author2 Roshan das Nair
Jacqueline R Mhizha-Murira
Gogem Topcu
Tierney Tindall
Clare Bale
Nima Moghaddam
Grit Scheffler-Ansari
Avril Drummond
Deborah Fitzsimmons
Nikos Evangelou
format Journal article
container_title Clinical Rehabilitation
container_volume 38
container_issue 11
container_start_page 1506
publishDate 2024
institution Swansea University
issn 0269-2155
1477-0873
doi_str_mv 10.1177/02692155241284781
publisher SAGE Publications
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
document_store_str 1
active_str 0
description ObjectivesTo evaluate the feasibility and acceptability of an emotional support programme for newly diagnosed people with multiple sclerosis.DesignThree-arm, mixed methods, randomised controlled trial comparing usual care, versus usual care plus nurse-specialist support, versus usual care plus nurse-specialist support plus peer support.ParticipantsCommunity-dwelling adults within two years of diagnosis or undergoing diagnosis.InterventionsPrEliMS involves information provision, emotional support, and strategies and techniques based on psychoeducation, Acceptance and Commitment Therapy principles, supportive listening. One version of the intervention was provided by nurse-specialists alone and the other was provided by nurse-specialists plus peer support.Main measuresThe main outcome of interest was the feasibility of proceeding to a definitive trial, exploring recruitment rate, acceptability, completion of outcome measures (perceived stress, mood, self-efficacy, psychological impact, and service use), and signal of efficacy.ResultsOf 40 participants randomised (mean age 36.2 years (SD = 14.8); 54% women; 85% with relapsing-remitting MS), 36 and 38 returned 3- and 6-month questionnaires, respectively. Participant interviews suggested the trial was largely feasible, and the intervention acceptable, with some amendments to trial procedures and intervention delivery noted. There were, however, no statistically significant differences between groups at followup for any measures, and effect-size estimates were small.ConclusionA definitive trial combining nurse-specialist and peer support adjustment to diagnosis intervention is warranted, but more work exploring the delivery and fidelity of the intervention is needed before this is pursued.
published_date 2024-11-01T05:19:39Z
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score 11.090464

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