CA01
Project Complete: Promotion of Exercise in Multiple Sclerosis through Healthcare Providers

Thursday, May 31, 2018
Exhibit Hall A (Nashville Music City Center)
Emma Richardson, PhD , Department of Physical Therapy, UAB, Birmingham, AL
Robert W Motl, PhD , Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL
Elizabeth Barstow, PhD , Department of Occupational Therapy, University of Alabama at Birmingham, Birmingham, AL
Sarah Blaylock, PhD , Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL
Matthew Fifolt, PhD , Health Care Organization & Policy, University of Alabama at Birmingham, Birmingham, AL
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Background: Despite the numerous physical, social and psychological benefits people with MS can experience through exercise, fewer than 20% of this population engage in sufficient amounts of exercise to enjoy these benefits. This low rate of exercise adherence may be attributed to a disconnect between evidence of benefits and rates of participation and/or problems with successful knowledge translation about exercise and its benefits into real world behavior change and MS.

Objectives: To address this, there is a new and exciting opportunity for the promotion of exercise behavior through the patient provider interaction. That is, health care providers and people with MS. 

Methods: Underpinned by qualitative data, we sought to design an applicable, contextual conceptual model which can be used guide health care providers in promoting exercise to people with MS.  

Results: Through these methods, we developed a conceptual framework and subsequent driver diagrams that respectively undergird the patient provider interaction for exercise promotion in MS and identify specific targets to inform interventions for addressing the needs and wants of people with MS and healthcare providers.

Conclusions: The design of these models has important implications for research in MS and exercise promotion and highlights essential questions and next steps regarding this line of research.