ECTRIMS eLearning

How to improve self-management in multiple sclerosis? Directions of psychological interventions
ECTRIMS Learn. Wilski M. 10/25/17; 199851; EP1831
Maciej Wilski
Maciej Wilski
Contributions
Abstract

Abstract: EP1831

Type: ePoster

Abstract Category: Therapy - symptomatic - 34 Quality of life

Background: Self-management of chronic illness is a key component of patients' active participation in treatment process and has been found to be associated with better quality of life, reduced disability and number of complications, improved outcomes and lower costs of treatment. So far, correlates of self-management in multiple sclerosis (MS) have not been subjected to extensive empirical research. An increased understanding of these correlations may help clinicians to identify individuals at an increased risk of poor self-management skills, take positive action towards activating the patient and implementing effective rehabilitation interventions.
Purpose: The aim of this study was to verify if potentially modifiable cognitive perceptions, such as self-efficacy, optimism, acceptance of illness and health locus of control are the correlates of self-management in MS.
Methods: The cross-sectional study included 382 patients with MS, who completed Multiple Sclerosis Self-Management Scale - Revised, and a set of questionnaires measuring self-efficacy, optimism, acceptance of illness and health locus of control. Demographic and clinical characteristics of the participants were collected with a self-report survey. Correlation and regression analyses were conducted to determine relationships between the variables.
Results: A hierarchical multiple regression revealed that four variables: health control - power of others
(b =0.42, p ≤ 0.001), optimism (b =0.27, p ≤ 0.01), health control - internal factors (b = -0.11, p = 0.017) and self-efficacy (b =0.11, p = 0.031), were significant correlates of self-management in our study group. These variables explained 27% of variance in the dependent variable. Moreover, correlations between self-management and other measured variables were obtained.
Conclusions: Self-management of patients with MS is associated with perception that health professionals and family members control their health, higher self-efficacy, optimism, and surprisingly, lower perception of personal control over one´s state of health. Our study indicates the key role of the physicians in the process of motivating the patient with MS for self-management activities and produce new knowledge for potential psychological intervention aimed at improving patient's self-management.
Disclosure:
Wilski: nothing to disclose
Tasiemski: nothing to disclose
Kocur: nothing to disclose
Brola: nothing to disclose

Abstract: EP1831

Type: ePoster

Abstract Category: Therapy - symptomatic - 34 Quality of life

Background: Self-management of chronic illness is a key component of patients' active participation in treatment process and has been found to be associated with better quality of life, reduced disability and number of complications, improved outcomes and lower costs of treatment. So far, correlates of self-management in multiple sclerosis (MS) have not been subjected to extensive empirical research. An increased understanding of these correlations may help clinicians to identify individuals at an increased risk of poor self-management skills, take positive action towards activating the patient and implementing effective rehabilitation interventions.
Purpose: The aim of this study was to verify if potentially modifiable cognitive perceptions, such as self-efficacy, optimism, acceptance of illness and health locus of control are the correlates of self-management in MS.
Methods: The cross-sectional study included 382 patients with MS, who completed Multiple Sclerosis Self-Management Scale - Revised, and a set of questionnaires measuring self-efficacy, optimism, acceptance of illness and health locus of control. Demographic and clinical characteristics of the participants were collected with a self-report survey. Correlation and regression analyses were conducted to determine relationships between the variables.
Results: A hierarchical multiple regression revealed that four variables: health control - power of others
(b =0.42, p ≤ 0.001), optimism (b =0.27, p ≤ 0.01), health control - internal factors (b = -0.11, p = 0.017) and self-efficacy (b =0.11, p = 0.031), were significant correlates of self-management in our study group. These variables explained 27% of variance in the dependent variable. Moreover, correlations between self-management and other measured variables were obtained.
Conclusions: Self-management of patients with MS is associated with perception that health professionals and family members control their health, higher self-efficacy, optimism, and surprisingly, lower perception of personal control over one´s state of health. Our study indicates the key role of the physicians in the process of motivating the patient with MS for self-management activities and produce new knowledge for potential psychological intervention aimed at improving patient's self-management.
Disclosure:
Wilski: nothing to disclose
Tasiemski: nothing to disclose
Kocur: nothing to disclose
Brola: nothing to disclose

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