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Old 11-08-2019, 01:30 PM
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Default The Priorities of Neurologists for Exercise Promotion in Comprehensive MS

The Priorities of Neurologists for Exercise Promotion in Comprehensive Multiple Sclerosis Care

Emma V. Richardson, Matthew Fifolt, et al
https://doi.org/10.1016/j.msard.2019.101482

Highlights

•Exercise is an essential strategy for improving symptoms of MS.

•Neurologists are under resourced to provide this information.

•We addressed gaps in knowledge and practice in the paper.

•Time, training and insurance constraints were barriers to exercise promotion.

•Exercise guidelines, resources and a team approach facilitate exercise promotion.

Abstract

Background
Fewer than 20% of persons with multiple sclerosis (MS) engage in sufficient amounts of exercise for experiencing health and wellness benefits. Neurologists have a powerful and influential relationship among patients, highlighting the potential for the patient-provider interaction to be a gateway for promoting exercise behavior. Neurologists, however, are under-supported and under-resourced for promoting exercise in comprehensive MS care. The purpose of this study was to determine the priorities of neurologists for exercise promotion among patients in comprehensive MS care and, where possible, provide suggestions for how each priority may be addressed in practice.

Methods
Priority areas were identified through deductive content analysis of 20 semi-structured interviews with practicing neurologists.

Results
Seven priority areas were identified regarding promotion of exercise among patients in comprehensive MS care. These included (Olek et al., 2015) How do I fit exercise promotion into a patient's appointment? (Moreau et al., 1996) What resources should I give my patients about exercise? (Dendrou et al., 2015) What are the benefits of exercise for people with MS? (Motl et al., 2017) What training can I do to be better informed about exercise? (Pilutti et al., 2014) What are the prescriptions/guidelines for exercise among persons with MS? (Motl and Pilutti, 2012) What kind of services can I rely on to support me in promoting and supporting exercise behavior? (Klaren et al., 2013) How do I negotiate reimbursement and insurance restrictions when I promote exercise?

Conclusions
This research sets an agenda regarding approaches for exercise promotion among patients with MS through interactions with neurologists in comprehensive care settings.
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