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The effect of baseline exercise levels on the success of a remotely delivered exercise and behaviour change program in people with multiple sclerosis

White-Kiely, Aiden (2021) The effect of baseline exercise levels on the success of a remotely delivered exercise and behaviour change program in people with multiple sclerosis. Masters by Research thesis, Murdoch University.

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Abstract

BACKGROUND: Exercise is now a crucial part of the standard care for MS and is considered the most effective non-pharmacological method of managing symptoms. Updated guidelines for physical activity in MS have recently been published, however many people with MS do not reach these levels. There is currently no empirical research testing the merit of the new guidelines, and there are few studies which integrate at-home/remote exercise delivery and behavioural change techniques for people with MS. OBJECTIVE: Investigate the methodology and evidence of existing literature to determine important variables when considering remote exercise and behaviour change interventions in MS. Subseuently, test the effect of pre-intervention exercise levels on change in exercise levels in a fesability randomised trisal. METHODS: Firstly, condusct a scoping review of the literature to determine the most effective remote delivery interventions, and important variables to consider (such as adherance). Secondly, run a secondary analysis and addition to Project BASE-MS (Changing Behaviour towards Aerobic and Strength Exercise), in which 72 participants were randomly allocated to a control or intervention group; comprising of active-exercisers (AE), and general-exercises (GE). Participants completed 4 months of tailored, internet-delivered aerobic, strength, balance, and stretching exercises. This was supplemented with 6 video calls and newsletters, with concepts based on social cognitive theory. The primary outcome measure was physical activity time, measured by the Godin Leisure-Time Exercise Questionnaire (GLTEQ). RESULTS: The scoping review found mixed evidence for which type of intervention is best, but that subjective measures of PA generally produce increased results, copared to objective measures. In the BASE-MS trial, only the GE group produced a high-moderate increase in GLTEQ score (η

Item Type: Thesis (Masters by Research)
Murdoch Affiliation(s): Psychology, Counselling, Exercise Science and Chiropractic
Supervisor(s): Learmonth, Yvonne and Wall, Brad
URI: http://researchrepository.murdoch.edu.au/id/eprint/62570
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