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Evaluation of a Self-management Program to Prevent Falls in People With Multiple Sclerosis

CompletedNA

Sponsor: Karolinska Institutet

Conditions: Multiple Sclerosis

Interventions: Fall prevention program, Brochure

Countries: Sweden

The goal of this randomized controlled trial is to evaluate the effects of a digital group based self-management fall prevention program, "Fewer Falls in MS", in people with multiple sclerosis (PwMS). The main questions it aims to answer are:. * Is the Fewer falls in MS program effective in reducing fall incidence in PwMS at 6 and 12 months after start of intervention? * Does the program have an effect on secondary outcomes at 3, 6 and 12 months? * How do process evaluation components (context, implementation, mechanisms of impact) inform interpretation of outcomes? * What is the cost effectiveness of the fall prevention program 12 months after start of intervention? Participants in the intervention group will participate in a group-based self-management fall prevention intervention of eight 2-hour sessions delivered online by a group leader. The group leader will participate in an online education program before intervention start. Home assignments are completed by the participants between group sessions. Participants in the intervention group and the control group will receive a brochure on fall risk factors and fall prevention Researchers will compare the intervention group and the control group to see if there are any differences in fall incidence, sense of control of falls prevention, fear of falling, falls self-efficacy, activity curtailment, perceived impact of MS, self-reported health, and health economic costs. Researchers will also study factors and mechanisms that support or hinder how the fall prevention program builds participants' ability to manage their fall risk; and if and how PwMS have implemented and use self-management fall prevention behaviours into their daily lives.

Eligibility overview

Sex: ALL

Age: 18 Years to —

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* PwMS aged ≥ 18 years
* Able to walk or independently transfer from bed to chair or wheelchair with or without aids but without assistance of another person
* Have experienced one or more falls during the last year
* Able to understand and communicate in Swedish
* Self-rated ability to use and access to technical devices for online meetings i.e., computers or tablets with internet access and mobile phones to receive and send short message service

Locations (1)

Huddinge, Sweden