The Effectiveness of Occupational Therapy-Based Sleep Interventions on Quality of Life and Fatigue in Patients with Multiple Sclerosis: A Pilot Randomized Clinical Trial Study

Malahat Akbarfahimi,1 Seyed Massood Nabavi,2 Benyamin Kor,3 Leeba Rezaie,4 Ethan Paschall5 1Department of Occupational Therapy, School of Rehabilitation Sciences, Neuroscience Research Center, Iran University of Medical Sciences, Tehran, Iran; 2Regenerative Biomedicine Department, Cell Research Cent...

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Autores principales:	Akbarfahimi M, Nabavi SM, Kor B, Rezaie L, Paschall E
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	sleep quality quality of life fatigue multiple sclerosis sleep interventions occupational therapy Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/5031ea9e97d0404392fee1e6efee97a1
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id	oai:doaj.org-article:5031ea9e97d0404392fee1e6efee97a1
record_format	dspace
institution	DOAJ
collection	DOAJ
language	EN
topic	sleep quality quality of life fatigue multiple sclerosis sleep interventions occupational therapy Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	sleep quality quality of life fatigue multiple sclerosis sleep interventions occupational therapy Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Akbarfahimi M Nabavi SM Kor B Rezaie L Paschall E The Effectiveness of Occupational Therapy-Based Sleep Interventions on Quality of Life and Fatigue in Patients with Multiple Sclerosis: A Pilot Randomized Clinical Trial Study
description	Malahat Akbarfahimi,1 Seyed Massood Nabavi,2 Benyamin Kor,3 Leeba Rezaie,4 Ethan Paschall5 1Department of Occupational Therapy, School of Rehabilitation Sciences, Neuroscience Research Center, Iran University of Medical Sciences, Tehran, Iran; 2Regenerative Biomedicine Department, Cell Research Center, Royan Institute for Stem Cell Biology and Technology, ACCR, Tehran, Iran; 3Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran; 4Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran; 5Clinical Psychology, Eastern Michigan University, Ypsilanti, Michigan, USACorrespondence: Benyamin KorDepartment of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Mother Square, Tehran, IranEmail Benyamin.kor@gmail.comLeeba RezaieSleep Disorders Research Center, Kermanshah University of Medical Sciences, Dovlat Abad Blvd., Kermanshah, IranTel +98 188364414Fax +98 8338265255Email rezaie.phd.ot@gmail.comPurpose: Sleep difficulties are common in patients with multiple sclerosis (MS), which may increase feelings of fatigue, negatively interfere with daily activities, and consequently reduce their quality of life. Studies examining the effects of sleep-targeted interventions in MS are currently limited in the literature. Therefore, we aim to assess the effects of occupational therapy interventions on sleep quality, fatigue, and quality of life in patients with MS.Patients and Methods: In a single-blind, randomized, controlled trial, which occurred between April 2018 and March 2019 in Tehran, Iran, 20 eligible patients with MS were assessed using the Pittsburgh Sleep Quality Index (PSQI), Fatigue Impact Scale (FIS), Fatigue Severity Scale (FSS), and Short-Form Health Survey (SF-36). Patients were allocated randomly into the two following groups: patients receiving care-as-usual for MS (CAU) and patients receiving care-as-usual plus intervention (CAU + intervention). Both intervention groups underwent 2– 3 sessions per week lasting 30– 45 minutes for 8 weeks and received follow-up assessments. Data were analyzed using independent sample t-tests and Mann–Whitney U tests using SPSS (16 ver.) statistical software.Results: In the intervention group, sleep quality improved significantly across all items (p< 0.001, effect size = 0.60) except for sleep efficiency and the use of sleep medications. FSS and FIS in the sleep intervention group were significantly reduced (p< 0.001, effect size = 0.76 and p< 0.001, effect size = 0.82, respectively). The quality of life in the intervention group improved significantly (p< 0.004, effect size = 0.51– 0.76) with the exception of the social functioning subgroup.Conclusion: Although this is the result of a pilot study and more patients should be added, this intervention program demonstrates improvement in sleep quality and quality of life while decreasing fatigue in patients with MS. Adjunction of this program, if results are similar with more patients, to routine occupational therapy (OT) interventions can help improve the rehabilitation program of MS patients.Keywords: sleep quality, quality of life, fatigue, multiple sclerosis, sleep interventions, occupational therapy
format	article
author	Akbarfahimi M Nabavi SM Kor B Rezaie L Paschall E
author_facet	Akbarfahimi M Nabavi SM Kor B Rezaie L Paschall E
author_sort	Akbarfahimi M
title	The Effectiveness of Occupational Therapy-Based Sleep Interventions on Quality of Life and Fatigue in Patients with Multiple Sclerosis: A Pilot Randomized Clinical Trial Study
title_short	The Effectiveness of Occupational Therapy-Based Sleep Interventions on Quality of Life and Fatigue in Patients with Multiple Sclerosis: A Pilot Randomized Clinical Trial Study
title_full	The Effectiveness of Occupational Therapy-Based Sleep Interventions on Quality of Life and Fatigue in Patients with Multiple Sclerosis: A Pilot Randomized Clinical Trial Study
title_fullStr	The Effectiveness of Occupational Therapy-Based Sleep Interventions on Quality of Life and Fatigue in Patients with Multiple Sclerosis: A Pilot Randomized Clinical Trial Study
title_full_unstemmed	The Effectiveness of Occupational Therapy-Based Sleep Interventions on Quality of Life and Fatigue in Patients with Multiple Sclerosis: A Pilot Randomized Clinical Trial Study
title_sort	effectiveness of occupational therapy-based sleep interventions on quality of life and fatigue in patients with multiple sclerosis: a pilot randomized clinical trial study
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/5031ea9e97d0404392fee1e6efee97a1
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spelling	oai:doaj.org-article:5031ea9e97d0404392fee1e6efee97a12021-12-02T10:16:06ZThe Effectiveness of Occupational Therapy-Based Sleep Interventions on Quality of Life and Fatigue in Patients with Multiple Sclerosis: A Pilot Randomized Clinical Trial Study1178-2021https://doaj.org/article/5031ea9e97d0404392fee1e6efee97a12020-05-01T00:00:00Zhttps://www.dovepress.com/the-effectiveness-of-occupational-therapy-based-sleep-interventions-on-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Malahat Akbarfahimi,1 Seyed Massood Nabavi,2 Benyamin Kor,3 Leeba Rezaie,4 Ethan Paschall5 1Department of Occupational Therapy, School of Rehabilitation Sciences, Neuroscience Research Center, Iran University of Medical Sciences, Tehran, Iran; 2Regenerative Biomedicine Department, Cell Research Center, Royan Institute for Stem Cell Biology and Technology, ACCR, Tehran, Iran; 3Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran; 4Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran; 5Clinical Psychology, Eastern Michigan University, Ypsilanti, Michigan, USACorrespondence: Benyamin KorDepartment of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Mother Square, Tehran, IranEmail Benyamin.kor@gmail.comLeeba RezaieSleep Disorders Research Center, Kermanshah University of Medical Sciences, Dovlat Abad Blvd., Kermanshah, IranTel +98 188364414Fax +98 8338265255Email rezaie.phd.ot@gmail.comPurpose: Sleep difficulties are common in patients with multiple sclerosis (MS), which may increase feelings of fatigue, negatively interfere with daily activities, and consequently reduce their quality of life. Studies examining the effects of sleep-targeted interventions in MS are currently limited in the literature. Therefore, we aim to assess the effects of occupational therapy interventions on sleep quality, fatigue, and quality of life in patients with MS.Patients and Methods: In a single-blind, randomized, controlled trial, which occurred between April 2018 and March 2019 in Tehran, Iran, 20 eligible patients with MS were assessed using the Pittsburgh Sleep Quality Index (PSQI), Fatigue Impact Scale (FIS), Fatigue Severity Scale (FSS), and Short-Form Health Survey (SF-36). Patients were allocated randomly into the two following groups: patients receiving care-as-usual for MS (CAU) and patients receiving care-as-usual plus intervention (CAU + intervention). Both intervention groups underwent 2– 3 sessions per week lasting 30– 45 minutes for 8 weeks and received follow-up assessments. Data were analyzed using independent sample t-tests and Mann–Whitney U tests using SPSS (16 ver.) statistical software.Results: In the intervention group, sleep quality improved significantly across all items (p< 0.001, effect size = 0.60) except for sleep efficiency and the use of sleep medications. FSS and FIS in the sleep intervention group were significantly reduced (p< 0.001, effect size = 0.76 and p< 0.001, effect size = 0.82, respectively). The quality of life in the intervention group improved significantly (p< 0.004, effect size = 0.51– 0.76) with the exception of the social functioning subgroup.Conclusion: Although this is the result of a pilot study and more patients should be added, this intervention program demonstrates improvement in sleep quality and quality of life while decreasing fatigue in patients with MS. Adjunction of this program, if results are similar with more patients, to routine occupational therapy (OT) interventions can help improve the rehabilitation program of MS patients.Keywords: sleep quality, quality of life, fatigue, multiple sclerosis, sleep interventions, occupational therapyAkbarfahimi MNabavi SMKor BRezaie LPaschall EDove Medical Pressarticlesleep qualityquality of lifefatiguemultiple sclerosissleep interventionsoccupational therapyNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 16, Pp 1369-1379 (2020)

The Effectiveness of Occupational Therapy-Based Sleep Interventions on Quality of Life and Fatigue in Patients with Multiple Sclerosis: A Pilot Randomized Clinical Trial Study

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