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Titre : | An Internet-Based Self-Management Intervention to Reduce Fatigue Among People With Traumatic Brain Injury: A Pilot Randomized Controlled Trial (2022) |
Auteurs : | Ketki D. Raina ; Jennifer Q. Morse ; Denise Chisholm ; Ellen M. Whyte ; Lauren Terhorst |
Type de document : | Article |
Dans : | American journal of occupational therapy (Vol. 76, n° 4, Juillet-Août 2022) |
Article en page(s) : | p. 1-8 |
Note générale : | 10.5014/ajot.2022.048587 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Essai contrôlé randomisé ; Fatigue ; Gestion de soi ; Lésions traumatiques de l'encéphale |
Résumé : | Importance: Fatigue is a chronic and distressing sequela of traumatic brain injury (TBI). Little evidence exists for the efficacy of interventions that address post-TBI fatigue. Objective: To evaluate the preliminary efficacy of a self-management intervention (Maximizing Energy; MAX) for reducing the impact (primary outcome) and severity of fatigue on daily life, improving fatigue experience, and increasing participation compared with a health education (HE) intervention. Design: Pilot randomized controlled trial (RCT). Setting: Community. Participants: Forty-one participants randomly assigned to the MAX (n = 20) or HE (n = 21) intervention. Interventions: The MAX intervention included problem-solving therapy with energy conservation education to teach participants fatigue management. The HE intervention included diet, exercise, and energy conservation education. Both interventions (30 min/day, 2 days/wk for 8 wk) were delivered online by occupational therapists. Outcome and Measures: The primary outcome was the modified Fatigue Impact Scale (mFIS). Outcome measures were collected at baseline, postintervention, and 4- and 8-wk postintervention. Results: At 8 wk postintervention, participants in the MAX group reported significantly lower levels of fatigue impact (mFIS) than those in the HE group, F(1, 107) = 29.54, p =.01; Cohen's d = 0.87; 95% confidence interval [0.18, 1.55]. Conclusions and Relevance: These findings provide preliminary evidence that the MAX intervention may decrease the impact of fatigue on daily life among people with post-TBI fatigue. What This Article Adds: An internet-based, self-management intervention combining occupational therapy delivered energy conservation education with cognitivebehavioral therapy seems to reduce fatigue impact and severity among people with post-TBI fatigue. Future appropriately powered RCTs could positively contribute to the evidence available to occupational therapy practitioners for this chronic, debilitating, and often overlooked symptom. This study provides preliminary evidence that Maximizing Energy, an internet-based, self-management intervention, may reduce fatigue impact and severity in people with posttraumatic brain injury fatigue. |
Disponible en ligne : | Oui |
En ligne : | https://search-ebscohost-com.ezproxy.vinci.be/login.aspx?direct=true&db=ccm&AN=158412653&lang=fr&site=ehost-live |