Article

This study describes the experiences of four groups of healthcare providers who
facilitate exercise interventions for people with multiple sclerosis (MS)-related
fatigue. Fatigue is a complex symptom frequently experienced by people with MS,
yet it is poorly understood by clinicians and clinical researchers. Historically,
clinicians have recommended less physical activity in order to limit fatigue;
however, recent experimental studies suggest that regular exercise provides
health benefits with little increase in fatigue. We used interpretive description
methodology to guide data collection and analysis. Four groups of healthcare
providers participated in either focus group discussions or individual
interviews. Transcripts were analyzed for key meanings. Healthcare providers
described their perceptions of the "nature of fatigue" and how this raised
"professional challenges," specifically "barriers to implementation" of
interventions, "stirring conflict" among interdisciplinary members, and
"modifying roles." The nature of fatigue and professional challenges influenced
clinician practice by "demanding creativity" with regard to exercise prescription
and advice. Healthcare providers are encouraged to consider strategies of active
listening and careful observation when providing individualized exercise programs
for people with MS-related fatigue. In addition, recognition and understanding of
the complex nature of fatigue by the interdisciplinary team might facilitate more
positive exercise experiences for this population.

Langue : ANGLAIS