One year follow-up of a pragmatic multi-centre randomised controlled trial of a group-based fatigue management programme (FACETS) for people with MS.

Journal article

Thomas P., Thomas S., Kersten P., Jones R., Slingsby V., Nock A., Davies Smith A., Baker R., Galvin K. and Hillier C. 2014. One year follow-up of a pragmatic multi-centre randomised controlled trial of a group-based fatigue management programme (FACETS) for people with MS. BMC Neurology. 14. https://doi.org/10.1186/1471-2377-14-109
AuthorsThomas P., Thomas S., Kersten P., Jones R., Slingsby V., Nock A., Davies Smith A., Baker R., Galvin K. and Hillier C.
Abstract

Background
Fatigue is one of the most common and debilitating symptoms of multiple sclerosis (MS). The aim was to evaluate the effectiveness at 1-year follow-up of a manualised group-based programme (‘FACETS’) for managing MS-fatigue.

Methods
One-year follow-up of a pragmatic multi-centre randomised controlled trial. People with MS and significant fatigue were randomised to FACETS plus current local practice (FACETS) or current local practice alone (CLP), using concealed computer-generated randomisation. Participant blinding was not possible. Primary outcome measures were fatigue severity (Global Fatigue Severity subscale of the Fatigue Assessment Instrument), self-efficacy (MS-Fatigue Self-Efficacy) and disease-specific quality of life (MS Impact Scale).

Results
Between May 2008 and November 2009, 164 participants were randomised. Primary outcome data were available at 1 year for 131 (80%). The benefits demonstrated at 4-months in the FACETS arm for fatigue severity and self-efficacy largely persisted, with a slight reduction in standardised effect sizes (SES) (−0.29, p = 0.06 and 0.34, p = 0.09, respectively). There was a significant difference on the MS Impact Scale favouring FACETS that had not been present at 4-months (SES −0.24, p = 0.046). No adverse events were reported.

Conclusions
Improvements in fatigue severity and self-efficacy at 4-months follow-up following attendance of FACETS were mostly sustained at 1 year with additional improvements in MS impact. The FACETS programme provides modest long-term benefits to people with MS-fatigue.

KeywordsFatigue; MS; Multiple Sclerosis; Fatigue management; Manualised group-based programme
Year2014
JournalBMC Neurology
Journal citation14
PublisherBMC
ISSN1471-2377
Digital Object Identifier (DOI)https://doi.org/10.1186/1471-2377-14-109
Official URLhttps://bmcneurol.biomedcentral.com/articles/10.1186/1471-2377-14-109
Publication dates
Online19 May 2014
Publication process dates
Deposited28 Jul 2022
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