Pilot study exploring quality of life and barriers to leisure-time physical activity in persons with moderate to severe multiple sclerosis

Elizabeth A. Vanner, Pamela Block, Christopher C. Christodoulou, Beverly P. Horowitz, Lauren B. Krupp

Research output: Contribution to journalArticlepeer-review

57 Scopus citations

Abstract

Background: We sought to assess how impairment (physiological/psychological) and disability (social/environmental) are associated with physical and leisure/recreation activity levels and quality of life (QOL) in people with moderate/severe multiple sclerosis (MS). We conducted a cross-sectional survey at the MS Comprehensive Care Center, Stony Brook University Hospital, Stony Brook, NY, of a convenience sample of 43 people (50 eligible) with MS and Expanded Disability Status Scale scores of 6.0 to 8.0. The main outcome measures were QOL measured by MSQOL-54, physical activity measured by Physical Activity Disability Scale, and leisure/recreation activity measured by Nottingham Leisure Questionnaire. We analyzed the canonical correlations among physical and leisure/recreation activity levels and (1) impairment and (2) QOL. Results: Higher levels of physical and leisure/recreation activity were associated with lower levels of apathy and depression and higher levels of cognition, self-efficacy, and QOL (physical and mental). Major barriers reported included fatigue, lack of motivation, and cost. Conclusion: Impairments and social/environmental disabilities create barriers to physical and leisure/recreation activity. Additional research is needed to determine, for people with MS, what supports might increase participation in physical and leisure/recreation activities and whether this increase yields improved QOL.

Original languageEnglish (US)
Pages (from-to)58-65
Number of pages8
JournalDisability and Health Journal
Volume1
Issue number1
DOIs
StatePublished - Jan 2008
Externally publishedYes

Keywords

  • Exercise
  • Multiple sclerosis
  • Quality of life
  • Recreation
  • Social problems

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Fingerprint

Dive into the research topics of 'Pilot study exploring quality of life and barriers to leisure-time physical activity in persons with moderate to severe multiple sclerosis'. Together they form a unique fingerprint.

Cite this