@article{ref1,
title="An internet-based self-management intervention to reduce fatigue among people with traumatic brain injury: a pilot randomized controlled trial",
journal="American journal of occupational therapy",
year="2022",
author="Raina, Ketki D. and Morse, Jennifer Q. and Chisholm, Denise and Whyte, Ellen M. and Terhorst, Lauren",
volume="76",
number="4",
pages="e7604205100-e7604205100",
abstract="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. <br><br>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. <br><br>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. <br><br>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]. <br><br>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 cognitive-behavioral 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.<p /> <p>Language: en</p>",
language="en",
issn="0272-9490",
doi="10.5014/ajot.2022.048587",
url="http://dx.doi.org/10.5014/ajot.2022.048587"
}