TY  - JOUR
PY  - 2023//
TI  - Online delivery of the individualized reduction of falls intervention for persons with multiple sclerosis who use a wheelchair or scooter full-time: a pilot study
JO  - International journal of MS care
A1  - McArthur, Amy Roder
A1  - Peterson, Elizabeth Walker
A1  - Sosnoff, Jacob
A1  - Backus, Deborah
A1  - Yarnot, Rebecca
A1  - Abou, Libak
A1  - Kish, Jacqueline
A1  - Steinkellner, Sydney
A1  - Sandhu, Arman
A1  - Rice, Laura
SP  - 82
EP  - 90
VL  - 25
IS  - 2
N2  - BACKGROUND: People with multiple sclerosis (MS) who use a wheelchair or scooter full-time fall frequently; however, fall prevention programming that meets the unique needs of this population is limited. This study examined the preliminary efficacy of a group-based online fall prevention and management intervention designed specifically for people with MS. <br><br>METHODS: This pre/post intervention, mixed-methods study included people with MS who used a wheelchair or scooter full-time, experienced at least 1 fall within the past year, and transferred independently or with minimal or moderate assistance. Participants engaged in a 6-week, online, individualized, multicomponent fall prevention and management intervention: Individualized Reduction of Falls-Online (iROLL-O). <br><br>RESULTS: No statistically significant change in fall incidence occurred after iROLL-O. However, fear of falling significantly decreased (P <.01) and knowledge related to fall management (P =.04) and fall prevention and management (P =.03) significantly improved. Qualitative results indicated that participants valued the opportunity for peer learning and iROLL-O's attention to diverse influences on fall risk. <br><br>CONCLUSIONS: This study is the first to examine the preliminary efficacy of an online fall prevention and management intervention for people with MS who use a wheelchair or scooter full-time. iROLL-O has promise, and participants found it valuable. Further efforts are needed to retain iROLL-O participants with lower confidence and functional mobility, and more research is needed to investigate the impact of the intervention on key outcomes over time.<p />  <p>Language: en</p>
LA  - en
SN  - 1537-2073
UR  - http://dx.doi.org/10.7224/1537-2073.2022-044
ID  - ref1
ER  -