Self-efficacy and health status improve after a wellness program in persons with multiple sclerosis
Abstract
Purpose: To determine if an intensive wellness program for persons with MS results in improved self-efficacy, quality of life (QOL), or physical activity outcomes. Methods: 129 subjects participated in one of seven 4-day interdisciplinary educational wellness programs throughout the United States. This intervention was based on the philosophy that health management is important to disease management. The program consisted of psychological and physiological evaluations, lectures and workshops. Before the intervention and after at 1, 3 and 6 months, self-efficacy (MS Self-Efficacy Scale, MSSE, control), health related QOL (SF-36) and physical activity (Physical Activity Scale for Persons with Physical Disabilities, PASAID) was assessed. Results: Improvements were noted at 1, 3 and 6 months post-intervention. Those present at 6 months included, MSSE, role physical, vitality and mental health scales of the SF-36. PASAID did not change. Improvements were independent of disability (EDSS). Conclusion: A 4-day multidisciplinary educational wellness program can result in improvement in self-efficacy and health-related QOL in persons with MS and can be stable up to at least 6 months. Improvements do not depend on degree of disability.Implications for RehabilitationMultiple sclerosis is a neurologic disease that can have a significant negative impact on self-efficacy and quality of life.Some wellness based programs have been shown to be effective in improving self-efficacy and quality of life (QOL) in persons with MS.Distance or time could be barriers to access effective wellness programs.An intensive “traveling” 4-day interdisciplinary educational wellness program can result in improvements in self-efficacy and health-related quality of life in persons with MS.Improvements were not dependent on a person’s level of disability (i.e. EDSS).
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Previous investigations found improvements in self-efficacy after wellness programs, cognitive behavioral interventions, and fatigue management programs.
“Previous investigations have found improvements in self- efficacy following involvement in wellness programs,73 cognitive behavioral interventions,74 and fatigue management programs75”
From Quality of life and psychological well-being in the early stages of multiple sclerosis (MS): importance of adopting a biopsychosocial model (2018) · cites this paper as [73]
Cites
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1977) · Psychological Review · doi:10.1037/0033-295x.84.2.191 · Cited by 43,925 · see citing works
(1992) · PubMed · Cited by 33,716 · see citing works
The MOS 36-ltem Short-Form Health Survey (SF-36): I. Conceptual Framework and Item Selection
Ware, J. E., & Sherbourne, C. D. (1992) · Medical Care · doi:10.1097/00005650-199206000-00002 · Cited by 30,033 · see citing works
Rating neurologic impairment in multiple sclerosis: An expanded disability status scale (EDSS)
Kurtzke, J. F. (1983) · Neurology · doi:10.1212/wnl.33.11.1444 · Cited by 15,011 · see citing works
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1978) · Advances in Behaviour Research and Therapy · doi:10.1016/0146-6402(78)90002-4 · Cited by 10,586 · see citing works
Health Promotion by Social Cognitive Means
Bandura, A. (2004) · Health Education & Behavior · doi:10.1177/1090198104263660 · Cited by 7,238 · see citing works
Impact of aerobic training on fitness and quality of life in multiple sclerosis
Petajan, J. H., Gappmaier, E., White, A. T., SPENCER, M. K., Mino, L., & Hicks, R. W. (1996) · Annals of Neurology · doi:10.1002/ana.410390405 · Cited by 756 · see citing works
Randomized controlled trial of yoga and exercise in multiple sclerosis
Oken, B. S., Kishiyama, S. S., Zajdel, D. P., BOURDETTE, D. N., Carlsen, J., Haas, M., Hugos, C., Kraemer, D. F., Lawrence, J., & Mass, M. K. (2004) · Neurology · doi:10.1212/01.wnl.0000129534.88602.5c · Cited by 588 · see citing works
Mostert, S., & Kesselring, J. (2002) · Multiple Sclerosis Journal · doi:10.1191/1352458502ms779oa · Cited by 499 · see citing works
The physical activity scale for individuals with physical disabilities: development and evaluation.
Washburn, R., Zhu, W.-M., McAuley, E., Frogley, M., & Figoni, S. (2002) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2002.27467 · Cited by 483 · see citing works
Organizational wellness programs: A meta-analysis.
Parks, K. M., & Steelman, L. A. (2008) · Journal of Occupational Health Psychology · doi:10.1037/1076-8998.13.1.58 · Cited by 352 · see citing works
An Explanatory Model of Health Promotion and Quality of Life in Chronic Disabling Conditions
Stuifbergen, A. M., Seraphine, A. E., & Roberts, G. J. (2000) · Nursing Research · doi:10.1097/00006199-200005000-00002 · Cited by 251 · see citing works
Quantitation of lower physical activity in persons with multiple sclerosis
Ng, A. V., & Kent‐Braun, J. A. (1997) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199704000-00014 · Cited by 211 · see citing works
Self-citationVelikonja, O., Čurić, K., Ožura, A., & Jazbec, S. Š. (2010) · Clinical Neurology and Neurosurgery · doi:10.1016/j.clineuro.2010.03.006 · Cited by 184 · see citing works
A randomized clinical trial of a wellness intervention for women with multiple sclerosis
Stuifbergen, A. M., Becker, H., Blozis, S. A., Timmerman, G. M., & Kullberg, V. (2003) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2003.50028 · Cited by 177 · see citing works
Physical Activity, Self-Efficacy, and Quality of Life in Multiple Sclerosis
Motl, R. W., & Snook, E. M. (2008) · Annals of Behavioral Medicine · doi:10.1007/s12160-007-9006-7 · Cited by 136 · see citing works
Measuring self-efficacy in people with multiple scleoris: a validation study
Schwartz, C. E., Coulthard-Morris, L., Zeng, Q., & Retzlaff, P. D. (1996) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/s0003-9993(96)90091-x · Cited by 135 · see citing works
Self-efficacy predicts self-reported health status in multiple sclerosis
Riazi, A., Thompson, A. J., & Hobart, J. C. (2004) · Multiple Sclerosis Journal · doi:10.1191/1352458504ms986oa · Cited by 127 · see citing works
Prediction of psychological adjustment to multiple sclerosis
Barnwell, A. M., & Kavanagh, D. J. (1997) · Social Science & Medicine · doi:10.1016/s0277-9536(96)00356-5 · Cited by 116 · see citing works
Ennis, M., Thain, J., Boggild, M., Baker, G., & Young, C. A. (2006) · Clinical Rehabilitation · doi:10.1177/0269215506070805 · Cited by 89 · see citing works
Moch, S. D. (1989) · Advances in Nursing Science · doi:10.1097/00012272-198907000-00006 · Cited by 75 · see citing works
Wellness programs: a review of the evidence.
Watt, D., Verma, S., & Flynn, L. M. (1998) · Europe PMC (PubMed Central) · Cited by 73 · see citing works
Block, P., Vanner, E. A., Keys, C. B., Rimmer, J. H., & Skeels, S. E. (2009) · Disability and Rehabilitation · doi:10.3109/09638280903295466 · Cited by 66 · see citing works
Ferrier, S. N., Dunlop, N. L., & Blanchard, C. M. (2010) · Behavioral Medicine · doi:10.1080/08964280903521354 · Cited by 65 · see citing works
Stuifbergen, A. M., Morris, M., Jung, J. H., Pierini, D., & Morgan, S. (2009) · Disability and health journal · doi:10.1016/j.dhjo.2009.10.007 · Cited by 54 · see citing works
High Level Wellness Strategies
Ardell, D. B. (1977) · Health Education · doi:10.1080/00970050.1977.10618258 · Cited by 51 · see citing works
Preliminary evidence that self-efficacy predicts physical activity in multiple sclerosis
Motl, R. W., McAuley, E., Doerksen, S. E., Hu, L., & Morris, K. S. (2009) · International Journal of Rehabilitation Research · doi:10.1097/mrr.0b013e328325a5ed · Cited by 50 · see citing works
A Delphi study of self-care in a community population of people with multiple sclerosis
O’Hara, L., Souza, L. H. D., & Ide, L. (2000) · Clinical Rehabilitation · doi:10.1191/026921500666135189 · Cited by 41 · see citing works
Barriers and Health Behaviors of Rural and Urban Persons with MS
Stuifbergen, A. M. (1999) · American Journal of Health Behavior · doi:10.5993/ajhb.23.6.2 · Cited by 31 · see citing works
Urban/rural differences in the use of physician services by people with multiple sclerosis
Buchanan, R. J., Wang, S., Stuifbergen, A. M., Chakravorty, B. J., Zhu, L., & Kim, M. (2006) · Neurorehabilitation · doi:10.3233/nre-2006-21301 · Cited by 27 · see citing works
Adaptation of a Wellness Intervention for Women with Chronic Disabling Conditions
Stuifbergen, A. M., Harrison, T. C., Becker, H., & Carter, P. A. (2004) · Journal of Holistic Nursing · doi:10.1177/0898010104263230 · Cited by 24 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Strober, L. B. (2018) · Disability and health journal · doi:10.1016/j.dhjo.2018.05.003 · Cited by 99 · see citing works
Schmitt, M. M., Goverover, Y., DeLuca, J., & Chiaravalloti, N. (2014) · Rehabilitation Psychology · doi:10.1037/a0035288 · Cited by 70 · see citing works
Casey, B., Coote, S. B., Shirazipour, C. H., Hannigan, A., Motl, R. W., Ginis, K. A. M., & Latimer‐Cheung, A. E. (2017) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2017.01.027 · Cited by 58 · see citing works
Wills, O. C., & Probst, Y. (2022) · Health and Quality of Life Outcomes · doi:10.1186/s12955-022-02046-1 · Cited by 52 · see citing works
Ploughman, M. (2017) · Physical Therapy Reviews · doi:10.1080/10833196.2017.1315212 · Cited by 42 · see citing works
Hughes, A. J., Beier, M. L., Hartoonian, N., Turner, A. P., Amtmann, D., & Ehde, D. M. (2015) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2015.01.008 · Cited by 40 · see citing works
Jongen, P. J., Ruimschotel, R. P., Heerings, M. A. P., Hussaarts, A., Duyverman, L., van der Zande, A., Valkenburg-Vissers, J., Wolper, H., van Droffelaar, M., Lemmens, W. A. J. G., et al. (2014) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-12-40 · Cited by 38 · see citing works
Clare, L., Teale, J. C., Toms, G., Kudlicka, A., Evans, I., Abrahams, S., Goldstein, L. H., Hindle, J. V., Ho, A. K., Jahanshahi, M., et al. (2019) · NeuroRehabilitation · doi:10.3233/nre-172353 · Cited by 37 · see citing works
Ploughman, M., Harris, C. A., Wallack, E. M., Drodge, O., Beaulieu, S., & Hogan, S. (2015) · PeerJ · doi:10.7717/peerj.1158 · Cited by 37 · see citing works
Strober, L. B., Chiaravalloti, N., & DeLuca, J. (2018) · Work · doi:10.3233/wor-172667 · Cited by 36 · see citing works
Active lifestyles in older adults: an integrated predictive model of physical activity and exercise
Galli, F., Chirico, A., Mallia, L., Girelli, L., Laurentiis, M. D., Lucidi, F., Giordano, A., & Botti, G. (2018) · Oncotarget · doi:10.18632/oncotarget.25352 · Cited by 35 · see citing works
Pressick, E. L., Gray, M. A., Cole, R. L., & Burkett, B. J. (2015) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2015.11.005 · Cited by 24 · see citing works
Bragazzi, N. L. (2013) · Multiple Sclerosis International · doi:10.1155/2013/972471 · Cited by 23 · see citing works
McGuire, K. B., Stojanovic-Radic, J., Strober, L., Chiaravalloti, N. D., & DeLuca, J. (2015) · International Journal of MS Care · doi:10.7224/1537-2073.2013-045 · Cited by 30 · see citing works
Kalina, J. T., Hinojosa, J., Strober, L. B., Bacon, J. H., Donnelly, S., & Goverover, Y. (2018) · American Journal of Occupational Therapy · doi:10.5014/ajot.2018.026864 · Cited by 20 · see citing works
Gavelova, M., Nagyová, I., Rosenberger, J., Krokavcova, M., Gdovinová, Z., Groothoff, J. W., & van Dijk, J. P. (2015) · Disability and health journal · doi:10.1016/j.dhjo.2015.02.006 · Cited by 14 · see citing works
Jongen, P. J., Heerings, M. A. P., Ruimschotel, R. P., Hussaarts, A., Evers, S., Duyverman, L., Valkenburg-Vissers, J., Cornelissen, J., Bos, M., van Droffelaar, M., et al. (2016) · BMC Neurology · doi:10.1186/s12883-016-0593-4 · Cited by 14 · see citing works
Meaning of Self in Multiple Sclerosis: Implications for Treatment and Rehabilitation
Wilski, M., & Tasiemski, T. (2017) · Advances in experimental medicine and biology · doi:10.1007/978-3-319-47861-6_4 · Cited by 12 · see citing works
Dixon-Ibarra, A. M., Nery-Hurwit, M. B., Driver, S. J., & MacDonald, M. (2016) · Evaluation and Program Planning · doi:10.1016/j.evalprogplan.2016.12.005 · Cited by 11 · see citing works
Bradson, M. L., & Strober, L. B. (2024) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2024.105495 · Cited by 10 · see citing works
Boland, P., Levack, W., Hudson, S., & Bell, E. M. (2018) · International Journal of Therapy and Rehabilitation · doi:10.12968/ijtr.2018.25.5.240 · Cited by 10 · see citing works
Titcomb, T. J., Sherwood, M., Ehlinger, M. A., Saxby, S. M., Shemirani, F., Eyck, P. T., Wahls, T. L., & Snetselaar, L. G. (2023) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2023.104858 · Cited by 9 · see citing works
Lin, X., Yu, M., Jelinek, G. A., Simpson, S., Neate, S. L., & Nag, N. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17165935 · Cited by 9 · see citing works
Jackson, K., & Newbury‐Birch, D. (2023) · Disability and Rehabilitation · doi:10.1080/09638288.2023.2266369 · Cited by 4 · see citing works
Hijfte, L. V., Jonkers, C., Kerkhove, Y. V., Willekens, H., Laureys, G., & Willekens, B. M. P. (2025) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2025.106581 · Cited by 3 · see citing works
Young, C. A., Rog, D. J., Tănăsescu, R., Sharrack, B., Tennant, A., & Mills, R. J. (2026) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2026.125853 · Cited by 3 · see citing works
van Mastrigt, G. A. P. G., Evers, S., Heerings, M. A. P., Visser, L. H., Ruimschotel, R. P., Hussaarts, A., Duyverman, L., Valkenburg-Vissers, J., Cornelissen, J., Bos, M., et al. (2019) · Journal of Medical Economics · doi:10.1080/13696998.2019.1609300 · Cited by 2 · see citing works
Hutzler, Y., & Zitomer, M. R. (2022) · Journal of Educational and Developmental Psychology · doi:10.5539/jedp.v12n1p86
Malone, T., Schafer, J. A., Sayre, L., & Hutchinson, B. (2024) · International Journal of MS Care · doi:10.7224/1537-2073.2023-018
Self-citationBerry, L. R., Titcomb, T. J., Shemirani, F., Eyck, P. T., Carr, L. J., Darling, W. G., Hoth, K. F., Snetselaar, L., & Wahls, T. L. (2026) · Sclerosis · doi:10.3390/sclerosis4010007
Nayani, R., Tregaskis, O., Fida, R., Watson, D. J., Paciello, M., & Daniels, K. (2026) · Human Resource Management Review · doi:10.1016/j.hrmr.2026.101164
- Authors
- Ng, A., Kennedy, P., Hutchinson, B., Ingram, A., Vondrell, S., Goodman, T., & Miller, D.
- Affiliations
- Marquette University (US)
- Can Do Multiple Sclerosis (US)
- Acorda Therapeutics (United States) (US)
- Corresponding author
- Ng, Alexander
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2012-09-25
- Volume
- 35
- Issue
- 12
- Pages
- 1039-1044
- ISSN
- 0963-8288 (ISSN-L)
- 1464-5165
- OpenAlex
- W2096592842
- Cited by
- 32
- References
- 31
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2020: 1 · 2019: 1 · 2018: 6 · 2017: 4 · 2016: 2 · 2015: 4 · 2014: 2 · 2013: 2
- FWCI
- 1.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Disability and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- multiple sclerosis, wellness programs, self-efficacy, health-related quality of life, physical activity, multidisciplinary education, disease management, disability severity, SF-36
- MeSH terms
- Activities of Daily Living, Disability Evaluation, Female, Persons with Disabilities, Disabled Persons, Health Promotion, Health Status, Humans, Male, Mental Health, Motor Activity, Multiple Sclerosis, Quality of Life, Surveys and Questionnaires, Severity of Illness Index, Program Evaluation, Treatment Outcome, Self Efficacy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
