The feasibility and short-term benefits of Blue Prescription: a novel intervention to enable physical activity for people with multiple sclerosis

Abstract

Purpose: Participation in physical activity for people with Multiple sclerosis (MS) is important but can be difficult to sustain long-term. Facilitators for long-term adherence include choice over activity and control over level of engagement, coupled with support, advice and encouragement from a physiotherapist. This is the basis of Blue Prescription, a novel physiotherapy approach aimed at optimising long-term adherence with physical activity. We evaluated the feasibility and short-term benefits of Blue Prescription in people with MS. Methods: Twenty-seven people with MS (mean age: 51 ± 11 years, with a range of MS type and disability) were assessed at baseline and immediately post-intervention with the MS Impact Scale, MS Self-efficacy Scale, and European Quality of Life Questionnaire. Change in outcomes were analysed with Wilcoxon signed ranks tests. Results: All participants, irrespective of level of disability, were able to choose a physical activity and to engage in it. The physical component MS Impact Scale score significantly improved by a median change of 6.5 (95% CI = −10.5 to −2.0; p = 0.007; effect size = 0.38). There were no other significant changes in outcomes. Conclusion: Blue Prescription appears feasible and potentially beneficial, particularly in reducing the negative impacts of MS upon individuals, and thus warrants further evaluation.

Implications for Rehabilitation

• Facilitators for long-term adherence for disabled people include choice over activity and control over level of engagement, coupled with support, advice and encouragement from a physiotherapist.

• Blue Prescription is a physiotherapy approach aimed at optimising long-term adherence with physical activity for people with multiple sclerosis.

• Blue Prescription appears to reduce the negative impacts of multiple sclerosis upon individuals.

Keywords::

• Adherence
• enablement
• exercise
• health
• participation
• physiotherapy

Acknowledgements

Contributions to the development of the Blue Prescription approach: Dr Sarah Dean, Senior Lecturer in Health Services Research, Peninsula College of Medicine and Dentistry, University of Exeter.

Declaration of Interest: Rehabilitation and Disability Research Theme (University of Otago) grant and a University of Otago Research Grant.