Tele-Exercise and Multiple Sclerosis



Status:Recruiting
Conditions:Neurology, Neurology, Multiple Sclerosis
Therapuetic Areas:Neurology, Other
Healthy:No
Age Range:18 - 70
Updated:10/17/2018
Start Date:January 8, 2018
End Date:September 30, 2020
Contact:Emily Goodner, MS
Email:emilysg@uab.edu
Phone:205-403-5512

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Comparative Effectiveness Trial Between a Clinic- and Home-Based Complementary and Alternative Medicine Telerehabilitation Intervention for Adults With Multiple Sclerosis (MS)

The purpose of this study is to compare the effects of two delivery models of an
evidence-based complementary alternative medicine (CAM) program that combines
neurorehabilitative (functional) exercise, yoga, and Pilates for adults age 18-70 with
multiple sclerosis (MS). CAM will be delivered as a 12-week program through two different
delivery forms: On-site at a clinic (DirectCAM) and telerehabilitation (TeleCAM).
Participants will be randomly assigned to one of these two groups.

There are few primary care and multiple sclerosis (MS) clinics that provide full exercise and
rehabilitation services for patients with MS, especially in mostly rural, low‐income areas
such as Alabama, Mississippi, and Tennessee. Telerehabilitation, or the delivery of
rehabilitation services over the telephone and/or the Internet, can help fill service gaps
for underserved MS patient populations in this region. The proposed study will determine if
our evidence‐based rehabilitation and exercise program produces similar health outcomes when
delivered in clinic or at home, using pre‐loaded tablets and Interactive Voice Response (IVR)
system technology among 820 participants with MS from 38 clinics across Alabama, Mississippi,
and Tennessee.

Outcomes we hope to achieve through the proposed rehabilitation and exercise program,
referred to as complementary alternative medicine, are improved physical activity, decreased
pain and fatigue, and quality of life. We also seek to improve attitudes and behaviors
related to physical activity, such as outcome expectations for physical activity, social
support from family and friends for physical activity, self‐efficacy (i.e., confidence in one's
ability to be active), and self‐regulation (i.e., setting exercise goals). We will examine
the variation in outcomes by patient characteristics such as age and severity of disability
to determine for whom the intervention is effective.

This project is important to patients with MS because it seeks to reduce their barriers to
receiving exercise treatment and increase the convenience and appeal of such programs through
technology. Furthermore, findings and resources from this study will be quickly provided to
MS patients and clinicians across the United States (e.g., via training webinars through our
National Center on Health, Physical Activity, and Disability [NCHPAD]) and thereby improve
the quality and reach of exercise treatment for patients with MS.

The patient and stakeholder partners include MS patients, caretakers, and clinicians, who
have been actively guiding the development of this project. In stakeholder meetings, members
have provided insight into exercise treatment needs and preferences (e.g., individually
tailored approaches that account for varying levels of mobility); outcomes of interest to the
patient population (e.g., pain, fatigue, quality of life); and strategies for
engaging/motivating participants with MS who may be discouraged and experiencing fatigue and
pain (e.g., IVR calls and feedback). Moreover, their ongoing program satisfaction feedback
will be important to our recruitment and retention success. Finally, the stakeholders will
help make this project successful by continuing to emphasize the importance of long‐term
gains in health outcomes and promote (through NCHPAD) the sustainability of the program.

Inclusion Criteria:

- Physician permission to participate in the study

- Mild to moderate disability (i.e., ambulate with/without assistive device,
Patient-Determined Disease Steps [PDDS] 0 - 7

- Able to use arms/legs for exercise

Exclusion Criteria:

- Significant visual acuity that prevents seeing a tablet screen to follow home exercise
program

- Cardiovascular disease event within the last six months, several pulmonary disease,
and/or renal failure

- Active pressure ulcers

- Currently pregnant

- Within 30 days of receiving a rehabilitation program

- Already meeting physical activity guidelines (GLTEQ > 24)
We found this trial at
38
sites
1811 Dahlke Drive
Cullman, Alabama 35058
Phone: 256-739-1370
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Cullman, AL
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1111 Earl Frye Boulevard
Amory, Mississippi 38821
Phone: 662-257-4048
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Amory, MS
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Athens, Alabama 35613
Phone: 256-233-2313
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Athens, AL
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109 Eureka Street
Batesville, Mississippi 38668
Phone: 662-578-7799
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Batesville, MS
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Bessemer, Alabama 35022
Phone: 205-230-0400
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Bessemer, AL
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3105 Independence Drive
Birmingham, Alabama 35209
Phone: 205-803-2210
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Birmingham, AL
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7213 Siwell Road
Byram, Mississippi 39272
Phone: 601-346-9191
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Byram, MS
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Calera, Alabama 35040
Phone: 205-668-6900
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Calera, AL
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Canton, Mississippi 39046
Phone: 601-859-3776
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Canton, MS
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2429 North 5th Street
Columbus, Mississippi 39702
Phone: 662-241-4545
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Columbus, MS
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Cool Springs, Tennessee 37067
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Cool Springs, TN
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1480 Ross Clark Circle
Dothan, Alabama 36301
Phone: 334-712-3726
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Dothan, AL
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9890 Twin Beech Road
Fairhope, Alabama 36532
Phone: 251-928-7312
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Fairhope, AL
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21040 Miflin Road
Foley, Alabama 36536
Phone: 251-823-0888
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Foley, AL
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1510 North Brindlee Mountain Parkway
Fort Payne, Alabama 35967
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Fort Payne, AL
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1860 U.S. 43
Fulton, Mississippi 38843
Phone: 662-862-4104
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Fulton, MS
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Gadsden, Alabama 35906
Phone: 256-549-6387
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Gadsden, AL
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112 Bradford Boulevard
Gordonsville, Tennessee 38563
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Gordonsville, TN
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Hattiesburg, Mississippi 39402
Phone: 601-336-7155
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Hattiesburg, MS
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802 Shoney Drive Southwest
Huntsville, Alabama 35801
Phone: 256-509-4398
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Jackson, Mississippi 39216
Phone: 601-981-2611
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Jackson, MS
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Jacksonville, Alabama 36265
Phone: 256-365-2792
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Jacksonville, AL
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Jasper, Alabama 35501
Phone: 205-385-7919
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Jasper, AL
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7688 Oak Ridge Highway
Knoxville, Tennessee 37931
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Knoxville, TN
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1903 SpringHill Avenue
Mobile, Alabama 36607
Phone: 251-476-0525
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Mobile, AL
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499 Saint Lukes Drive
Montgomery, Alabama 36117
Phone: 334-244-5892
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Montgomery, AL
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Muscle Shoals, Alabama 35674
Phone: 256-978-4001
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Muscle Shoals, AL
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123 Western Plaza Way
Newport, Tennessee 37821
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Newport, TN
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3109 Bienville Boulevard
Ocean Springs, Mississippi 39564
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Ocean Springs, MS
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2703 Legends Parkway
Prattville, Alabama 36066
Phone: 334-380-4930
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Prattville, AL
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Saltillo, Mississippi 38866
Phone: 662-869-9980
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Saltillo, MS
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323 Sam Ridley Parkway West
Smyrna, Tennessee 37167
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484 Church Road East
Southaven, Mississippi 38671
Phone: 662-349-2489
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Southaven, MS
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1743 Cliff Gookin Boulevard
Tupelo, Mississippi 38801
Phone: 662-680-5216
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Tupelo, MS
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Tuscaloosa, Alabama 35046
Phone: 205-752-0845
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Tuscaloosa, AL
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50 Main Street
Water Valley, Mississippi 38965
Phone: 662-473-4777
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Water Valley, MS
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Wiggins, Mississippi 39577
Phone: 601-928-5511
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1948 Decherd Boulevard
Winchester, Tennessee 37398
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Winchester, TN
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