Ennis M, Thain J, Boggild M, Baker G A, Young C A
The Walton Centre, Liverpool, UK.
Clin Rehabil. 2006 Sep;20(9):783-92. doi: 10.1177/0269215506070805.
To evaluate the effectiveness of a health promotion education programme for people with multiple sclerosis (the OPTIMISE programme) in terms of increasing the level of health-promoting activity undertaken, improving self-efficacy and enhancing quality of life.
A randomized controlled single blinded trial. Non-parametric analysis was undertaken to test for significant differences between treatment and control groups change scores.
Sixty-two adults (32 treatment and 30 control subjects) with multiple sclerosis of any type, Expanded Disability Status Scale (EDSS) 1-7.
An eight-week multidisciplinary outpatient health promotion education programme aimed at increasing knowledge, skills and confidence in undertaking health promotion activities.
Health Promoting Lifestyle Profile, Self-Rated Abilities for Health Practices Scale and the Short Form 36 Item Health Survey.
Following completion of the programme, treatment subjects had significantly higher levels of health promotion activity undertaken (P < 0.01) and self-efficacy for health promotion activities (P < 0.01). These benefits were sustained for at least three months after the programme ceased. Certain domains of quality of life also improved in treatment subjects more than controls (physical P = 0.03, mental health and general health P = 0.01), although only mental health and general health showed further improvement at three months. Participants provided positive feedback regarding the usefulness of the intervention and demonstrated observable changes to their health promotion behaviours.
The OPTIMISE programme produced significant changes in health-promoting behaviours.
评估一项针对多发性硬化症患者的健康促进教育计划（OPTIMISE计划）在增加健康促进活动水平、提高自我效能和改善生活质量方面的效果。
一项随机对照单盲试验。采用非参数分析来检验治疗组和对照组变化分数之间的显著差异。
62名患有任何类型多发性硬化症的成年人（32名治疗组和30名对照组），扩展残疾状态量表（EDSS）评分为1 - 7。
一项为期八周的多学科门诊健康促进教育计划，旨在增加开展健康促进活动的知识、技能和信心。
健康促进生活方式量表、健康行为自评能力量表和36项简短健康调查问卷。
完成该计划后，治疗组患者开展的健康促进活动水平显著更高（P < 0.01），且健康促进活动的自我效能显著更高（P < 0.01）。这些益处在计划结束后至少持续了三个月。治疗组患者生活质量的某些领域改善程度也超过对照组（身体方面P = 0.03，心理健康和总体健康P = 0.01），尽管只有心理健康和总体健康在三个月时显示出进一步改善。参与者对干预措施的有用性给予了积极反馈，并展示了其健康促进行为的明显变化。
OPTIMISE计划在健康促进行为方面产生了显著变化。
