J. Tamar Kalina, Jim Hinojosa, Lauren Strober, Joshua Bacon, Seamus Donnelly, Yael Goverover; Randomized Controlled Trial to Improve Self-Efficacy in People With Multiple Sclerosis: The Community Reintegration for Socially Isolated Patients (CRISP) Program. Am J Occup Ther 2018;72(5):7205205030. https://doi.org/10.5014/ajot.2018.026864
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OBJECTIVE. We examined the efficacy of a 12-wk educational socialization program, Community Reintegration for Socially Isolated Patients (CRISP), in improving self-efficacy for people with multiple sclerosis (MS). We also examined whether participants in the experimental group with increased self-efficacy experienced reduced loneliness and depression.
METHOD. This randomized controlled group design included 91 participants with MS (experimental group, n = 51; control group, n = 40). Participants were between ages 20 and 68 yr, and the majority experienced a relapsing–remitting MS course (86%) and mild to moderate disability. Participants completed baseline and posttreatment assessments, including questionnaires assessing self-efficacy, loneliness, and depression.
RESULTS. Experimental group participants significantly improved in self-efficacy compared with control group participants. Experimental group participants who demonstrated improved self-efficacy reported reduced perceptions of loneliness but not depressive symptoms.
CONCLUSION. CRISP is a promising intervention to improve self-efficacy for people with MS. However, results need to be treated with caution given the study’s limitations.
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