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Table 4 Individual energy conservation management

From: The effectiveness of aerobic training, cognitive behavioural therapy, and energy conservation management in treating MS-related fatigue: the design of the TREFAMS-ACE programme

Sessions

Content of the sessions

Introduction session

• Getting to know the patient, identification of problems in daily life with help of the COPM, impact of fatigue on daily life

 

• Hand out workbook IECM, activity list per day/week to give insight in load and loadability of the patient, and learning style assessment

Analysis of the problems

• Discuss activity/participation problems, outcomes of load and loadability from the activity lists

 

• Analysis of problems, determine questions of help, and the learning and approaching style

 

• Formulate the problems and treatment goals

Treatment sessions

a. Information about fatigue

 

• types, causes and factors influencing fatigue

 

• banking (saving) and budgeting (deciding how to spend) energy

 

b. Importance of rest

 

• how fatigue can influence your daily life

 

• rest as a way of relieving fatigue

 

c. Balancing your schedule

 

• components of a balanced lifestyle

 

• how to balance (light and heavy) activities

 

• planning a weekly schedule

 

d. Communication

 

• expressing needs to others

 

• breaking down negative attitudes about fatigue and rest

 

e. Priorities and standards

 

• breaking down activities in order to simplify them as much as possible

 

• budgeting energy, making decisions about priorities and standards

 

f. How to do activities

 

g. Ergonomics, body positions and assistive devices

 

• organisation of needed environments (work, home) to promote good body mechanics

 

• Organisation of needed environments to save energy

 

• Technology and equipment that can save energy

 

• Structure of body/biomechanics

 

• How to use body properly/ergonomics

Evaluation session

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