Philipp Gulde, Heike Vojta, Joachim Hermsdörfer, Peter Rieckmann
State and trait of finger tapping performance in multiple sclerosis
Scientific reports
determine effects communitybased training programme selfcare lay population self care recognised cornerstone populations health date largescale studies effectiveness general public paper reports evaluation selfcare skills training course delivered small group sessions within workplace parent toddler group settings lay population quasiexperimental longitudinal study 12month duration conducted three intervention primary care trusts pcts two similar comparison pcts england sample comprised 1568 selfselecting participants 868 received intervention 700 changes seen usage general practitioner services primary outcome however statistical analysis suggested intervention group may associated increased use outofhours secondary care services six months followup small statistically significant positive effects intervention group seen selfesteem wellbeing anxiety scores 12 months followup small statistically significant positive effects intervention group also seen recovery locus control health literacy selfesteem scores knowledge adult cough clinical significance small changes unclear training programme small positive effect still evident 12 months individuals knowledge confidence levels regard managing health lead reductions health service use