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Table 2 The integrative MS program theory

From: An investigation of multidisciplinary complex health care interventions – steps towards an integrative treatment model in the rehabilitation of People with Multiple Sclerosis

Intervention

Mechanisms

Contexts

Outcomes

The combined interventions are characterised by:

The combined interventions aim fundamentally at:

Contextual factors are seen as important in prohibiting or enhancing the generation of positive treatment results:

Positive treatment results for PwMs are defined as:

- individual diagnostics and treatment efforts

- strengthening the patient’s resources and competences on a physical, an emotional and a cognitive level

- social, cultural, economical and political relations

-clinical effects, independent of the patient’s feedback

- involvement of the patient’s goals (and possible modifications of these during the course of treatment)

And thereby

- other treatments used

-experienced outcomes, dependent of the patient’s feedback

- coordination of the interventions involved

- initiate and maintain health- promoting processes

- practitioner-settings

Outcomes are obtained through a dynamic process and can therefore not be reduced to the attainment of pre-defined treatment goals

  

- the patient’s own effort

 
  

- the patient’s motivation