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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