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Greater engagement with health information is associated with adoption and maintenance of healthy lifestyle behaviours in people with MS


Lin, X and Yu, M and Jelinek, GA and Simpson-Yap, S and Neate, S and Nag, N, Greater engagement with health information is associated with adoption and maintenance of healthy lifestyle behaviours in people with MS, International Journal of Environmental Research and Public Health, 17, (16) Article 5935. ISSN 1661-7827 (2020) [Refereed Article]


Copyright Statement

Copyright 2020 the authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (

DOI: doi:10.3390/ijerph17165935


Health communication offers an important means for patients to make informed decisions for illness self-management. We assessed how the level of engagement with selected health information at baseline is associated with the adoption and maintenance of lifestyle behaviours at a 5-year follow-up in people with multiple sclerosis (MS). Non-engagers were compared to engagers of information delivered online and print (medium), and with engagers who additionally attended a live-in workshop (high). Engagement was assessed against lifestyle behaviours by log-binomial regression. Information engagers had higher education, and were less likely to have severe disability, clinically significant fatigue, or obesity. Medium and high baseline engagement was associated with adopting healthy behaviours for omega 3 supplementation (RR = 1.70; 95%CI: 1.02-2.84), physical activity (RR = 2.16; 95%CI: 1.03-4.55), and dairy non-consumption (RR = 3.98; 95%CI: 1.85-8.56) at 5 years; associations were stronger among high engagers. Only high baseline engagement was associated with maintaining behaviours from baseline to 5 years, specifically for omega-3 (RR = 1.26; 95%CI: 1.06-1.49) and vitamin D supplementation (RR = 1.26; 95%CI: 1.04-1.54) and dairy non-consumption (RR = 1.47; 95%CI: 1.03-2.10). Health communication that includes face-to-face information delivery and practical tools for implementation in daily living may be optimal for adopting and maintaining lifestyle behaviours in people with MS.

Item Details

Item Type:Refereed Article
Keywords:behavioural change, health communication, lifestyle, longitudinal observational study, multiple sclerosis
Research Division:Biomedical and Clinical Sciences
Research Group:Neurosciences
Research Field:Central nervous system
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Simpson-Yap, S (Dr Steve Simpson JR)
ID Code:140527
Year Published:2020
Web of Science® Times Cited:3
Deposited By:Menzies Institute for Medical Research
Deposited On:2020-08-25
Last Modified:2020-09-17
Downloads:9 View Download Statistics

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