Delivering healthcare provider training for remote exercise delivery in MS

Dr Yvonne Learmonth

Murdoch University

February 2022

specialisation: Social And Applied Research

focus area: Better treatments

funding type: Fellowship

project type: Investigator Led Research

Summary

Evidence indicates that exercise is safe and improves many clinical outcomes, including physical fitness, functional abilities, fatigue, depression and cognitive function in people with MS. However, many people with MS do not engage in the levels of exercise needed to produce the best health outcomes for their condition. Dr Yvonne Learmonth has already developed and tested an exercise framework, called the changing Behaviours towards Aerobic and Strength Exercise in MS programme (BASE), which uses evidence-based practice to deliver exercise remotely via telehealth.

In this project, Associate Professor Yvonne Learmonth will develop and test an online education tool to train MS exercise physiologists, occupational therapists and physiotherapists to deliver the BASE program to people with MS. She will measure training success based on the healthcare provider’s confidence, knowledge, and behaviour towards delivering the BASE programme to people with MS. To prepare for a large-scale roll-out of the BASE framework, Dr Learmonth will identify the cost of healthcare provider training and the outcomes, mechanisms and contexts which make the framework realistic for delivery within the Australian healthcare system.

Progress

Associate Professor Learmonth and her team have made significant progress, collaborating with physiotherapists and individuals with MS to gather feedback on the BASE healthcare provider (HCP) training program. They have integrated the feedback, finalised the training program and delivered the training program to 27 HCPs. Sixteen of these trained HCPs have provided the BASE program to 47 participants with MS.

Data collection from the project is 90% complete and analysis has begun. Data from the project has also been presented at both national and international conferences.

Associate Professor Learmonth has also continued collaborating across other projects related to exercise participation, technology in MS exercise delivery, social determinants of health in MS, and crisis resilience in MS. Publications related to this fellowship are shown below, and new national and international (USA, Ireland, UK, Canada, Germany) collaborations have been forged as a result of the project.

publications

  • Baynton SL, Mavropalias G, Inderpreet K, van Rens F, Learmonth YC. Identifying Preferences for Exercise and Sport in Australians With Mild Multiple Sclerosis: Looking Beyond Clinical Characteristics when Implementing Exercise Interventions. Clin J Sport Med. 2024 Nov 26. doi: 10.1097/JSM.0000000000001310.
  • Mavropalias G, Baynton SL, Teo S, Donkers SJ, Van Rens FE, Learmonth YC. Allied health professionals knowledge and clinical practice in telehealth exercise behavioural change for multiple sclerosis. Mult Scler Relat Disord. 2024 Jul;87:105689.
  • Marck CH, Weld-Blundell IV, Klaic M, Motl RW, Learmonth YC. The Actionability of Physical Activity Guidelines for Multiple Sclerosis Care: A Systematic Review and AACTT Framework Analysis. Arch Phys Med Rehabil. 2025 Apr;106(4):590-606.
  • Motl RW, Russell DI, Pilutti LA, Metse AP, Marck CH, Chan B, Zheng P, Learmonth YC. Drop-out, adherence, and compliance in randomized controlled trials of exercise training in multiple sclerosis: Short report. Mult Scler. 2024 Apr;30(4-5):605-611.
  • Kaur I., et al, Learmonth Y.C.Implementing changing behaviour towards aerobic and strength exercise: Results of a randomised, phase I study determining the safety, feasibility, and consumer-evaluation of an online exercise program in persons with multiple sclerosis (2024) Contemporary Clinical Trials, 146: 107686
  • Learmonth YC, Galna B, Laslett LL, van der Mei I, Marck CH. Improving telehealth for persons with multiple sclerosis – a cross-sectional study from the Australian MS longitudinal study. Disabil Rehabil. 2024 Oct;46(20):4755-4762.
  • Motl RW, Casey B, Learmonth YC, Latimer-Cheung A, Kinnett-Hopkins DL, Marck CH, Carl J, Pfeifer K, Riemann-Lorenz K, Heesen C, Coote S. The MoXFo initiative – adherence: Exercise adherence, compliance and sustainability among people with multiple sclerosis: An overview and roadmap for research. Mult Scler. 2023 Nov;29(13):1595-1603.
  • Smith, J., van der Groen, O., & Learmonth, Y. (2023). Feasibility Meets Implementation Science: Narrowing the Research-To-Practice Gap for Exercise Activity in Multiple Sclerosis. International Journal of Qualitative Methods, 22. https://doi.org/10.1177/16094069231180162
  • Learmonth Y.C., et al Safety of exercise training in multiple sclerosis: An updated systematic review and meta-analysis (2023) Multiple Sclerosis Journal, 29 (13), pp. 1604 – 1631
  • Learmonth Y.C., et al Physical activity participation in Australians with multiple sclerosis: associations with geographical remoteness (2023) Disability and Rehabilitation, 45 (12), pp. 1969 – 1974
  • Mansoubi M., Learmonth Y.C., Mayo N., Collet J., Dawes H. The MoXFo Initiative: Using consensus methodology to move forward towards internationally shared vocabulary in multiple sclerosis exercise research (2023) Multiple Sclerosis Journal, 29 (13), pp. 1551 – 1560
  • Learmonth YC, Galna B, Laslett LL, van der Mei I, Marck CH. Improving telehealth for persons with multiple sclerosis – a cross-sectional study from the Australian MS longitudinal study. Disabil Rehabil. 2024 Oct;46(20):4755-4762.
  • Pedullà L., …., Learmonth Y., et al Physical Activity in Multiple Sclerosis: Meeting the Guidelines at the Time of the COVID-19 Pandemic (2023) Journal of Neurologic Physical Therapy, 47 (2), pp. 112 – 121
  • Jonsdottir J., …Learmonth Y., et al Changes in physiotherapy services and use of technology for people with multiple sclerosis during the COVID-19 pandemic (2023) Multiple Sclerosis and Related Disorders, 71: 104520
  • van der Linden M.L., …Learmonth Y.C. Changes in physical activity participation during the COVID-19 pandemic in people with multiple sclerosis: An international survey study (2023) Annals of Physical and Rehabilitation Medicine, 66 (7): 101798

Updated 31 March 2025 

lead investigator

total funding

$225,000

start year

2022

duration

3 years

STATUS

Current project

Stages of the research process

Fundamental laboratory Research

Laboratory research that investigates scientific theories behind the possible causes, disease progression, ways to diagnose and better treat MS.

Lab to clinic timeline

10+ years

Translational Research

Research that builds on fundamental scientific research to develop new therapies, medical procedures or diagnostics and advances it closer to the clinic.

Lab to clinic timeline

5+ years

Clinical Studies and Clinical Trials

Clinical research is the culmination of fundamental and translational research turning those research discoveries into treatments and interventions for people with MS.

Lab to clinic timeline

3+ years

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Delivering healthcare provider training for remote exercise delivery in MS