Delivering healthcare provider training for remote exercise delivery in MS

Dr Yvonne Learmonth

University of New South Wales, NSW

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. Associate Professor 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 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, Associate Professor 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 for the project is almost complete, and analysis is now underway. Early results are encouraging. They suggest that the training has helped healthcare providers feel more knowledgeable and confident, while also improving their work-related wellbeing and their views on delivering exercise programs remotely.

Findings from this project have contributed to 22 peer-reviewed publications, with several more currently in preparation. The work has also been presented at major national and international conferences.

Associate Professor Learmonth has also collaborated across other projects related to exercise participation, technology in MS exercise delivery, social determinants of health in MS, and crisis resilience in MS. New national and international (USA, Ireland, UK, Canada, Germany) collaborations have been forged as a result of the project.

Future work will focus on completing the analysis of the remaining project data and using the findings to guide the next stage of the BASE program. Ongoing collaborations and related projects will also continue, helping to build evidence for how remote exercise support can be delivered more widely and effectively for people living with MS

publications

  1. Learmonth Y.C. et al The effect of exercise interventions on symptoms of anxiety in persons with multiple sclerosis: a systematic review and meta-analysis (2025) Multiple Sclerosis and Related Disorders
  2. Learmonth Y.C. et al Evaluation of a Theoretical and Experiential Training Programme for Allied Healthcare Providers to Prescribe Exercise Among Persons with Multiple Sclerosis: A Co-Designed Effectiveness Implementation Study (2025) Journal of Clinical Medicine.
  3. Baynton S.L., et al, Learmonth Y.C. Identifying Preferences for Exercise and Sport in Australians with Mild Multiple Sclerosis: Looking beyond Clinical Characteristics when Implementing Exercise Interventions (2024) Clinical Journal of Sport Medicine
  4. Mavropalias G., et al, Learmonth Y.C. Allied health professionals knowledge and clinical practice in telehealth exercise behavioural change for multiple sclerosis (2024) Multiple Sclerosis and Related Disorders, 87, art. no. 105689
  5. Learmonth Y.C., et al Multiple Sclerosis and COVID-19: Health and healthcare access, health information and consumer co-created strategies for future access at times of crisis (2024) Multiple Sclerosis and Related Disorders, 87, art. no. 105691
  6. Marck C.H., et al, Learmonth Y.C. The Actionability of Physical Activity Guidelines for Multiple Sclerosis Care: A Systematic Review and AACTT Framework Analysis (2024) Archives of Physical Medicine and Rehabilitation
  7. Motl R.W., et al, Learmonth Y.C. Drop-out, adherence, and compliance in randomized controlled trials of exercise training in multiple sclerosis: Short report (2024) Multiple Sclerosis Journal, 30 (4-5), pp. 605 – 611
  8. Marck C.H., et al, Learmonth Y.C. Crisis preparation for people with multiple sclerosis in Australia: A cross-sectional survey of needs (2024) International Journal of Disaster Risk Reduction, 109, art. no. 10458
  9. 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, art. no. 107686
  10. Learmonth Y.C., et al. Improving telehealth for persons with multiple sclerosis–a cross-sectional study from the Australian MS longitudinal study (2024) Disability and Rehabilitation, 46 (20), pp. 4755 – 4762
  11. Motl R.W., Casey B., Learmonth Y.C., et al The MoXFo initiative – adherence: Exercise adherence, compliance and sustainability among people with multiple sclerosis: An overview and roadmap for research (2023) Multiple Sclerosis Journal, 29 (13), pp. 1595 – 1603
  12. Learmonth Y.C., et al Healthcare complexities during community crises: Recommendation for access to healthcare for Australians with multiple sclerosis (2023) Multiple Sclerosis and Related Disorders, 71, art. no. 104531
  13. Correia H., Martin-Lynch P., Finlayson M., Learmonth Y.C. Exploring COVID-19 experiences for persons with multiple sclerosis and carers: An Australian qualitative study (2023) Health Expectations, 26 (2), pp. 785 – 794
  14. Smith J., van der Groen O., Learmonth Y. Feasibility Meets Implementation Science: Narrowing the Research-To-Practice Gap for Exercise Activity in Multiple Sclerosis (2023) International Journal of Qualitative Methods, 22
  15. 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
  16. 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
  17. 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
  18. Learmonth Y.C., et al Improving telehealth for persons with multiple sclerosis–a cross-sectional study from the Australian MS longitudinal study (2023) Disability and Rehabilitation
  19. Learmonth Y.C., et al The impact of the Australian Black Summer Bushfires and the COVID-19 pandemic on wellbeing in persons with multiple sclerosis; preparation for future and ongoing crises (2023) Disability and Rehabilitation, 45 (4), pp. 630 – 643
  20. 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
  21. 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, art. no. 104520
  22. 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), art. no. 101798

Updated 31 March 2026 

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

Read More
kalina makowiecki

Newsletter subscription

  • This field is for validation purposes and should be left unchanged.

Delivering healthcare provider training for remote exercise delivery in MS