The Step-Wise Approach for Treating Intention Tremor 2 (SWAT-IT₂) : The Community Application La Lau, Anna; Hunt, Carrie; Kendrick, Denise; Forwell, Susan
Background: The Step-Wise Approach for Treating Intention Tremor 2 (SWAT-IT₂) is a revised version of the original SWAT-IT that has been developed for broader application. This study aims to test the feasibility and clinical utility of the SWAT-IT₂ in the community and to determine if the SWAT-IT₂ impacts participants’ satisfaction of function, perceived function and self-efficacy. Methods: Using the SWAT-IT₂ protocol, one-on-one sessions were conducted with seven participants with Multiple Sclerosis (MS)-related IT. The protocol was applied to the daily functional activities. Data was collected using a demographic questionnaire (DQ), medical status questionnaire (MSQ), the new generalized self-efficacy scale (NGSE), the Multidimensional Assessment of Tremor (MAT), Expanded Disability Status Scale (EDSS), Symbol Digits Modalities Test (SDMT), and Tremor Treatment Techniques Visual Analog Scales (T³-VAS), and the Daily Tremor Evaluation Form (DTEval). Descriptive statistics were used to analyse the data. Results: Seven participants received the SWAT-IT₂ protocol. Most participants found the SWAT-IT₂ techniques easy to use and incorporate into their daily lives. After a month of using the techniques, the majority of participants reported increased satisfaction with their performance and less tremor interference in their daily lives. No clinically significant changes in self-efficacy were found. Conclusions: This study adds to the literature surrounding nonpharmacological, noninvasive interventions for MS-related IT by providing a feasible and effective intervention protocol addressing functional activities.
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