Exercise, Diet, and Stress Management as Mediators Between Functional Disability and Health-Related Quality of Life in Multiple Sclerosis

Connie Sung, Chung Yi Chiu, Eun Jeong Lee, Jill Bezyak, Fong Chan, Veronica Muller

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The main objective of this study was to examine the mediational and moderational effect of exercise, diet, and stress management on the relationship between functional disability and health-related quality of life. Quantitative descriptive research design using multiple regression and correlation techniques was used. Participants were 215 individuals with multiple sclerosis (MS). Outcome measure used was health-related quality of life as measured by the Medical Outcomes Study (MOS) Short-Form Health Survey (SF-12v2). Functional disability and health-promoting behaviors including exercise, diet, and stress management were found to be associated with health-related quality of life. Exercise and stress management (but not diet) were partial mediators between functional disability and health-related quality of life. Exercise was found to be a moderator between functional disability and health-related quality of life. Exercise had a stronger effect on health-related quality of life for individuals with lower functional disability than people with higher functional disability. Health-promoting behaviors are important for health-related quality of life, and health-related quality of life in turn is related to better employment outcomes. Health-promoting behaviors can also mediate the relationship between functional disability and health-related quality of life. Rehabilitation counselors should consider including health promotion interventions in vocational rehabilitation services for individuals with MS.

Original languageEnglish
Pages (from-to)85-95
Number of pages11
JournalRehabilitation Counseling Bulletin
Volume56
Issue number2
DOIs
Publication statusPublished - 2013 Jan 1

Fingerprint

Multiple Sclerosis
Quality of Life
Exercise
Diet
Health
Outcome Assessment (Health Care)
Vocational Rehabilitation
Disabled Persons
Health Surveys
Health Promotion
Research Design
Rehabilitation

All Science Journal Classification (ASJC) codes

  • Rehabilitation
  • Applied Psychology
  • Public Health, Environmental and Occupational Health

Cite this

Sung, Connie ; Chiu, Chung Yi ; Lee, Eun Jeong ; Bezyak, Jill ; Chan, Fong ; Muller, Veronica. / Exercise, Diet, and Stress Management as Mediators Between Functional Disability and Health-Related Quality of Life in Multiple Sclerosis. In: Rehabilitation Counseling Bulletin. 2013 ; Vol. 56, No. 2. pp. 85-95.
@article{a8557144772f4bab8c9d77725ba4069e,
title = "Exercise, Diet, and Stress Management as Mediators Between Functional Disability and Health-Related Quality of Life in Multiple Sclerosis",
abstract = "The main objective of this study was to examine the mediational and moderational effect of exercise, diet, and stress management on the relationship between functional disability and health-related quality of life. Quantitative descriptive research design using multiple regression and correlation techniques was used. Participants were 215 individuals with multiple sclerosis (MS). Outcome measure used was health-related quality of life as measured by the Medical Outcomes Study (MOS) Short-Form Health Survey (SF-12v2). Functional disability and health-promoting behaviors including exercise, diet, and stress management were found to be associated with health-related quality of life. Exercise and stress management (but not diet) were partial mediators between functional disability and health-related quality of life. Exercise was found to be a moderator between functional disability and health-related quality of life. Exercise had a stronger effect on health-related quality of life for individuals with lower functional disability than people with higher functional disability. Health-promoting behaviors are important for health-related quality of life, and health-related quality of life in turn is related to better employment outcomes. Health-promoting behaviors can also mediate the relationship between functional disability and health-related quality of life. Rehabilitation counselors should consider including health promotion interventions in vocational rehabilitation services for individuals with MS.",
author = "Connie Sung and Chiu, {Chung Yi} and Lee, {Eun Jeong} and Jill Bezyak and Fong Chan and Veronica Muller",
year = "2013",
month = "1",
day = "1",
doi = "10.1177/0034355212439899",
language = "English",
volume = "56",
pages = "85--95",
journal = "Rehabilitation Counseling Bulletin",
issn = "0034-3552",
publisher = "SAGE Publications Inc.",
number = "2",

}

Exercise, Diet, and Stress Management as Mediators Between Functional Disability and Health-Related Quality of Life in Multiple Sclerosis. / Sung, Connie; Chiu, Chung Yi; Lee, Eun Jeong; Bezyak, Jill; Chan, Fong; Muller, Veronica.

In: Rehabilitation Counseling Bulletin, Vol. 56, No. 2, 01.01.2013, p. 85-95.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Exercise, Diet, and Stress Management as Mediators Between Functional Disability and Health-Related Quality of Life in Multiple Sclerosis

AU - Sung, Connie

AU - Chiu, Chung Yi

AU - Lee, Eun Jeong

AU - Bezyak, Jill

AU - Chan, Fong

AU - Muller, Veronica

PY - 2013/1/1

Y1 - 2013/1/1

N2 - The main objective of this study was to examine the mediational and moderational effect of exercise, diet, and stress management on the relationship between functional disability and health-related quality of life. Quantitative descriptive research design using multiple regression and correlation techniques was used. Participants were 215 individuals with multiple sclerosis (MS). Outcome measure used was health-related quality of life as measured by the Medical Outcomes Study (MOS) Short-Form Health Survey (SF-12v2). Functional disability and health-promoting behaviors including exercise, diet, and stress management were found to be associated with health-related quality of life. Exercise and stress management (but not diet) were partial mediators between functional disability and health-related quality of life. Exercise was found to be a moderator between functional disability and health-related quality of life. Exercise had a stronger effect on health-related quality of life for individuals with lower functional disability than people with higher functional disability. Health-promoting behaviors are important for health-related quality of life, and health-related quality of life in turn is related to better employment outcomes. Health-promoting behaviors can also mediate the relationship between functional disability and health-related quality of life. Rehabilitation counselors should consider including health promotion interventions in vocational rehabilitation services for individuals with MS.

AB - The main objective of this study was to examine the mediational and moderational effect of exercise, diet, and stress management on the relationship between functional disability and health-related quality of life. Quantitative descriptive research design using multiple regression and correlation techniques was used. Participants were 215 individuals with multiple sclerosis (MS). Outcome measure used was health-related quality of life as measured by the Medical Outcomes Study (MOS) Short-Form Health Survey (SF-12v2). Functional disability and health-promoting behaviors including exercise, diet, and stress management were found to be associated with health-related quality of life. Exercise and stress management (but not diet) were partial mediators between functional disability and health-related quality of life. Exercise was found to be a moderator between functional disability and health-related quality of life. Exercise had a stronger effect on health-related quality of life for individuals with lower functional disability than people with higher functional disability. Health-promoting behaviors are important for health-related quality of life, and health-related quality of life in turn is related to better employment outcomes. Health-promoting behaviors can also mediate the relationship between functional disability and health-related quality of life. Rehabilitation counselors should consider including health promotion interventions in vocational rehabilitation services for individuals with MS.

UR - http://www.scopus.com/inward/record.url?scp=84870425801&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84870425801&partnerID=8YFLogxK

U2 - 10.1177/0034355212439899

DO - 10.1177/0034355212439899

M3 - Article

AN - SCOPUS:84870425801

VL - 56

SP - 85

EP - 95

JO - Rehabilitation Counseling Bulletin

JF - Rehabilitation Counseling Bulletin

SN - 0034-3552

IS - 2

ER -