Chronic disabling conditions have profound and pervasive effects on the lives of millions of Americans. Although rarely addressed, the need for health promotion continues to exist and may be accentuated in persons living with long-term, incurable conditions. The purpose of this five year competing continuation is to add depth to knowledge about health promotion in chronic disabling conditions by incorporation a longitudinal follow-up of the existing sample of rural and urban persons with multiple sclerosis (MS), integrating additional outcome measures. It will also expand knowledge of health promotion and quality of life among persons with chronic neurodegenerative conditions through validation of the explanatory model refined in the present study in a population of persons with a different chronic condition, post-polio syndrome.
The specific aims are to (1) Conduct a longitudinal follow-up of persons in the current project to examine the effects of time and the trajectory of illness-related disability on a range of quality of life outcomes (perceived quality of life, employment, depression, and secondary disabilities); (2) Examine the influence of health promoting behaviors, barriers, and resources on individual change trajectories over multiple points in time, when controlling for the effects of illness-related disability; and (3) Validate and refine the explanatory model of health promotion and quality of life developed in the current study with an additional chronic disease population, persons with post-polio syndrome. A five year follow-up of the existing sample of persons with MS (N=759) is proposed; only 5% of the sample has been lost to follow-up at 2 years and 90% responded to a Time 2 questionnaire. A second sample of persons with post-polio (N=500) will be recruited. Instruments and data collection procedures refined in the present study will be incorporated in the continuation. Longitudinal data will be analyzed with hierarchical linear models (HLM) and event history analysis. Structural equation modeling (SEM) techniques will be used to validate and refine the model in the post-polio group. Information from this study will be used to design nursing interventions for persons with chronic neurodegenerative conditions.

National Institute of Health (NIH)
National Institute of Nursing Research (NINR)
Research Project (R01)
Project #
Application #
Study Section
Nursing Research Study Section (NURS)
Program Officer
Phillips, Janice
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
University of Texas Austin
Schools of Nursing
United States
Zip Code
Morrison, Janet D; Stuifbergen, Alexa K (2016) Predictors of Fatigue Impact in Persons With Long-Standing Multiple Sclerosis. J Neurosci Nurs 48:143-50
Stuifbergen, Alexa K; Blozis, Shelley; Becker, Heather et al. (2016) Selected health behaviors moderate the progression of functional limitations in persons with multiple sclerosis: Eleven years of annual follow-up. Disabil Health J 9:472-8
Becker, Heather; Stuifbergen, Alexa; Lee, Hwayoung et al. (2014) Reliability and Validity of PROMIS Cognitive Abilities and Cognitive Concerns Scales Among People with Multiple Sclerosis. Int J MS Care 16:1-8
Morrison, Janet D; Stuifbergen, Alexa K (2014) Outcome expectations and physical activity in persons with longstanding multiple sclerosis. J Neurosci Nurs 46:171-9
Stuifbergen, Alexa K; Morris, Marian; Becker, Heather et al. (2014) Self-report versus performance measure in gauging level of function with multiple sclerosis. Disabil Health J 7:413-8
Todd, Ana; Stuifbergen, Alexa (2012) Breast cancer screening barriers and disability. Rehabil Nurs 37:74-9
Todd, Ana; Stuifbergen, Alexa (2011) Barriers and Facilitators to Breast Cancer Screening: A Qualitative Study of Women with Multiple Sclerosis. Int J MS Care 13:49-56
Stuifbergen, Alexa K; Morris, Marian; Jung, Jae Hak et al. (2010) Benefits of wellness interventions for persons with chronic and disabling conditions: a review of the evidence. Disabil Health J 3:133-45
Pierini, Diana; Stuifbergen, Alexa K (2010) Psychological resilience and depressive symptoms in older adults diagnosed with post-polio syndrome. Rehabil Nurs 35:167-75
Phillips, Lorraine J; Stuifbergen, Alexa K (2010) The relevance of depressive symptoms and social support to disability in women with multiple sclerosis or fibromyalgia. Int J Rehabil Res 33:142-50

Showing the most recent 10 out of 29 publications