AUTHOR=Patrick Stephen E. , Knox Katherine B. , Evans Charity , Levin Michael , Linassi Gary , Poliakov Ilia , Rajput Alex , Donkers Sarah J. 

TITLE=Participants’ perspectives of “NeuroSask: Active and Connect”—a virtual chronic disease management program for individuals with a neurological condition

JOURNAL=Frontiers in Neurology

VOLUME=Volume 15 - 2024

YEAR=2024

URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2024.1332859

DOI=10.3389/fneur.2024.1332859

ISSN=1664-2295

ABSTRACT=Neurological conditions account from more than half of Canadians requiring chronic care. Both physical activity and the development of a self-management skillset are critical components supporting individuals with chronic health conditions. ‘NeuroSask: Active and Connected’ is a virtual chronic disease management program offering twice weekly neuro-physiotherapist directed ‘active’ exercise sessions, followed by weekly knowledge-exchange ‘connect’ sessions with invited guest experts. A program evaluation of NeuroSask was conducted to gain participants’ perspectives. 
All participants registered for the NeuroSask program were invited to complete optional online surveys circulated by email at 3 occasions post-program launch: 10-weeks, 1-year, and 2-years. Participants could complete any one or all of the surveys, at their discretion. Descriptive statistics were used for closed-ended questions and thematic analysis was completed with coding conducted in NVivo 12 Plus for open-ended text. 
Response rates (participants/registrants) were as follows: 10-week survey 260/793, 1-year survey 326/1224, and 2-year survey 434/1989. 90% participants reported being in either the age categories of 40-59 years or above 60 years. 75% of both survey respondents and program registrants were female. 70% of both survey respondents and program registrants reported a diagnosis of multiple sclerosis and 30% reported another neurological condition. Survey respondents were from all ten Canadian provinces, with 45% reporting living outside of large cities. Respondents reported preferring online vs. in person format for this type of programming. Three main themes, and eight corresponding subthemes were identified highlighting the perceived impact and key components of the NeuroSask program: Theme 1 “together in a positive and encouraging environment” (subthemes 1a: connection, 1b: empowerment); Theme 2 “access to enthusiastic qualified leaders from home” (subthemes 2a: leader characteristics, 2b: accessibility, 2c: program logistics); Theme 3 “being able to enjoy everyday life” (subthemes 3a: symptom benefits and beyond, 3b: carry-over, 3c: keep going, please don’t cancel).
NeuroSask is an example of an accessible and meaningful virtual approach to providing ongoing support for some individuals with neurological conditions. It was perceived as beneficial for fostering community and connection in a positive environment with perceived benefits extending beyond symptom management to participant reported improvements in function, daily life, and disease experience.