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Environmental influences on community participation among people with multiple sclerosis: A mixed methods study

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  • Bishan Yang
  • Ivan Molton
  • Andrew Humbert
  • Carolyn Baylor
  • Emma Gregg
  • Dawn Ehde
  • Jennifer Sullivan
  • Elysa Lanz
  • Michael Schiller
  • Philip Hurvitz
  • Danbi Lee

Abstract

Objective: To examine the influence of environmental factors (EFs) and personal factors (PFs) on community participation among people with multiple sclerosis (PwMS) and identify areas for improvement. Methods: A mixed methods explanatory sequential design was used. A secondary data analysis of patient-reported outcomes and Global Positioning System (GPS) data was completed using multiple linear regression analysis to examine associations between five EFs, five PFs, and six community participation outcomes in 100 PwMS. Four focus groups were completed with 12 PwMS who use mobility aids and 12 who do not to understand how EFs affected community participation experiences. Thematic analysis was used. Results: Regression results showed significant associations between PFs and five community participation outcomes (R2 = 13% − 48%, p

Suggested Citation

  • Bishan Yang & Ivan Molton & Andrew Humbert & Carolyn Baylor & Emma Gregg & Dawn Ehde & Jennifer Sullivan & Elysa Lanz & Michael Schiller & Philip Hurvitz & Danbi Lee, 2026. "Environmental influences on community participation among people with multiple sclerosis: A mixed methods study," PLOS ONE, Public Library of Science, vol. 21(2), pages 1-19, February.
    • Handle: RePEc:plo:pone00:0342678
    DOI: 10.1371/journal.pone.0342678
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