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Background   A multicomponent group MS fatigue self-management program reduced fatigue impact compared to a rigorous control 12 months after enrollment.Objectives   Assess and compare changes between groups in fatigue impact and behavior changes implemented 5–6 years after enrollment.Methods   The Modified Fatigue Impact Scale (MFIS) and a behavior change questionnaire were administered 5–6 years after enrollment.Results   There were no significant changes in mean MFIS scores within or between groups from baseline to 5–6 years later. Behavior changes were of similar frequency in both groups.Conclusion   Fatigue impact was stable and behavior changes were similar between groups 5–6 years after a fatigue self-management program.

multiple sclerosis journal, experimental, translational and clinical

A multisite randomized controlled trial of two group education programs for fatigue in multiple sclerosis: Very long term (5–6 year) follow-up at one site