Diet, exercise and stress management help reduce the risk of secondary physical and mental health problems and improve the quality of life of people with MS. However, fatigue, weakness and lack of coordination can make it difficult for people with MS to engate in physical activity. Additionally, inadequate intake of calcium, consumption of a high-fat diet, weight gain and substance abuse are also reported as problems among people with MS, and lead to secondary health conditions.

Health promotion intervention is a promising strategy to improve the health status, employment and quality of life of people with MS. It can also lower medical costs and help to prevent secondary conditions. Although health promotion can be prescribed, organized and delivered by health care professionals, the responsibility for maintaining a health lifestyle usually rests squarely on a person with MS, not on traditional medical care. Therefore, teaching persons with MS self-management skills will increase the probability that people with MS will continue to engage in health promotion activities throughout their life span.

However, little is known about the questions?

1. What motivates people with MS to actively engage in health promotion activities?
2. What kinds of health self-efficacy skills do people with MS need to initiate and to maintain these activities on an ongoing basis?
3. What are the relationships between health status and health-related quality of life, employment, life satisfaction and subjective happiness?

This study has great potential to address the above questions. Further, this study can help professionals understand how to better design health promotion intervention for people with MS.

To be eligible for this study, the participants must be:

• people diagnosed with multiple sclerosis
• age between 18 to 65
• living in the community

You can participate in the study by completing a survey which will take approximately 30 to 45 minutes.