Outdoor Adventure Programs for Persons with Multiple Sclerosis: A Review and Agenda for Future Research

Int J MS Care. 2021 Jul-Aug;23(4):186-192. doi: 10.7224/1537-2073.2020-066. Epub 2021 Aug 27.

Abstract

Persons with multiple sclerosis (MS) often experience myriad symptoms that affect functioning and quality of life (QOL). Although there are a growing number of nonpharmacologic interventions designed to improve symptom severity and interference and maximize QOL, these particular treatments are limited by barriers to accessibility and, at times, a poor patient-intervention fit. Thus, it is important to consider alternative or supplemental nonpharmacologic treatments for people with MS. Outdoor adventure programs-group-based outdoor adventures aimed at enhancing QOL and fostering personal growth-could be one such alternative or supplemental approach. This topical review provides an overview of outdoor adventure programs; explores the current literature on these types of programs for the general population and medical populations; examines how outdoor adventure programs could enhance mood, functioning, and QOL for individuals with MS; and suggests future directions for research on outdoor adventure programs tailored to persons with MS.

Keywords: Behavioral treatment; Multiple sclerosis (MS); Nonpharmacologic intervention; Outdoor adventure program.