Date of Award


Document Type

Scholarly Project

Degree Name

Master of Occupational Therapy (MOT)


Occupational Therapy

First Advisor

Debra Hanson


Disabled Persons; Mother-Child Relations; Mothers; Multiple Sclerosis


The purpose of this scholarly project was to create a resource for mothers diagnosed with multiple sclerosis (MS) to promote optimal success and independence in the motherhood role. The resulting workbook targets the mothering activities of individuals who have been newly diagnosed with MS and are raising young, pre-school aged children. The product provides education and guidance to optimize the mother's ability to care for herself and her child or children.

A comprehensive literature review was conducted to examine current best practice and treatment guidelines for MS, the influence of MS on both the parent and child, and also common symptoms and their effects on occupational functioning. The literature revealed a common underuse of energy promotion during the treatment of MS and an overemphasis on energy conservation strategies. Research also demonstrated a correlation between the mother's symptom level and her ability to provide care and nurturing to her child.

Specific focus was therefore placed on adapting mothering activities to balance energy conservation and energy promotion techniques according to fatigue fluctuations and symptom exacerbation. Emphasis was given to providing mothers with the opportunity to gain insight into the effectiveness of strategies used to carry out self-care, household management, and childcare activities. Guided by the Occupational Adaptation (OA) Model, the workbook promotes occupational mastery and skill generalization and is intended to be used as a supplement to occupational therapy (OT) services.