Establishing consensus on lifestyle recommendations and behaviour change strategies to promote brain health-focussed care for multiple sclerosis: A modified e-Delphi study

This study aimed to establish internationally applicable lifestyle recommendations and behavior change strategies to promote brain health for individuals with multiple sclerosis (MS). Using a modified Delphi process, experts from healthcare and individuals with lived experience of MS developed consensus on strategies such as physical activity, smoking cessation, mental health support, and diet. The frameworks emphasize multidisciplinary approaches and aim to close the gap between knowledge and action. This research underscores the importance of adopting a brain-healthy lifestyle to improve cognition, mitigate disease progression, and enhance quality of life for MS patients.

To improve brain health, focus on integrating regular physical activity and balanced nutrition while avoiding smoking and managing mental health proactively. Tailor these changes to individual needs and abilities, considering the study's focus on MS. While the findings are robust for MS care, general applicability to others depends on further validation. Seek guidance from healthcare providers for personalized advice that aligns with your specific health context.