Active and Mindful - A Mind-Body Programme for People With Multiple Sclerosis: a Feasibility Study Protocol

The purpose of this exploratory study is to evaluate the feasibility and acceptability of the "Active and Mindful" home-based mind-body exercise program for individuals diagnosed with Multiple Sclerosis (MS) in Portugal and Spain. Multiple Sclerosis often leads to physical and psychological challenges that impact health-related quality of life. Mind-body exercise programs combined with remote supervision present an accessible, flexible alternative to traditional center-based rehabilitation. This study assesses the practicality of implementing a 9-month online intervention delivered via video-conferencing, focusing on recruitment rates, retention, participant attendance, and overall satisfaction. Secondarily, the study explores pre-to-post changes in clinical and psychological indicators such as perceived physical exertion and health-related quality of life.

Inclusion Criteria: * Adult patients diagnosed with Multiple Sclerosis living in Portugal or Spain; * Expanded Disability Status Scale (EDSS) score below 8; * First to register on the online inscription survey (subject to limited spots) * Time availability to comply with the session schedules; * Access to compatible digital devices with visual feedback (Camera) and reliable internet connectivity; * Ability to install and use the ZOOM platform with the camera turned on. Exclusion Criteria: * Significant medical comorbidities that impact or prevent safe exercise participation; * Pregnant women.