Table 1 Nurse-led fatigue management training program

1^st and 2^nd session

Energy maintenance and storage: prioritization and the correct way to perform activities, introduction of factors involved in fatigue and their correction, providing energy storage solutions

3^rd and 4^th session

Breathing exercises: teaching relaxing breathing and yoga breathing techniques

5^th and 6^th session

Sleep hygiene: training sleep mechanism and sleep–wake cycles, underlying and aggravating factors of insomnia, sleep hygiene protocol and proper sleeping methods

7^th and 8^th session

Exercise at home: teaching aerobic exercises, Pilates exercises, and stretching exercises at home for patients with MS