Table 1.

Summary of major themes in three published studies on transitioning to secondary-progressive multiple sclerosis

O'Loughlin et al. [12]	Davies et al. [6]	Bogosian et al. [5]
• Is this really happening	• Realization	• Maintaining things as usual
• Becoming a reality	• Reaction	• Scaling back
• A life of struggle	• Reality—living with progressive disease	• Finding alternatives
• Brushing oneself off and moving on	• Reality—health care experiences around transition	• Resigning
	• Recognizing future challenges