Effects of a one week multidisciplinary inpatient self-management programme for patients with fibromyalgia: a randomised controlled trialReport as inadecuate




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BMC Musculoskeletal Disorders

, 13:189

Clinical rheumatology and osteoporosis

Abstract

BackgroundSelf-management programmes SMP are recommended for patients with fibromyalgia. The purpose of this study was to evaluate effects of a one week multidisciplinary inpatient self-management programme on psychological distress, skills as a consumer of health services, self-efficacy, and functional and symptomatic consequences of fibromyalgia FM.

MethodsA randomised controlled two-armed, assessor-blinded trial with three-week follow-up to evaluate SMP. Primary outcomes were the General Health Questionnaire GHQ-20 and the Effective Musculoskeletal Consumer Scale EC-17, while secondary outcomes included the Fibromyalgia Impact Questionnaire FIQ and Self-efficacy scales for pain, function and symptoms ASES.

Results150 patients with FM were randomised to one week one SMP n = 75 or to a waiting list control group n = 75. Of these, 58 participants in the treatment group and 60 in the control group completed the study. At three weeks’ follow up there was a significant difference in EC-17 0-100 in favour of the treatment group mean difference 4.26, 95 CI 0.8 to 7.7, p = 0.02. There were no differences between the groups for any of the other outcomes.

ConclusionThis study shows that in patients with FM the SMP had no effect on psychological distress, functional and symptomatic consequences and self-efficacy, except for a small short-term effect on skills and behaviour that are important for managing and participating in health care EC-17. Clinical Trials.gov Id: NCT01035125.

Trial registrationClinical Trials.gov Id: NCT01035125

KeywordsSelf-management programme RCT Fibromyalgia Electronic supplementary materialThe online version of this article doi:10.1186-1471-2474-13-189 contains supplementary material, which is available to authorized users.

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Author: Bente Hamnes - Petter Mowinckel - Ingvild Kjeken - Kåre B Hagen

Source: https://link.springer.com/







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