Developing and Implementing a Community-Based Model of Care for Fibromyalgia: A Feasibility StudyReport as inadecuate

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Pain Research and Management - Volume 2017 2017, Article ID 4521389, 9 pages -

Research Article

Balfour Medical Clinic, 1496 Balfour St, Penticton, BC, Canada V2A 4Z1

Penticton Regional Hospital, 550 Carmi Avenue, Penticton, BC, Canada V2A 3G6

Department of Medicine, Faculty of Medicine, 2775 Laurel Street, 10th Floor, Vancouver, BC, Canada V5Z 1M9

School of Nursing, University of British Columbia Okanagan, BC Support Unit Interior Regional Centre, FHSD, Kelowna, BC, Canada V1V 1V7

Department of Community Health Sciences, Cummings School of Medicine, University of Calgary, Calgary, AB, Canada

Correspondence should be addressed to Michelle Teo

Received 30 March 2017; Revised 25 May 2017; Accepted 5 June 2017; Published 16 July 2017

Academic Editor: Jacob Ablin

Copyright © 2017 Michelle Teo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Fibromyalgia FM is a complex disease posing challenges for primary care providers and specialists in its management. Aim. To evaluate the development and implementation of a comprehensive, integrated, community-based model of care for FM. Methods. A mixed methods feasibility study was completed in a small urban centre in southern British Columbia, Canada. Eleven adults with FM and a team of seven health care providers HCPs participated in a 10-week intervention involving education, exercise, and sleep management. Monthly -team-huddle- sessions with HCPs facilitated the integration of care. Data included health questionnaires, patient interviews, provider focus group-interviews, and provider surveys. Results. Both patients and HCPs valued the interprofessional team approach to care. Other key aspects included the benefits of the group, exercise, and the positive focus of the program. Effectiveness of the model showed promising results: quality of care for chronic illness, quality of life, and sleep showed significant differences from baseline to follow-up. Conclusions. Our community-based model of care for FM was successfully implemented. Further testing of the model will be required with a larger sample to determine its effectiveness, although promising results were apparent in our feasibility study.

Author: Michelle Teo, Bindu Mohan, and Nelly D. Oelke



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