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

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

Improving the self-management of chronic pain: COping with persistent Pain, Effectiveness Research in Self-management (COPERS)

“…Excluded due to no outcome data despite author contact (n = 5) For the update review we included an additional 19 sets of data; one trial 67 was included in the original meta-analyses but published longer-term follow-up data after our 2009 cut-off 103 and we included this study in the update analyses. Of the 18 new studies, five were from the USA, 113,114,118,119,123 three from the UK, [51][52][53] two each from Australia 112,124 and Spain 120,126 and one each from Italy, 121 Germany, 115 Sweden, 117 Norway, 116 Taiwan 125 and Canada 122 (n = 3745). Five focused on low back pain, 53,114,115,121,123 five on OA, 112,117,122,124,125 five on fibromyalgia, 116,[118][119][120]126 two on mixed pain 52,113 and one on knee pain only.…”

Evaluation of a self-management patient education program for patients with fibromyalgia syndrome: study protocol of a cluster randomized controlled trial

“…There is limited evidence regarding the effectiveness of self-management patient education for patients with FMS. Comparison of studies is difficult because of different contents and formats of education programs and evaluation of multimodal programs with different components [ 18 – 33 ]. Moreover, many studies use some form of education as control (not as intervention) condition or do not assess long-term effectiveness of self-management education [ 34 ].…”

<p>Multidisciplinary pain management program for patients with chronic musculoskeletal pain in Japan: a cohort study</p>

“…Lillehammer Hospital for Rheumatic Diseases in Norway27 offers a 1-week inpatient multidisciplinary self-management program for patients with fibromyalgia. That program involves a team of rheumatologists, physiotherapists, occupational therapists, nurses, dieticians, and social workers.…”