Background The European League Against Rheumatism (EULAR)has developed evidence-based recommendations for management of FM. The recommendations are both pharmacological and non-pharmacological. Non-pharmacological recommendations include multidisciplinary approaches, such as self-management programmes (SMP). SMPs have been developed to assist people with chronic rheumatic diseases in their efforts to cope with their disease in daily life. A review of FM studies shows that SMP with or without exercise gave sustained benefits across a range of outcomes for more than 6 months after completion of the SMP.
Objectives To evaluate effects of a one week multidisciplinary inpatient self-management programme (SMP) on psychological distress, skills as a consumer of health services, self-efficacy, andfunctional and symptomatic consequences of fibromyalgia (FM).
Methods A 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).
Results 150 patients with FM were randomised to one week 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.
Conclusions This study shows that in patients with fibromyalgia the SMP has a small short-term effect on skills and behavior that are important for managing and participating in health care (EC-17).
Disclosure of Interest None Declared