Early experience with a brief, multimodal, multidisciplinary treatment program for fibromyalgia

Ann Vincent; Mary O. Whipple; Terry H. Oh; Janet A. Guderian; Debra L. Barton; Connie A. Luedtke

doi:10.1016/j.pmn.2011.05.001

Early experience with a brief, multimodal, multidisciplinary treatment program for fibromyalgia

Ann Vincent, Mary O. Whipple, Terry H. Oh, Janet A. Guderian, Debra L. Barton, Connie A. Luedtke

Research output: Contribution to journal › Article › peer-review

20 Scopus citations

Abstract

Fibromyalgia is a complex heterogeneous disorder for which a multidisciplinary individualized approach is currently advocated. We executed a 1-week multidisciplinary fibromyalgia clinical program with seven patients, based on our experience with our existing 1.5-day multidisciplinary fibromyalgia program that has demonstrated both short- and long-term benefits. The current expanded program was not designed as a clinical study, but rather as a clinical feasibility assessment, and it was multidisciplinary in nature, with cognitive behavioral therapy, activity pacing, and graded exercise therapy as major components. We assessed changes in individual patients at 1 week and 3months after the program with the use of validated self-report measures of pain, fatigue, and self-efficacy. All patients indicated at least small improvements in pain and physical symptoms at both 1 week and 3 months, and all but one patient showed improvement in self-efficacy at 1 week and 3months. Similar trends were observed for fatigue. Based on our early clinical experience, we conclude that the 1-week multidisciplinary fibromyalgia program is logistically feasible and has potential for clinical efficacy. Further research is needed and is planned to test the clinical efficacy of this program and compare it with other interventions.

Original language	English (US)
Pages (from-to)	228-235
Number of pages	8
Journal	Pain Management Nursing
Volume	14
Issue number	4
DOIs	https://doi.org/10.1016/j.pmn.2011.05.001
State	Published - Dec 2013
Externally published	Yes

Bibliographical note

Funding Information:
Supported in part by the Center for Translational Science Activities (CTSA) at the Mayo Clinic. The CTSA is funded in part by a grant from the National Center for Research Resources (NCRR) , a component of the National Institutes of Health (NIH) ( RR024150 , principal investigator, Robert A. Rizza, MD). The contents of this paper are solely the responsibility of the authors and do not necessarily represent the official view of the CTSA, NCRR, or NIH.

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title = "Early experience with a brief, multimodal, multidisciplinary treatment program for fibromyalgia",

abstract = "Fibromyalgia is a complex heterogeneous disorder for which a multidisciplinary individualized approach is currently advocated. We executed a 1-week multidisciplinary fibromyalgia clinical program with seven patients, based on our experience with our existing 1.5-day multidisciplinary fibromyalgia program that has demonstrated both short- and long-term benefits. The current expanded program was not designed as a clinical study, but rather as a clinical feasibility assessment, and it was multidisciplinary in nature, with cognitive behavioral therapy, activity pacing, and graded exercise therapy as major components. We assessed changes in individual patients at 1 week and 3months after the program with the use of validated self-report measures of pain, fatigue, and self-efficacy. All patients indicated at least small improvements in pain and physical symptoms at both 1 week and 3 months, and all but one patient showed improvement in self-efficacy at 1 week and 3months. Similar trends were observed for fatigue. Based on our early clinical experience, we conclude that the 1-week multidisciplinary fibromyalgia program is logistically feasible and has potential for clinical efficacy. Further research is needed and is planned to test the clinical efficacy of this program and compare it with other interventions.",

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note = "Funding Information: Supported in part by the Center for Translational Science Activities (CTSA) at the Mayo Clinic. The CTSA is funded in part by a grant from the National Center for Research Resources (NCRR) , a component of the National Institutes of Health (NIH) ( RR024150 , principal investigator, Robert A. Rizza, MD). The contents of this paper are solely the responsibility of the authors and do not necessarily represent the official view of the CTSA, NCRR, or NIH. ",

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AU - Barton, Debra L.

AU - Luedtke, Connie A.

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N2 - Fibromyalgia is a complex heterogeneous disorder for which a multidisciplinary individualized approach is currently advocated. We executed a 1-week multidisciplinary fibromyalgia clinical program with seven patients, based on our experience with our existing 1.5-day multidisciplinary fibromyalgia program that has demonstrated both short- and long-term benefits. The current expanded program was not designed as a clinical study, but rather as a clinical feasibility assessment, and it was multidisciplinary in nature, with cognitive behavioral therapy, activity pacing, and graded exercise therapy as major components. We assessed changes in individual patients at 1 week and 3months after the program with the use of validated self-report measures of pain, fatigue, and self-efficacy. All patients indicated at least small improvements in pain and physical symptoms at both 1 week and 3 months, and all but one patient showed improvement in self-efficacy at 1 week and 3months. Similar trends were observed for fatigue. Based on our early clinical experience, we conclude that the 1-week multidisciplinary fibromyalgia program is logistically feasible and has potential for clinical efficacy. Further research is needed and is planned to test the clinical efficacy of this program and compare it with other interventions.

AB - Fibromyalgia is a complex heterogeneous disorder for which a multidisciplinary individualized approach is currently advocated. We executed a 1-week multidisciplinary fibromyalgia clinical program with seven patients, based on our experience with our existing 1.5-day multidisciplinary fibromyalgia program that has demonstrated both short- and long-term benefits. The current expanded program was not designed as a clinical study, but rather as a clinical feasibility assessment, and it was multidisciplinary in nature, with cognitive behavioral therapy, activity pacing, and graded exercise therapy as major components. We assessed changes in individual patients at 1 week and 3months after the program with the use of validated self-report measures of pain, fatigue, and self-efficacy. All patients indicated at least small improvements in pain and physical symptoms at both 1 week and 3 months, and all but one patient showed improvement in self-efficacy at 1 week and 3months. Similar trends were observed for fatigue. Based on our early clinical experience, we conclude that the 1-week multidisciplinary fibromyalgia program is logistically feasible and has potential for clinical efficacy. Further research is needed and is planned to test the clinical efficacy of this program and compare it with other interventions.

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Early experience with a brief, multimodal, multidisciplinary treatment program for fibromyalgia

Abstract

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