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|Escola inter-relacional de fibromialgia: aprendendo a lidar com a dor -- estudo clinico randomizado (Interactional school of fibromyalgia: learning to cope with pain -- a randomized controlled study) [Portuguese]|
|de Souza JB, Bourgault P, Charest J, Marchand S|
|Revista Brasileira de Reumatologia [Brazilian Journal of Rheumatology] 2008 Jul-Aug;48(4):218-225|
|5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*|
OBJECTIVE: To assess long-term efficacy of an interdisciplinary group intervention of patients with fibromyalgia (FM) as compared with (Canadian) standard medical care. METHODS: The program, called interactional school of fibromyalgia (ISF), consists of 9 meetings (during 11 weeks) with eight participants and two facilitators. Sixty women with FM were randomly assigned to one of two groups (ISF or control group). Outcomes variables were: clinical pain and energy (visual analogue scale and five Multidimensional Pain Inventory (pain severity, pain interference, life control, affective distress and support from significant others). These variables were measured at baseline; immediately after the program; 4 months and 1 year later. RESULTS: Efficacy analyses from completers showed a treatment effect on measures even after one year. The adherence of ISF was 97%. Analyses of variance (2x3) and intent-to-treat analyses indicate that ISF group experienced lower pain (all ps < 0.05) even at the one year follow up. CONCLUSION: These findings demonstrate the long-term efficacy of this group intervention. Strategies to increase patients' adherence were discussed.