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Activity pacing self-management in chronic fatigue syndrome: a randomized controlled trial [with consumer summary]
Kos D, van Eupen I, Meirte J, van Cauwenbergh D, Moorkens G, Meeus M, Nijs J
The American Journal of Occupational Therapy 2015 Sep-Oct;69(5):6905290020
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: The objective of this study was to evaluate the effectiveness of an activity pacing self-management (APSM) intervention in improving performance of daily life activities in women with chronic fatigue syndrome (CFS). METHOD: A total of 33 women with CFS (age 41.1 +/- 11.2 yr) were randomly allocated to APSM (experimental group; n = 16) or relaxation (control group; n = 17). Main outcome measures included the Canadian Occupational Performance Measure (COPM; primary) and Checklist Individual Strength (CIS). RESULTS: COPM scores changed significantly over time in both groups (p = 0.03). The change in Satisfaction scores showed a significant difference in favor only of APSM (effect size 0.74 (0.11 to 1.4)). CIS scores decreased significantly in the experimental group only (p < 0.01). CONCLUSION: APSM was found to be feasible and effective in optimizing participation in desired daily life activities in women with CFS. Replication in a larger sample with long-term follow-up is required.
Copyright by the Amerrican Occupational Therapy Association Inc. Reprinted with permission.

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