Efficacy of the FIBROWALK Multicomponent Program Moved to a Virtual Setting for Patients with Fibromyalgia during the COVID-19 Pandemic: A Proof-of-Concept RCT Performed Alongside the State of Alarm in Spain
| العنوان: | Efficacy of the FIBROWALK Multicomponent Program Moved to a Virtual Setting for Patients with Fibromyalgia during the COVID-19 Pandemic: A Proof-of-Concept RCT Performed Alongside the State of Alarm in Spain |
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| المؤلفون: | Miriam Almirall, Mireia Coll-Omaña, Mayte Serrat, Klara Albajes, Juan V. Luciano, Silvia Solé, Albert Feliu-Soler |
| المساهمون: | Institut Català de la Salut, [Serrat M] Unitat d’Expertesa en Síndromes de Sensibilització Central, Servei de Reumatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Escoles Universitàries Gimbernat, Universitat Autònoma de Barcelona, Bellaterra, Spain. [Coll-Omaña M] Eodyne Systems, Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O) Research Group, University of Vic, Vic, Spain. [Albajes K] Departament de Psicologia Bàsica, Evolutiva i de l'Educació, Facultat de Psicologia, Universitat Autònoma de Barcelona, Bellaterra, Spain. [Solé S] Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain. [Almirall M] Unitat d’Expertesa en Síndromes de Sensibilització Central, Servei de Reumatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Luciano JV] Psychological Research in Fibromyalgia and Chronic Pain (AGORA Research Group), Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain. Departament de Psicologia Clínica i de la Salut, Facultat de Psicologia, Universitat Autònoma de Barcelona, Bellaterra, Spain, Vall d'Hebron Barcelona Hospital Campus |
| المصدر: | International Journal of Environmental Research and Public Health Scientia Volume 18 Issue 19 Repositorio Abierto de la UdL Universitad de Lleida International Journal of Environmental Research and Public Health, Vol 18, Iss 10300, p 10300 (2021) |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Mindfulness, Fibromyalgia, mindfulness, Health, Toxicology and Mutagenesis, medicine.medical_treatment, Therapeutic exercise, COVID-19 (Malaltia), law.invention, Randomized controlled trial, law, Pandemic, virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus [ENFERMEDADES], Otros calificadores::/terapia [Otros calificadores], Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections [DISEASES], Cognitive behavioral therapy, Treatment Outcome, enfermedades musculoesqueléticas::enfermedades musculoesqueléticas::enfermedades reumáticas::fibromialgia [ENFERMEDADES], Online treatment, Medicine, Anxiety, medicine.symptom, Musculoskeletal Diseases::Musculoskeletal Diseases::Rheumatic Diseases::Fibromyalgia [DISEASES], medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), teletherapy, Teletherapy, Article, Intervention (counseling), online treatment, medicine, Humans, Pandemics, pain neuroscience education, Fibromiàlgia - Tractament, Pain neuroscience education, therapeutic exercise, business.industry, SARS-CoV-2, Public Health, Environmental and Occupational Health, diagnóstico::pronóstico::resultado del tratamiento [TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS], COVID-19, Other subheadings::/therapy [Other subheadings], medicine.disease, Diagnosis::Prognosis::Treatment Outcome [ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT], Multicomponent treatment, cognitive behavioral therapy, Spain, Communicable Disease Control, randomized controlled trial, Physical therapy, Avaluació de resultats (Assistència sanitària), multicomponent treatment, business |
| الوصف: | Ajuts: J.V.L. had a "Miguel Servet" research contract from the ISCIII (CPII19/00003) when the study was conducted. A.F.-S. and J.V.L. acknowledge the funding from the Serra Húnter program (UAB-LE-8015 and UAB-LE-120014, respectively). The funding bodies did not have any role in the analysis and interpretation of data, in the writing of the manuscript, or in the decision to submit the paper for publication. FIBROWALK is a multicomponent program including pain neuroscience education, therapeutic exercise, cognitive behavioral therapy and mindfulness training that has recently been found to be effective in patients with fibromyalgia (FM). This RCT started before the COVID-19 pandemic and was moved to a virtual format (i.e., online videos) when the lockdown was declared in Spain. This study is aimed to evaluate the efficacy of a virtual FIBROWALK compared to Treatment-As-Usual (TAU) in patients with FM during the first state of alarm in Spain. A total of 151 patients with FM were randomized into two study arms: FIBROWALK plus TAU vs. TAU alone. The primary outcome was functional impairment. Secondary outcomes were kinesiophobia, anxiety and depressive symptomatology, and physical functioning. Differences between groups at post-treatment assessment were analyzed using Intention-To-Treat (ITT) and completer approaches. Baseline differences between clinical responders and non-responders were also explored. Statistically significant improvements with small-to-moderate effect sizes were observed in FIBROWALK+TAU vs. TAU regarding functional impairment and most secondary outcomes. In our study, the NNT was 5, which was, albeit modestly, indicative of an efficacious intervention. The results of this proof-of-concept RCT preliminarily support the efficacy of virtual FIBROWALK in patients with FM during the Spanish COVID-19 lockdown. |
| وصف الملف: | application/pdf |
| تدمد: | 1660-4601 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c4dcdf4ca8a53b8d9e8e3fe9e0e826bc https://pubmed.ncbi.nlm.nih.gov/34639600 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....c4dcdf4ca8a53b8d9e8e3fe9e0e826bc |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16604601 |
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