Fibromyalgia Clinical Trial
Official title:
Stimulating Self Management in Patients With Fibromyalgia Through Web-based Situational Feedback
The overall objective of this randomized controlled study (RCT) financed by the Norwegian
Research Council (grant no. 182012/V50) is to establish the effectiveness of situational
feedback to the self-management of fibromyalgia syndrome (FMS) using innovative means of
patient-provider communication in a randomized controlled study (RCT). Thereby this project
will contribute to the knowledge of treatment of patients with FMS. The effectiveness of the
intervention will be expressed in terms of a) reduced pain, b) psychometric outcomes, c)
quality of life, d) improved engagement in daily activities and e) prevented transition to
chronic disability. We furthermore aim to 1) determine the effectiveness of providing
regular situational feedback in enhancing self-management and, consequently 2) study the
effectiveness of enhancing self-management in reducing pain and physical disability.
Self-management of chronic pain is increasingly seen as an important tool in providing
adequate care to patients with FMS and other types of Chronic Non-malignant Pain. Enhancing
the patient's self-management of her/his condition is thought to be effective in reducing
pain and disability. However, sufficient empirical evidence to support this is yet
unavailable. This may be due to the non-situational nature of many interventions studied so
far: Patients are taught management skills in a clinical setting, and may not be able to
successfully use these skills in daily care. Therefore, enhancing self-management of chronic
pain, by providing immediate feedback that is directly related to patient's daily life
("situational" feedback) complementary to care-as usual, is thought to be more effective
than conventional interventions in a clinical setting. This may even be even more effective
when the patient receives quick response feedback using mobile communication technology,
i.e. any place any time.
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