The feasibility and efficacy of a multidisciplinary intervention with aftercare meetings for fibromyalgia.
The objective of this study is to examine the feasibility and long-term results of a 12-week multidisciplinary part-time daycare intervention with five aftercare meetings in fibromyalgia (FM) patients. One hundred and five patients diagnosed with FM started with a multidisciplinary intervention and were assessed for feasibility, functional status (Fibromyalgia Impact Questionnaire [FIQ]), and quality of life (EuroQol-5D [EQ-5D]) until 9 months after completion. The program consisted of sociotherapy, physiotherapy, psychotherapy, and creative arts therapy. Drop-out rate was 4.8%. The attendance rate of 100 patients who completed the 12-week program and five aftercare meetings was high (97.4%), just like patient and therapist satisfaction (8.2 on a 10 points scale). After the 12-week program, statistically significant improvement was seen in both FIQ and EQ-5D. This improvement was maintained after 9 months of follow-up. On average, moderate improvements were observed. Our 12-week multidisciplinary part-time daycare intervention with five aftercare meetings for FM patients is feasible and it is indicated that it can lead to sustained improvement in functional status and quality of life.
Department of Integrated Care, University Hospital Maastricht, PO Box 5800, Maastricht 6202 AZ, The Netherlands. marielle.kroese@mumc.nl
Mariëlle
M
Kroese
Guy
G
Schulpen
Monique
M
Bessems
Frans
F
Nijhuis
Johan
J
Severens
Robert
R
Landewé
D000328:Adult; D003131:Combined Modality Therapy; D005240:Feasibility Studies; D005260:Female; D005356:Fibromyalgia / Q000628:therapy*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D026741:Physical Therapy Modalities; D011613:Psychotherapy; D011788:Quality of Life; D012720:Severity of Illness Index; D012944:Social Support