title: Early experience with a brief, multimodal, multidisciplinary treatment program for fibromyalgia.
abstract: Fibromyalgia is a complex heterogeneous disorder for which a multidisciplinary individualized approach is currently advocated. We executed a 1-week multidisciplinary fibromyalgia clinical program with seven patients, based on our experience with our existing 1.5-day multidisciplinary fibromyalgia program that has demonstrated both short- and long-term benefits. The current expanded program was not designed as a clinical study, but rather as a clinical feasibility assessment, and it was multidisciplinary in nature, with cognitive behavioral therapy, activity pacing, and graded exercise therapy as major components. We assessed changes in individual patients at 1 week and 3 months after the program with the use of validated self-report measures of pain, fatigue, and self-efficacy. All patients indicated at least small improvements in pain and physical symptoms at both 1 week and 3 months, and all but one patient showed improvement in self-efficacy at 1 week and 3 months. Similar trends were observed for fatigue. Based on our early clinical experience, we conclude that the 1-week multidisciplinary fibromyalgia program is logistically feasible and has potential for clinical efficacy. Further research is needed and is planned to test the clinical efficacy of this program and compare it with other interventions.
authors: Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota. Electronic address: vincent.ann@mayo.edu.
authors: Ann
authors: A
authors: Vincent
authors: Fibromyalgia and Chronic Fatigue Clinic, Mayo Clinic, Rochester, Minnesota.
authors: Mary O
authors: MO
authors: Whipple
authors: Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minnesota.
authors: Terry H
authors: TH
authors: Oh
authors: Department of Nursing, Mayo Clinic, Rochester, Minnesota.
authors: Janet A
authors: JA
authors: Guderian
authors: Department of Medical Oncology, Mayo Clinic, Rochester, Minnesota.
authors: Debra L
authors: DL
authors: Barton
authors: Department of Nursing, Mayo Clinic, Rochester, Minnesota.
authors: Connie A
authors: CA
authors: Luedtke
mesh_terms: D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy; D005221:Fatigue / Q000451:nursing / Q000628:therapy; D005240:Feasibility Studies; D005260:Female; D005356:Fibromyalgia / Q000451:nursing* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009722:Nurse Practitioners; D009740:Nursing Staff; D059408:Pain Management / Q000379:methods* / Q000451:nursing*; D010348:Patient Care Team; D015397:Program Evaluation; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D016896:Treatment Outcome