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- Title
Evaluation of a self-management patient education programme for fibromyalgia—results of a cluster-RCT in inpatient rehabilitation.
- Authors
Musekamp, G; Gerlich, C; Ehlebracht-König, I; Dorn, M; Höfter, A; Tomiak, C; Schlittenhardt, D; Faller, H; Reusch, A
- Abstract
The objective was to evaluate the effectiveness of a self-management patient education programme for fibromyalgia syndrome (FMS) as compared with usual care education in inpatient rehabilitation. In a multicentre cluster-randomized controlled trial, 583 inpatients in 3 rehabilitation centres received an advanced self-management patient education programme or usual care education. Patients completed questionnaires at admission, discharge and after 6 and 12 months. Primary outcomes were disease- and treatment-specific knowledge at discharge, and self-management-competencies after 6 months. Secondary outcomes included satisfaction, attitudes, coping competencies, psychological distress and health impairment. We found a medium-sized effect on disease- and treatment-specific knowledge at discharge (P < 0.05, Cohen's d = 0.45, 95% CI = 0.27–0.63), and small effects for subjective knowledge, pain-related control, self-monitoring and insight, communication about disease, action planning for physical activity and treatment satisfaction (all P < 0.05). Only the effect on knowledge persisted for 6 and 12 months. This advanced education programme seemed to be more effective in the short term than usual education. However, intermediate- and long-term effects did not emerge. While superior long-term effects on knowledge as well as short-term effects on self-management skills may suggest implementation, additional long-term effects on other patient-relevant outcomes would be desirable. Trial registration: German Clinical Trials Register, DRKS00008782, Registered 8 July 2015.
- Subjects
PATIENT education; SELF-help programs; TREATMENT effectiveness; MEDICAL rehabilitation; HOSPITAL admission &; discharge; FIBROMYALGIA; PATIENT satisfaction; HEALTH self-care; PATIENTS' attitudes
- Publication
Health Education Research, 2019, Vol 34, Issue 2, p209
- ISSN
0268-1153
- Publication type
Article
- DOI
10.1093/her/cyy055