TY - JOUR
T1 - Effectiveness of two video-based multicomponent treatments for fibromyalgia
T2 - The added value of cognitive restructuring and mindfulness in a three-arm randomised controlled trial.
AU - Serrat, Mayte
AU - Albajes Eizaguirre, Klara
AU - Navarrete, Jaime
AU - Almirall, M
AU - Lluch, Girbés E
AU - Neblett, R
AU - Luciano, JV
AU - Moix, J
AU - Feliu-Soler, A
N1 - Funding Information:
This research was funded by the Vall d'Hebron Institute of Research. This study has also been funded by the Ministry of Science and Innovation (PID2020-117667RA-I00) and has been co-financed with European Union ERDF funds. The authors declare no conflict of interest. The funding sources had no influence on the design of the study, data collection, analysis, writing of the manuscript, or on the decision to submit the paper for publication.
Publisher Copyright:
© 2022 The Authors
PY - 2022/11/1
Y1 - 2022/11/1
N2 - Background/objectives: The aim of this study was to examine the effectiveness of two video-based multicomponent programs (FIBROWALK) and the Multicomponent Physiotherapy Program (MPP) for patients with fibromyalgia (FM) compared to treatment-as-usual (TAU) only. We posit that FIBROWALK, due to inclusion of specific psychological ingredients (cognitive restructuring and mindfulness), can produce additional clinical benefits when compared to TAU or MPP alone. Methods: A total of 330 patients with FM were recruited and randomly allocated (1:1:1) to TAU only, TAU + FIBROWALK, or TAU + MPP. FIBROWALK and MPP consisted of weekly videos on pain neuroscience education, therapeutic exercise and self-management patient education, but only the FIBROWALK intervention provided cognitive restructuring and mindfulness. Both programs were structurally equivalent. Between-group differences in functional impairment, pain, kinesiophobia, anxious-depressive symptoms and physical functioning were evaluated at post-treatment following Intention-To-Treat and complete-case approaches. Results: Compared to TAU only, individuals in the FIBROWALK arm showed larger improvements in all clinical outcomes; similarly, participants in the MPP program also showed greater improvements in functional impairment, perceived pain, kinesiophobia, depressive symptoms compared to TAU only. The FIBROWALK intervention showed superior effects in improving pain, anxiety and depressive symptoms and physical functioning compared to MPP. Conclusions: This RCT supports the short-term effectiveness of the video-based multicomponent programs FIBROWALK and MPP for FM and provides evidence that cognitive-behavioural and mindfulness-based techniques can be clinically useful in the context of physiotherapeutic multicomponent treatment programs. Trial registration number: NCT04571528.
AB - Background/objectives: The aim of this study was to examine the effectiveness of two video-based multicomponent programs (FIBROWALK) and the Multicomponent Physiotherapy Program (MPP) for patients with fibromyalgia (FM) compared to treatment-as-usual (TAU) only. We posit that FIBROWALK, due to inclusion of specific psychological ingredients (cognitive restructuring and mindfulness), can produce additional clinical benefits when compared to TAU or MPP alone. Methods: A total of 330 patients with FM were recruited and randomly allocated (1:1:1) to TAU only, TAU + FIBROWALK, or TAU + MPP. FIBROWALK and MPP consisted of weekly videos on pain neuroscience education, therapeutic exercise and self-management patient education, but only the FIBROWALK intervention provided cognitive restructuring and mindfulness. Both programs were structurally equivalent. Between-group differences in functional impairment, pain, kinesiophobia, anxious-depressive symptoms and physical functioning were evaluated at post-treatment following Intention-To-Treat and complete-case approaches. Results: Compared to TAU only, individuals in the FIBROWALK arm showed larger improvements in all clinical outcomes; similarly, participants in the MPP program also showed greater improvements in functional impairment, perceived pain, kinesiophobia, depressive symptoms compared to TAU only. The FIBROWALK intervention showed superior effects in improving pain, anxiety and depressive symptoms and physical functioning compared to MPP. Conclusions: This RCT supports the short-term effectiveness of the video-based multicomponent programs FIBROWALK and MPP for FM and provides evidence that cognitive-behavioural and mindfulness-based techniques can be clinically useful in the context of physiotherapeutic multicomponent treatment programs. Trial registration number: NCT04571528.
KW - Cognitive behaviour therapy
KW - Fibromyalgia
KW - Mindfulness
KW - Pain neuroscience education
KW - Therapeutic exercise
KW - Virtual multicomponent treatment
UR - http://europepmc.org/abstract/med/36116229
UR - http://www.scopus.com/inward/record.url?scp=85137896518&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/567cafa4-b5ef-37cb-bb94-e7089492e319/
U2 - 10.1016/j.brat.2022.104188
DO - 10.1016/j.brat.2022.104188
M3 - Article
C2 - 36116229
SN - 0191-5401
VL - 158
SP - 1
EP - 13
JO - Behavioral Assessment
JF - Behavioral Assessment
M1 - 104188
ER -
