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dc.date.accessioned2019-02-27T18:44:07Z
dc.date.available2019-02-27T18:44:07Z
dc.date.created2018-10-16T15:23:55Z
dc.date.issued2018
dc.identifier.citationHaugmark, Trond Hagen, Kåre Birger Provan, Sella Aarrestad Bærheim, Elisebeth Zangi, Heidi Andersen . Effects of a community-based multicomponent rehabilitation programme for patients with fibromyalgia: protocol for a randomised controlled trial. BMJ Open. 2018, 8(6)
dc.identifier.urihttp://hdl.handle.net/10852/66848
dc.description.abstractIntroduction: People with fibromyalgia (FM) suffer from symptoms such as widespread pain, non-refreshing sleep, fatigue and reduced quality of life. Effects of pharmacological treatment are questionable and non-pharmacological treatments are recommended as first-line therapy. To date the majority of patients with FM in Norway are not offered any targeted treatment. The aim of this randomised controlled trial is to investigate the effects of a community-based multicomponent rehabilitation programme comprising an acceptance-based and mindfulness-based group intervention, the Vitality Training Programme (VTP), followed by tailored physical activity counselling. Materials and methods: General practitioners refer potential participants to a rheumatologist in specialist healthcare for diagnostic clarification and assessment of comorbidities. Inclusion criteria are widespread pain/FM ≥3 months, age 20–50 and work participation (minimum part-time) within the last 2 years. The intervention group attends the VTP comprising 10 weekly 4 hour group sessions plus a booster session after 6 months. Thereafter, they receive 12 weeks of individually tailored physical exercise counselled by physiotherapists at community-based Healthy Life Centers. The control group follows treatment as usual. The primary outcome is Patient Global Impression of Change. Secondary outcomes include self-reported pain, fatigue and sleep quality, psychological distress, mindfulness, health-related quality of life, physical activity, work ability and exercise beliefs and habits. To achieve a power of 80% and allow for 10% dropout, 70 participants are needed in each arm. All analyses will be conducted on intention-to-treat bases and measured as differences between groups at 12 months follow-up. Ethics and dissemination: The study is approved and granted by the Norwegian South-Eastern Regional Health Authority (reference 2016015). Ethics approval was obtained from Regional Committee for Medical and Health Research Ethics (reference 2015/2447/REK sør-øst A). Results will be submitted to appropriate journals and presented in relevant conferences and social media.en_US
dc.languageEN
dc.publisherBMJ Publishing Group
dc.rightsAttribution-NonCommercial 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.titleEffects of a community-based multicomponent rehabilitation programme for patients with fibromyalgia: protocol for a randomised controlled trialen_US
dc.title.alternativeENEngelskEnglishEffects of a community-based multicomponent rehabilitation programme for patients with fibromyalgia: protocol for a randomised controlled trial
dc.typeJournal articleen_US
dc.creator.authorHaugmark, Trond
dc.creator.authorHagen, Kåre Birger
dc.creator.authorProvan, Sella Aarrestad
dc.creator.authorBærheim, Elisebeth
dc.creator.authorZangi, Heidi Andersen
cristin.unitcode185,52,10,0
cristin.unitnameAvdeling for helsefag
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.cristin1620852
dc.identifier.bibliographiccitationinfo:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=BMJ Open&rft.volume=8&rft.spage=&rft.date=2018
dc.identifier.jtitleBMJ Open
dc.identifier.volume8
dc.identifier.issue6
dc.identifier.doi10.1136/bmjopen-2017-021004
dc.identifier.urnURN:NBN:no-70030
dc.type.documentTidsskriftartikkelen_US
dc.type.peerreviewedPeer reviewed
dc.source.issn2044-6055
dc.identifier.fulltextFulltext https://www.duo.uio.no/bitstream/handle/10852/66848/1/Haugmark%2Bet%2Bal%2BBMJ%2BOpen%2B2017%2B%25281%2529.pdf
dc.type.versionPublishedVersion


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