Efficacy of a Multicomponent Intervention for Fibromyalgia Based on Pain Neuroscience Education, Exercise Therapy, Psychological Support, and Nature Exposure (NAT-FM) : Study Protocol of a Randomized Controlled Trial
Serrat López, Mayte (Universitat Autònoma de Barcelona. Escola Universitària d'Infermeria i de Fisioteràpia "Gimbernat")
Sanabria Mazo, Juan Pablo (Parc Sanitari Sant Joan de Déu)
García-Troiteiro, Elna (Universitat Autònoma de Barcelona)
Fontcuberta i Morral, Anna (Universitat Autònoma de Barcelona)
Mateo Canedo, Corel (Universitat Autònoma de Barcelona)
Almirall, Míriam (Hospital Universitari Vall d'Hebron)
Feliu-Soler, Albert (Parc Sanitari Sant Joan de Déu)
Sanz Ruiz, Antoni (Universitat Autònoma de Barcelona)
Méndez Ulrich, Jorge Luis (Universitat Autònoma de Barcelona)
Luciano, Juan Vicente (Parc Sanitari Sant Joan de Déu)

Fecha:	2020
Resumen:	The study protocol of a prospective and randomized controlled trial for the assessment of the efficacy of nature activity therapy for people with Fibromyalgia (NAT-FM) is described. The primary outcome is the mean change from baseline in the Revised Fibromyalgia Impact Questionnaire (FIQR) score at post-treatment (12 weeks) and at 9 months of follow-up, and secondary outcomes are changes in the positive affect, negative affect, pain, fatigue, self-efficacy, catastrophising, and emotional regulation. A total of 160 patients with fibromyalgia will be divided into two arms: treatment-as-usual (TAU) and NAT-FM+TAU. Pre, during, post, +6, and +9 months assessments will be carried out, as well as an ecological momentary assessment (EMA) of intrasession and intersessions. Results will be subjected to a mixed group (NAT-FM+TAU vs. TAU) × phase (pre, post, +6 months, +9 months) general linear model. EMA intrasession measurements will be subjected to a 2 (pre vs. post) × 5 (type of activity) mixed-effects ANOVA. EMA between-session measurements obtained from both arms of the study will be analysed on both a time-domain and frequency-domain basis. Effect sizes and number needed to treat (NNT) will be computed. A mediation/moderation analysis will be conducted.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Fibromyalgia ; Multicomponent treatment ; Pain neuroscience education ; Exercise therapy ; Cognitive behavioural therapy ; Nature exposure ; Randomized controlled trial ; Study protocol
Publicado en:	International journal of environmental research and public health, Vol. 17 (january 2020) , ISSN 1660-4601

DOI: 10.3390/ijerph17020634
PMID: 31963773

15 p, 751.0 KB

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Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > GIES (Grup de Recerca en Estrès i Salut)
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