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Predictors for improvement in Fibromyalgia patients
Friday 27 September 2013
Predictors for health improvement in patients with fibromyalgia: a 2-year follow-up study.
By Yvonne van Eijk-Hustings, et al.
Fibromyalgia (FM) has a high impact on all aspects of health. The effect from interventions is usually small and characterized by uncertainty. Better insight in predictors for improved health is essential. The present study aimed to understand predictors for patient global impression of change and changes in overall health.
Data from a longitudinal cohort of recently diagnosed FM patients (n=203) were used. Within this cohort, patients were pre-randomized to either a multidisciplinary (n=108) or an, aerobic exercise (n=47) program, or usual care (n=48).
Only a limited number of patients started with the programs (n=86) or participated fully, i.e., attended >70% of the scheduled sessions (n=68).
Patients completed questionnaires covering all components of the International Classification of Functioning, Disability and Health (ICF) bio-psycho-social model of health, which was used as a framework to structure potential predictors. Principal component analysis was used to reduce the number of potential predictors. Regression analyses were used to explore associations with the outcome variables.
Principal component analysis yielded five factors representing areas that covered different ICF components and chapters.
These findings give support to an active rather than to a care-avoiding attitude of health-care workers in their contacts to these patients.
Source: Clinical Rheumatology, August 24, 2013. By Yvonne van Eijk-Hustings, Mariëlle Kroese, Annelies Boonen, Monique Bessems-Beks and Robert Landewé. Department of Integrated Care, Maastricht University Medical Centre, Postbox 5800, 6202 AZ, Maastricht, The Netherlands.
The above originally appeared here.
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