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Predictors of adherence to an integrated multimodal program for fibromyalgia
Patricia L Dobkin1, Raluca Ionescu-Ittu, Michal Abrahamowicz
1Department of Medicine, McGill University, Montreal, Quebec, Canada. patricia.dobkin@mcgill.ca
The Journal of Rheumatology
|October 18, 2008
Summary
Barriers to treatment hinder adherence in fibromyalgia (FM) patients. Addressing these obstacles can improve outcomes and reduce pain intensity for individuals with FM.
Area of Science:
- Rheumatology
- Rehabilitation Medicine
- Psychology
Background:
- Fibromyalgia (FM) is a chronic condition characterized by widespread pain and other symptoms.
- Multimodal integrated programs offer a comprehensive approach to managing FM.
- Understanding treatment adherence is crucial for optimizing patient outcomes.
Purpose of the Study:
- To assess treatment adherence in patients with fibromyalgia (FM) undergoing a multimodal program.
- To identify factors predicting adherence to treatment recommendations.
- To examine the link between adherence and patient outcomes, including pain and disability.
Main Methods:
- A 3-month outpatient program involving physiotherapy, occupational therapy, nursing, and cognitive-behavior therapy for 63 FM patients.
- Psychosocial questionnaires administered pre- and post-treatment.
- Monthly adherence and barriers to adherence questionnaires.
- Statistical analyses including generalized estimating equations and multivariable linear regression.
Main Results:
- Overall adherence to treatment recommendations was good (mean general adherence score of 62/100).
- No significant changes in adherence levels were observed over the 3-month period.
- Barriers to adherence were the primary predictor for both general and specific adherence.
- Higher general adherence correlated with reduced post-treatment pain intensity.
Conclusions:
- Barriers to treatment represent a significant challenge to adherence in multimodal FM programs.
- Healthcare professionals should proactively discuss and help patients overcome these barriers.
- Addressing adherence barriers is essential for improving treatment effectiveness in fibromyalgia management.
