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Fibromyalgia Self-Management: Mapping the behaviour change techniques used in a practice-based programme.

Jennifer Pearson1,2, Katie Whale3, Nicola E Walsh1

  • 1Centre for Health and Clinical Research, Faculty of Health and Applied Sciences, University of the West of England, Bristol, UK.

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Summary

The Fibromyalgia Self-Management Programme (FSMP) effectively uses behavior change techniques to help patients manage fibromyalgia symptoms. Participants reported improvements in activity, sleep, and overall well-being.

Keywords:
chronic painqualitative researchself-management

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Area of Science:

  • Health Psychology
  • Behavioral Medicine
  • Chronic Pain Management

Background:

  • Fibromyalgia (FM) is a chronic condition causing pain, fatigue, and cognitive difficulties.
  • Current guidelines emphasize non-pharmacological interventions due to limited evidence for drug effectiveness.
  • The Fibromyalgia Self-Management Programme (FSMP) is a multidisciplinary, non-pharmacological group intervention.

Purpose of the Study:

  • To map the Fibromyalgia Self-Management Programme (FSMP) to a recognized behavior change taxonomy (BCT).
  • To identify the specific behavior change techniques utilized within the FSMP.
  • To evaluate the perceived effectiveness of the FSMP in facilitating self-management skills.

Main Methods:

  • Non-participatory observations of 4- and 6-week FSMP sessions were conducted.
  • Therapist (n=4) and patient (n=9) interviews were performed using a semistructured approach.
  • FSMP manual data, observations, and interview data were coded deductively to the BCT framework.

Main Results:

  • The FSMP was mapped to 12 out of 16 BCT domains, incorporating 22 distinct behavior change techniques.
  • Patient and therapist interviews confirmed positive patient changes, including enhanced activity, pacing, improved sleep, and better communication.
  • Patients reported significant symptom improvements attributed to attending the FSMP.

Conclusions:

  • The FSMP effectively integrates various behavior change techniques.
  • The program empowers patients to modify behaviors, leading to more effective symptom management.
  • The FSMP supports patients in developing core self-management skills for fibromyalgia.