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Community Based Intervention

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...

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Home-Based Transcranial Direct Current Stimulation Device Development: An Updated Protocol Used at Home in Healthy Subjects and Fibromyalgia Patients

Home-Based Transcranial Direct Current Stimulation Device Development: An Updated Protocol Used at Home in Healthy Subjects and Fibromyalgia Patients

Published on: July 14, 2018

Multi-disciplinary community-based group intervention for fibromyalgia: a pilot randomized controlled trial.

Kara Turcotte¹, Nelly D Oelke², Gina Whitaker³

¹Department of Nursing, Western University, London, ON, Canada.

Rheumatology International

|August 11, 2023

Summary

A community-based group program improved fibromyalgia care quality, daily functioning, and depression. This multidisciplinary intervention offers a promising approach for managing fibromyalgia symptoms in small communities.

Keywords:

Chronic pain Community-based Fibromyalgia Multidisciplinary intervention Quality of care Randomized control trial

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Area of Science:

Rheumatology
Public Health
Behavioral Medicine

Background:

Fibromyalgia (FM) is a chronic condition causing widespread pain, fatigue, sleep, and mood disturbances.
Individuals with FM often face poorly managed symptoms and high healthcare utilization.
Implementing effective, non-pharmacological therapies in smaller communities presents resource challenges.

Purpose of the Study:

To evaluate a community-based multidisciplinary group intervention for fibromyalgia patients in a small urban center.
To assess the intervention's impact on quality of care, daily functioning, mood, and pain beliefs.

Main Methods:

A pilot randomized controlled trial involving 60 fibromyalgia patients.
Participants were assigned to a 10-week multidisciplinary group intervention or usual care.
Intervention included twice-weekly exercise and weekly education sessions (pain, CBT, nutrition, peer support).

Main Results:

Significant improvements in perceived quality of care (Cohen's d = 0.61-0.66).
Significant improvements in disease-related daily functioning (d = 0.70), depressive symptoms (d = 0.87), and pain beliefs (d = 0.61-0.82).
No adverse events were reported during the trial.

Conclusions:

Community-based multidisciplinary group interventions show promise for fibromyalgia management.
The intervention improved patient satisfaction with care, daily functioning, and reduced depressive symptoms.
This approach fosters more adaptive pain beliefs and may be suitable for smaller communities.