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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ISRCTN
Last refreshed on: 12 July 2021
Main ID:  ISRCTN96836577
Date of registration: 12/07/2016
Prospective Registration: Yes
Primary sponsor: National Advisory Unit on Rehabilitation in Rheumatology
Public title: Improved management of patients with fibromyalgia: Implementation and evaluation of an integrated care model
Scientific title: Evaluation of a multicomponent rehabilitation program for patients with fibromyalgia in primary health care compared to treatment as usual combined with a short patient education program: Effects on patient global impression of change, disease related symptoms, physical activity and work ability
Date of first enrolment: 01/11/2016
Target sample size: 140
Recruitment status: Completed
URL:  https://www.isrctn.com/ISRCTN96836577
Study type:  Interventional
Study design:  Multi-centre randomised controlled trial (Quality of life)  
Phase:  Not Applicable
Countries of recruitment
Norway
Contacts
Name:    
Address: 
Telephone:
Email:
Affiliation: 
Name: Heidi A.    Zangi
Address:  National Advisory Unit on Rehabilitation in Rheumatology PO Box 23 Vinderen 0319 Oslo Norway
Telephone: +47 (0)93054517
Email: heidi.zangi@diakonsyk.no
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria:
1. Rheumatologist confirmed diagnosis of fibromyalgia according to the American College of Rheumatology 2011 criteria
2. Aged between 20 and 50

Exclusion criteria:
1. Comorbid inflammatory rheumatic disease
2. Serious psychiatric disorder
3. Other disease impeding physical activity
4. Not at all been working during the last two years because of disease
5. Not able to understand and speak Norwegian


Age minimum:
Age maximum:
Gender: Both
Health Condition(s) or Problem(s) studied
Fibromyalgia/widespread musculoskeletal pain
Musculoskeletal Diseases
Fibromyalgia/widespread musculoskeletal pain
Intervention(s)

Participants will be randomised one of two groups:

Intervention group: Participants take part in a multicomponent rehabilitation programme in their home municipality. The programme comprises a 10-session mindfulness-based Vitality Training Programme (VTP) followed by 8 weeks tailored physical exercise supervised by a physiotherapist at a Healthy Life Center.

Control group: Participants will receive treatment as usual in primary care, i.e. GP consultations and any physical activity as usual. They will be offered the VTP after completion of the last data collection, i.e. one year after inclusion.

Participants in both groups are followed up at 4 months (end of VTP) and 12 months post-randomisation.
Primary Outcome(s)
Patient global impression of change (PGIC) measured by a 7-point self-reported Likert scale ranging from 1 (“I feel very much worse”) through 4 (“no change”) to 7 (“I feel very much better”) one year after inclusion. Scores of 6 and 7 are considered clinically relevant improvement. The primary outcome will be measured after completion of the VTP (4 months) and at 12 months follow-up.
Secondary Outcome(s)

All outcomes will be measured at baseline (before randomisation), at 4 months and 12 months:
1. Pain measured by Numeric Rating Scale (NRS, 0-10)
2. Fatigue measured by Numeric Rating Scale (NRS, 0-10)
3. Sleep quality measured by Numeric Rating Scale (NRS, 0-10)
4. Psychological distress measured by General Health Questionnaire-12 (GHQ-12)
5. Physical activity measured by 4 questions from the Norwegian HUNT-study
6. Work ability measured by the Work Productivity and Activity Impairment Questionnaire (WPAI)

Added 04/05/2021:
7. Tendency to be mindful measured using the Five Facet Mindfulness Questionnaire (FFMQ) at baseline (before randomisation), at 4 months and 12 months
8. Motivation and barriers to physical activity measured using the Exercise Beliefs and Exercise Habits questionnaire at baseline (before randomisation), at 4 months and 12 months
9. Health-related quality of life measured using the EuroQol (EQ-5D-5L) at baseline (before randomisation), at 4 months and 12 months
Secondary ID(s)
2016015
Source(s) of Monetary Support
South-Eastern Norway Regional Health Authority
Secondary Sponsor(s)
Ethics review
Status:
Approval date:
Contact:
Regional Committees for Medical and Health Research Ethics, 04/02/2016, ref: 2015/2447
Results
Results available: Yes
Date Posted:
Date Completed: 31/05/2020
URL:
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