The feasibility and acceptability of outdoor sessions as an add-on of an online multicomponent program (FIBROWALK) for fibromyalgia: A pilot randomized controlled trial

IF 1.2 Q4 RHEUMATOLOGY

Reumatologia Clinica Pub Date : 2025-03-01 DOI:10.1016/j.reuma.2025.501817

Mayte Serrat , Jaime Navarrete , Carla Rodríguez-Freire , Estíbaliz Royuela-Colomer , Miriam Almirall , Rubén Nieto , Jesús Montero-Marín , Juan V. Luciano , Albert Feliu-Soler

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引用次数: 0

Abstract

Introduction and objectives

The given text describes a pilot randomized controlled trial aimed at evaluating the feasibility and acceptability of outdoor sessions as an add-on to an online multicomponent program (FIBROWALK) for fibromyalgia (FM) patients.

Materials and methods

The trial involved 110 participants with FM (99% women; mean age of 51.89 ± 1.89 years) from a tertiary hospital in Spain who were randomly assigned to either the online FIBROWALK program (n = 38) or the blended FIBROWALK program arm (n = 61; online FIBROWALK plus 4 outdoor sessions).

Results

Overall, attrition was minimal (14.01%) and adherence to the outdoor session was modest (52% of the group attended at least one outdoor session). Participants’ expectations and opinions were positive. Paired-samples t-tests for examining within-group differences showed that participants in each arm had significantly improved functional impairment, anxious-depressive symptomatology, physical function, and fear of pain symptoms. Analysis of covariance for examining between-group differences showed that the blended FIBROWALK had a significantly higher effect on psychological distress than the online FIBROWALK (F(1,96) = 4.23; p = .042; Cohen's d = .60).

Conclusions

These results suggest that the blended program was feasible, secure, and acceptable to the participants. Although the online FIBROWALK program alone may be sufficient for managing fibromyalgia symptoms, the addition of outdoor sessions may provide significant additional benefits. Future definitive randomized controlled trials are warranted.

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简介和目标本文介绍了一项试点随机对照试验，旨在评估户外课程作为纤维肌痛（FM）患者在线多组件课程（FIBROWALK）的附加课程的可行性和可接受性。西班牙一家三甲医院的 110 名 FM 患者（99% 为女性；平均年龄为 51.89 ± 1.89 岁）被随机分配到在线 FIBROWALK 计划（n = 38）或混合 FIBROWALK 计划组（n = 61；在线 FIBROWALK 加 4 次户外训练）。参与者的期望和意见都是积极的。用于检验组内差异的配对样本 t 检验显示，每组参与者的功能障碍、焦虑抑郁症状、身体功能和疼痛恐惧症状均有显著改善。用于检验组间差异的协方差分析表明，混合 FIBROWALK 对心理困扰的影响明显高于在线 FIBROWALK（F(1,96) = 4.23; p = .042; Cohen's d = .60）。尽管仅靠在线 FIBROWALK 程序就足以控制纤维肌痛症状，但增加户外课程可能会带来显著的额外益处。未来有必要进行明确的随机对照试验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Reumatologia Clinica RHEUMATOLOGY-

CiteScore

2.40

自引率

6.70%

发文量

105

审稿时长

54 days

期刊介绍： Una gran revista para cubrir eficazmente las necesidades de conocimientos en una patología de etiología, expresividad clínica y tratamiento tan amplios. Además es La Publicación Oficial de la Sociedad Española de Reumatología y del Colegio Mexicano de Reumatología y está incluida en los más prestigiosos índices de referencia en medicina.