David A. Williams|David Kuper|Michelle Segar|Niveditha Mohan|Manish Sheth|Daniel J. Clauw
Internet-enhanced management of fibromyalgia: A randomized controlled trial
University of Michigan–Ann Arbor|Avera McKennan Hospital & University Health Center|Institute for Women's Policy Research|University of Michigan–Ann Arbor|University of Pittsburgh|Avera McKennan Hospital & University Health Center|University of Michigan–Ann Arbor
pharmacological nonpharmacological interventions demonstrated efficacy management fibromyalgia fm nonpharmacological interventions however far less likely used clinical settings part due limited access manuscript presents findings randomized controlled trail internetbased exercise behavioral selfmanagement program fm designed use context routine clinical care 118 individuals fm randomly assigned either standard care b standard care plus access webenhanced behavioral selfmanagement program websm grounded cognitive behavioral pain management principles individuals assessed baseline 6 months primary endpoints reduction pain improvement physical functioning secondary outcomes included fatigue sleep anxiety depressive symptoms patient global impression improvement individuals assigned websm condition reported significantly greater improvement pain physical functioning overall global improvement exercise relaxation techniques commonly used skills throughout 6 month period nocontact internetbased selfmanagement intervention demonstrated efficacy key outcomes fm everyone expected benefit approach study demonstrated nonpharmacological interventions efficiently integrated routine clinical practice positive outcomes