Strong evidence was found for interventions categorized for this review as  cognitive – behavioral interventions ; relaxation and stress management ; emotional disclosure ; physical activity ;  and  multidisciplinary interventions for improving daily living , pain , depressive symptoms , and fatigue .
There was limited to no evidence for self-management , and few interventions result ed in better sleep .
Although the evidence supports interventions within the scope of occupational therapy practice for people with fibromyalgia , few interventions were occupation based
This systematic review addresses the effectiveness of occupational therapy – related interventions for adults with fibromyalgia .
Effects of a one week multidisciplinary inpatient self-management programme for patients with fibromyalgia: a randomised controlled trial
Background Self-management programmes ( SMP ) are recommended for patients with fibromyalgia . The purpose of this study was to evaluate effects of a one week multidisciplinary inpatient self-management programme on psychological distress , skills as a consumer of health services , self-efficacy , and functional and symptomatic consequences of fibromyalgia  ( FM ) . Methods A r and omised controlled two-armed , assessor-blinded trial with three-week follow-up to evaluate SMP . Primary outcomes were the General Health Question naire ( GHQ-20 ) and the Effective Musculoskeletal Consumer Scale ( EC-17 ) , while secondary outcomes included the Fibromyalgia Impact Question naire ( FIQ ) and Self-efficacy scales for pain , function and symptoms ( ASES ) . Results 150 patients with FM were r and omised to one week one SMP ( n = 75 ) or to a waiting list control group ( n = 75 ) . Of these , 58 participants in the treatment group and 60 in the control group completed the study . At three weeks ’ follow up there was a significant difference in EC-17 ( 0 - 100 ) in favour of the treatment group ( mean difference 4.26 , 95 CI 0.8 to 7.7 , p = 0.02 ) . There were no differences between the groups for any of the other outcomes . Conclusion This study shows that in patients with FM the SMP had no effect on psychological distress , functional and symptomatic consequences and self-efficacy , except for a small short-term effect on skills and behaviour that are important for managing and participating in health care ( EC-17 ) . Clinical Trials.gov I d : NCT01035125.Trial registration Clinical Trials.gov I d :
Strong evidence was found for interventions categorized for this review as  cognitive – behavioral interventions ; relaxation and stress management ; emotional disclosure ; physical activity ;  and  multidisciplinary interventions for improving daily living , pain , depressive symptoms , and fatigue .
There was limited to no evidence for self-management , and few interventions result ed in better sleep .
Although the evidence supports interventions within the scope of occupational therapy practice for people with fibromyalgia , few interventions were occupation based
This systematic review addresses the effectiveness of occupational therapy – related interventions for adults with fibromyalgia .