While no clinical trial to date has specifically targeted fatigue , r and omized controlled trials , systematic review s , and meta-analyses indicate that treatment modalities studied in the context of other fibromyalgia symptoms could also improve fatigue .
Fatigue is a disabling , multifaceted symptom that is highly prevalent and stubbornly persistent .
Although fatigue is a frequent complaint among patients with fibromyalgia , it has not received the same attention as pain .
Reasons for this include lack of st and ardized nomenclature to communicate about fatigue , lack of evidence -based guidelines for fatigue assessment , and a deficiency in effective treatment strategies .
Fatigue does not occur in isolation ; rather , it is present concurrently in varying severity with other fibromyalgia symptoms such as chronic widespread pain , unrefreshing sleep , anxiety , depression , cognitive difficulties , and so on .
Survey-based and preliminary mechanistic studies indicate that multiple symptoms feed into fatigue and it may be associated with a variety of physiological mechanisms .
Impact of an occupation-based self-management programme on chronic disease management.
INTRODUCTION There is a need for the development and evaluation of occupational therapy interventions enabling participation and contributing to self-management for individuals with multiple chronic conditions . This pilot study aim ed to assess the feasibility and potential impact of an occupation-based self-management programme for community living individuals with multiple chronic conditions . METHODS Sixteen participants completed a six-week programme . Assessment s were conducted at baseline , immediately post-intervention and at eight-week follow-up . Sixteen participants provided immediate follow-up data and 15 participants provided eight-week follow-up data . Outcome measures included participation in occupations ; perceptions of occupational performance and satisfaction ; self-efficacy ; depression , anxiety and quality of life . Focus groups explored participants ' perceptions of the programme . RESULTS The findings are promising and indicate that the programme delivery was feasible . Significant differences were found immediately post-intervention in frequency of activity participation ( P = 0.008 ) , including domestic ( P = 0.040 ) and work/leisure activities ( P = 0.015 ) , self-perceptions of occupational performance ( P = 0.017 ) and satisfaction with same ( P = 0.023 ) . At eight-week follow-up , significant differences continued to be found in frequency of activity participation ( P = 0.018 ) , including work/leisure activities ( P = 0.038 ) , perceptions of occupational performance ( P = 0.010 ) and satisfaction ( P = 0.008 ) and self-efficacy ( P = 0.050 ) . No differences were found in anxiety , depression or quality of life at follow-up periods . Focus group data supported the programme 's impact on activity participation and self-efficacy . CONCLUSION Despite the small sample in this pilot study there were significant improvements in occupational performance and the findings provide support for the programme . However , there is a need to test the intervention rigorously with a definitive r and omised trial in a primary care setting
While no clinical trial to date has specifically targeted fatigue , r and omized controlled trials , systematic review s , and meta-analyses indicate that treatment modalities studied in the context of other fibromyalgia symptoms could also improve fatigue .
Fatigue is a disabling , multifaceted symptom that is highly prevalent and stubbornly persistent .
Although fatigue is a frequent complaint among patients with fibromyalgia , it has not received the same attention as pain .
Reasons for this include lack of st and ardized nomenclature to communicate about fatigue , lack of evidence -based guidelines for fatigue assessment , and a deficiency in effective treatment strategies .
Fatigue does not occur in isolation ; rather , it is present concurrently in varying severity with other fibromyalgia symptoms such as chronic widespread pain , unrefreshing sleep , anxiety , depression , cognitive difficulties , and so on .
Survey-based and preliminary mechanistic studies indicate that multiple symptoms feed into fatigue and it may be associated with a variety of physiological mechanisms .