Web-supported Interactive Nurse Program in Fibromyalgia Patients: A Mixed Method Study
Condition: Fibromyalgia
MeSH terms: Fibromyalgia; Myofascial Pain Syndromes
Study type: Interventional

Summary: 
      This study was planned to examine the effect of the web-supported interactive nurse program
      developed in line with the Common-Sense Model on the perception of illness, coping with pain
      and severity of illness in fibromyalgia patients. Mixed method is a research. The exploratory
      sequential design, one of the mixed research methods, will be used. The research will
      continue with the quantitative part starting with the qualitative part. The quantitative part
      of the research is a randomized controlled experimental study.
    

Detailed description: 
      Fibromyalgia is a very common musculoskeletal disease characterized by increased pain
      sensitivity. Hospital admissions are increasing with symptoms such as fibromyalgia, chronic
      pain, fatigue, sleep disturbance, depression and cognitive problems, and this is reflected in
      general health care expenditures. The absence of objective markers to diagnose the disease,
      the social recognition of fibromyalgia, and the negative perception of the disease by
      patients in its clinical management creates a permanent problem. Individuals who perceive
      fibromyalgia as having more severe cognitive consequences and less controllable are more
      affected by the symptoms of the disease. Therefore, understanding the patient's perceptions
      of the disease is important for effective health management and reducing the severity of the
      disease and improving the patient's health outcomes. Although there are many descriptive
      studies showing that fibromyalgia patients have a negative perception of illness, no study
      has been found in which the effectiveness of the education offered with the self-regulation
      model for the perception of illness was evaluated in fibromyalgia patients.

      Aim: This research was planned to examine the effect of the Web-Assisted Interactive Nursing
      Program designed according to the Common-Sense Model on the perception of illness, coping
      with pain and severity of illness in fibromyalgia patients.

      Method: The study was designed as an exploratory mixed method research in which qualitative
      and quantitative research methods were used together. The qualitative and quantitative
      research sample will consist of patients diagnosed with fibromyalgia according to the
      American College of Rheumatology (ACR) 2010 Criteria by the physician. "Criteria sampling
      method", one of the purposive sampling methods used in qualitative research, will be used to
      determine the individuals to be included in the qualitative part of the research. Qualitative
      interviews will be conducted face to face. Interviews with people will continue until data
      saturation is reached. In the qualitative part of the research, individual in-depth interview
      method will be selected and "Semi-Structured Interview Form" will be used as a data
      collection tool. Interviews with people will continue until data saturation is reached. All
      interviews will be recorded in digital format, transcribed and then transferred to the
      qualitative analysis software MAXQDA. In line with the data obtained in the qualitative
      dimension of the research, the design of the web-supported interactive nursing program will
      be created.

      The quantitative part of the study will be carried out as a randomized controlled trial using
      the block randomization method. Randomization will be done by a statistician other than the
      researcher. Power analysis was calculated using G * Power 3.1.9.7 program. With 0.95 effect
      size, 95% power and 0.05 significance level, the required sample size was determined as 30
      individuals per group, and 60 individuals in total. It was decided to include 70 individuals,
      35 individuals in the intervention group and 31 individuals in the control group, by taking
      15% more of the calculated sample against the possibility of sample loss during the study. In
      the quantitative part of the research, the web-supported interactive nurse program will last
      1 month and the application will last for 2 months. A text message will be sent to their
      phone to remind individuals to use the website. Messages will be sent twice a week, for a
      total of 8 times. Visual Analogue Scale (VAS), Website Usability Scale, Illness Perception
      Scale (IPQ), Pain Coping Scale (PCI), Fibromyalgia Impact Questionnaire (FIQ) will be used as
      measurement tools. Data collection forms will be applied to the intervention and control
      groups three times in total, before the start of the WeB-supported interactive nurse program,
      at the end of the Web-supported interactive nurse program (1st month) and at the 2nd month.
      The data obtained after each evaluation will be transferred to the "Statistical Package for
      Social Sciences Software" (SPSS).
    

Intervention name(s): Web-assisted patient education intervention designed according to the common-sense model; The website where the Turkish Physical Medicine and Rehabilitation Association Fibromyalgia patient booklet is available as pdf.
Intervention type(s): Behavioral; Behavioral
Intervention description(s): Implementation of patient education with the website created about fibromyalgia disease in 4 weeks according to the disease perception themes reached as a result of the qualitative research.; The website where the Turkish Physical Medicine and Rehabilitation Association Fibromyalgia patient booklet is available as pdf.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized controlled study
Masking: Single (Participant)
Primary purpose: Supportive Care
Keywords: Fibromyalgia; Web based intervention; Nursing; Illness perception