Effects of Physical Activity With Online Support for Individuals With Chronic Widespread Pain (CWP)

Study Overview
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Brief Summary
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The aim is to evaluate a novel treatment routine where contact through a smart phone/computer is used for online support for patients suffering from chronic widespread pain (CWP). The outline is that patients are encouraged to perform physical activity during a period of 12 months with online support from a physical therapist.

Detailed Description
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The intervention follows principles from the theories of person-centered care and self-efficacy. The examinations performed at baseline and after six months were conducted by blinded examiners at a visit at the primary health care centers. All participants developed a person-centered health plan for physical activity together with a physiotherapist. The intervention group was supported with a digital platform for six months.

Official Title
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Effects of Physical Activity With Online Support for Individuals With Chronic Widespread Pain (CWP)

Conditions
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Chronic Widespread Pain

Intervention / Treatment
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* Behavioral: Physical exercise and online support
* Behavioral: Physical exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: fulfilling the American Colleague of Rheumatology (ACR) 1990 criteria for chronic widespread pain (CWP) access to a smart phone or computer Exclusion Criteria: other serious diseases that cause pain or hinder exercise, such as heart disease, neurological disease or severe osteoarthritis unable to speak or read Swedish

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 62 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention group<br>Health care plan including physical exercise and online support during the entire study | Behavioral: Physical exercise and online support<br>* Person-centered design of a health care plan including individually adjusted physical exercise. Online support for management of health care plan.<br>|
| Active Comparator: Control Group<br>Health care plan including physical exercise | Behavioral: Physical exercise<br>* Person-centered design of health care plan individually adjusted physical exercise.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain during the last week | The Fibromyalgia Impact Questionnaire (FIQ) subscale for pain. | Change from Baseline Pain at 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Fatigue | The Multidimensional Fatigue Inventory (MFI-20), comprising several subscale, of which the Physical Fatigue subscale is of interest for this study. | Change from Baseline Fatigue at 6 months | 
| Health | The Fibromyalgia Impact Questionnaire (FIQ) total score. The FIQ comprises 10 subscales and the total score is the mean value of them. | Change from Baseline Health at 6 months |