Immediate Benefits of a Multidisciplinary Educational Program for Fibromyalgia on Patients' Pain Related Self-Efficacy and Health Locus of Control

Amrita Kaur Bath¹, Carmen E. Gota², Anabelle Morales Cavolo³ and Sara Davin⁴, ¹Internal medicine, Fairview Hospital- Cleveland Cinic, Cleveland, OH, ²Orthopedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH, ³former Cleveland Clinic fellow, Cleveland, OH, ⁴Neurologic Institute, Cleveland Clinic, Cleveland, OH

Meeting: 2015 ACR/ARHP Annual Meeting

Date of first publication: September 29, 2015

Keywords: Coping skills, education and fibromyalgia

Session Information

Date: Sunday, November 8, 2015

Title: Fibromyalgia, Soft Tissue Disorders, Regional and Specific Clinical Pain Syndromes Poster I

Session Type: ACR Poster Session A

Session Time: 9:00AM-11:00AM

Background/Purpose: To evaluate the effect of an intensive, brief, multidisciplinary educational intervention on self –efficacy and locus of control specific self-management constructs, in patients who suffer from fibromyalgia (FM).

Methods: Patients and family actively participated in a brief educational program involving discussion about clinical, pathophysiologic, and therapeutic aspects of FM; exercise instruction, orientation on the cognitive behavioral model of pain and stress, review of psychosocial contributors to chronic pain, family education, and introduction to relaxation techniques. Patients completed Pain Related Self Efficacy Questionnaire (PSEQ) and Multidimensional Health Locus of Control Scale (MHLC Form C subscale) questionnaires before and immediately after the program.

Results: From May 2014 to April 2015, 77 female patients, who met the ACR 2010 preliminary criteria for FMS, mean age 48.3 (10.9), 44.2% employed, with poly symptomatic distress score of 21.6 (5), participated in an 3.5 hour educational program. Fibromyalgia impact questionnaire revealed severe levels of symptomatology 62 (18.2), and patients had moderate depressive symptoms by patient heath questionnaire 9, 13.9 (6.5). The program was rated very or extremely helpful by 79.7% of patients, with 78.6% reporting getting answers to most or all their questions. Results showed significant increases in PSEQ (p<0.0001), and decreases in external locus of control MHLC “chance” (p <0.0001).

Conclusion: These results show that a brief multidisciplinary educational program in FM can significantly enhance self efficacy related to pain and external attributions in patients with severe FM and moderate depression. Our study supports the utility of short education programs on positive coping for FM patients.

Disclosure: A. K. Bath, None; C. E. Gota, None; A. Morales Cavolo, None; S. Davin, None.

To cite this abstract in AMA style:

Bath AK, Gota CE, Morales Cavolo A, Davin S. Immediate Benefits of a Multidisciplinary Educational Program for Fibromyalgia on Patients’ Pain Related Self-Efficacy and Health Locus of Control [abstract]. Arthritis Rheumatol. 2015; 67 (suppl 10). https://acrabstracts.org/abstract/immediate-benefits-of-a-multidisciplinary-educational-program-for-fibromyalgia-on-patients-pain-related-self-efficacy-and-health-locus-of-control/. Accessed .

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