Web/Internet-based telemonitoring of a randomised controlled trial evaluating the time-integrated effects of a 24-week multicomponent intervention on key health outcomes in patients with fibromyalgia

Fausto Salaffi, Alessandro Ciapetti, Stefania Gasparini, Fabiola Atzeni, Piercarlo Sarzi-Puttini, Marinella Baroni

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective. The aims of the study were to assess the efficacy of a multicomponent intervention and evaluate the feasibility and user acceptance of an internet-based home telemedical surveillance system for the evaluation of pain and other key health outcomes in patients with fibromyalgia (FM). Methods. The study involved 76 FM patients who were randomised to usual care or the multicomponent exercise programme, which consisted of 24 twice-weekly sessions of combined aerobic, muscle strength training exercises and education. All the patients completed the revised version of the Fibromyalgia Impact Questionnaire (FIQR) and the self-administered Fibromyalgia Activity Score (FAS). A predefined website allowed authorised users to enter data via a personal computer (PC) and Internet browser. The differences between the groups were assessed using the Mann-Whitney U-test and Fisher's exact test, and the correlations were analysed using Spearman's rank correlation test. Results. The multicomponent intervention led to a clinically relevant difference in improvement in comparison with the standard approach. It markedly improved the FIQR symptom subscale score, significantly increased the time-integrated area under the curve (AUC) of the FAS scores, and led to a greater benefit in terms of fatigue and the quality of sleep. The mean change in the AUC of the total FIQR score closely correlated with the changes in the AUC of the total FAS score. Conclusion. The multicomponent approach to FM was effective in treating the key symptoms and maintaining the improvements in the short term, and telemonitoring proved to be an easyto-use solution for patient-centred data acquisition.

Original languageEnglish
Pages (from-to)S93-S101
JournalClinical and Experimental Rheumatology
Volume33
Publication statusPublished - 2015

Fingerprint

Fibromyalgia
Internet
Randomized Controlled Trials
Health
Area Under Curve
Exercise
Resistance Training
Microcomputers
Muscle Strength
Nonparametric Statistics
Fatigue
Sleep
Education
Pain

Keywords

  • Fibromyalgia
  • Multicomponent therapy
  • Pharmacological therapy
  • Physical exercise
  • Telemonitoring
  • Web/Internet

ASJC Scopus subject areas

  • Rheumatology
  • Immunology
  • Immunology and Allergy
  • Medicine(all)

Cite this

Web/Internet-based telemonitoring of a randomised controlled trial evaluating the time-integrated effects of a 24-week multicomponent intervention on key health outcomes in patients with fibromyalgia. / Salaffi, Fausto; Ciapetti, Alessandro; Gasparini, Stefania; Atzeni, Fabiola; Sarzi-Puttini, Piercarlo; Baroni, Marinella.

In: Clinical and Experimental Rheumatology, Vol. 33, 2015, p. S93-S101.

Research output: Contribution to journalArticle

Salaffi, Fausto ; Ciapetti, Alessandro ; Gasparini, Stefania ; Atzeni, Fabiola ; Sarzi-Puttini, Piercarlo ; Baroni, Marinella. / Web/Internet-based telemonitoring of a randomised controlled trial evaluating the time-integrated effects of a 24-week multicomponent intervention on key health outcomes in patients with fibromyalgia. In: Clinical and Experimental Rheumatology. 2015 ; Vol. 33. pp. S93-S101.
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