Abstract:
OBJECTIVE: To evaluate the effectiveness of a group-based self-management program for people with chronic fatigue syndrome.
DESIGN: A randomized controlled trial.
SETTING: Four mid-sized towns in southern Norway and two suburbs of Oslo.
SUBJECTS: A total of 137 adults with chronic fatigue syndrome.
INTERVENTION: A self-management program including eight biweekly meetings of 2.5 hours duration. The control group received usual care.
MAIN MEASURES: Primary outcome measure: Medical Outcomes Study-Short Form-36 physical functioning subscale.
SECONDARY OUTCOME MEASURES: Fatigue severity scale, self-efficacy scale, physical and mental component summary of the Short Form-36, and the illness cognition questionnaire (acceptance subscale). Assessments were performed at baseline, and at six-month and one-year follow-ups.
RESULTS: At the six-month follow-up, a significant difference between the two groups was found concerning fatigue severity ( p = 0.039) in favor of the control group, and concerning self-efficacy in favor of the intervention group ( p = 0.039). These significant differences were not sustained at the one-year follow-up. No significant differences were found between the groups concerning physical functioning, acceptance, and health status at any of the measure points. The drop-out rate was 13.9% and the median number of sessions attended was seven (out of eight).
CONCLUSIONS: The evaluated self-management program did not have any sustained effect, as compared with receiving usual care.
Source: Pinxsterhuis I, Sandvik L, Strand EB, Bautz-Holter E, Sveen U. Effectiveness of a group-based self-management program for people with chronic fatigue syndrome: a randomized controlled trial. Clin Rehabil. 2017 Jan;31(1):93-103. doi: 10.1177/0269215515621362. Epub 2016 Jul 11. https://www.ncbi.nlm.nih.gov/pubmed/26672998