Rheumatology occupational therapy-led fibromyalgia self- management education using motivational interviewing and mindfulness based cognitive therapy : a new approach

Prior, Yeliz; Walker, N

Abstract

Fibromyalgia is a chronic musculoskeletal pain syndrome, which significantly affects patients’ quality of life. EULAR revised recommendations for the management of Fibromyalgia suggests non-pharmacological therapies and patient education should be treatment priority. This puts Rheumatology Occupational Therapists in an important role on the patients’ journey to self-management. This article reports on a new treatment approach in Rheumatology Occupational Therapy-led Fibromyalgia Self-Management Education (FSME), which incorporates Motivational Interviewing, and Mindfulness Based Cognitive Therapy approaches within the Canadian Practice Process Framework. The Fibromyalgia self-management education programme was devised and delivered by an Advanced Clinical Specialist Occupational Therapist using a comprehensive literature review of the evidence base. The evaluation of the self-management education programme included the Revised Fibromyalgia Impact Questionnaire as a condition specific outcome measure, the 5 Facet Mindfulness Questionnaire-Short Form to measure the effectiveness of the Mindfulness training on patient’s thought patterns, and the Canadian Occupational Performance Measure to evaluate the impact of the occupational therapy intervention on treatment goals. Preliminary results of the clinical practice evaluation suggests that Rheumatology Occupational Therapy-led FSME is highly effective in achieving health behaviour change, shift in patients’ awareness and reducing relapse in the long-term.

Citation

Prior, Y., & Walker, N. (2016). Rheumatology occupational therapy-led fibromyalgia self- management education using motivational interviewing and mindfulness based cognitive therapy : a new approach. British Journal of Occupational Therapy, 30(1), 8-13

• Journal Article Type: Article
• Acceptance Date: Oct 16, 2016
• Online Publication Date: Nov 22, 2016
• Publication Date: Nov 22, 2016
• Deposit Date: Nov 28, 2016
• Publicly Available Date: Nov 28, 2016
• Journal: British Journal of Occupational Therapy
• Print ISSN: 0308-0226
• Electronic ISSN: 1477-6006
• Publisher: SAGE Publications
• Volume: 30
• Issue: 1
• Pages: 8-13
• Related Public URLs: https://www.cot.co.uk/british-journal-bjot/british-journal-occupational-therapy