2026-04-14T08:58:49Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/75092025-10-24T10:15:58Zcom_2072_378070com_2072_378040col_2072_378092

Efficacy of the FIBROWALK Multicomponent Program Moved to a Virtual Setting for Patients with Fibromyalgia during the COVID-19 Pandemic: A Proof-of-Concept RCT Performed Alongside the State of Alarm in Spain Serrat Lopez, Mayte Coll-Omaña, Mireia Solé, Sílvia Luciano, Juan V. Albajes, Klara Almirall, Miriam Institut Català de la Salut [Serrat M] Unitat d’Expertesa en Síndromes de Sensibilització Central, Servei de Reumatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Escoles Universitàries Gimbernat, Universitat Autònoma de Barcelona, Bellaterra, Spain. [Coll-Omaña M] Eodyne Systems, Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O) Research Group, University of Vic, Vic, Spain. [Albajes K] Departament de Psicologia Bàsica, Evolutiva i de l'Educació, Facultat de Psicologia, Universitat Autònoma de Barcelona, Bellaterra, Spain. [Solé S] Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain. [Almirall M] Unitat d’Expertesa en Síndromes de Sensibilització Central, Servei de Reumatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Luciano JV] Psychological Research in Fibromyalgia and Chronic Pain (AGORA Research Group), Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain. Departament de Psicologia Clínica i de la Salut, Facultat de Psicologia, Universitat Autònoma de Barcelona, Bellaterra, Spain Vall d'Hebron Barcelona Hospital Campus Fibromiàlgia - Tractament Avaluació de resultats (Assistència sanitària) COVID-19 (Malaltia) DISEASES::Musculoskeletal Diseases::Musculoskeletal Diseases::Rheumatic Diseases::Fibromyalgia Other subheadings::Other subheadings::/therapy ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Prognosis::Treatment Outcome DISEASES::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections ENFERMEDADES::enfermedades musculoesqueléticas::enfermedades musculoesqueléticas::enfermedades reumáticas::fibromialgia Otros calificadores::Otros calificadores::/terapia TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronóstico::resultado del tratamiento ENFERMEDADES::virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus COVID-19; Teleterapia; Ejercicio terapéutico COVID-19; Teleteràpia; Exercici terapèutic COVID-19; Teletherapy; Therapeutic exercise FIBROWALK is a multicomponent program including pain neuroscience education, therapeutic exercise, cognitive behavioral therapy and mindfulness training that has recently been found to be effective in patients with fibromyalgia (FM). This RCT started before the COVID-19 pandemic and was moved to a virtual format (i.e., online videos) when the lockdown was declared in Spain. This study is aimed to evaluate the efficacy of a virtual FIBROWALK compared to Treatment-As-Usual (TAU) in patients with FM during the first state of alarm in Spain. A total of 151 patients with FM were randomized into two study arms: FIBROWALK plus TAU vs. TAU alone. The primary outcome was functional impairment. Secondary outcomes were kinesiophobia, anxiety and depressive symptomatology, and physical functioning. Differences between groups at post-treatment assessment were analyzed using Intention-To-Treat (ITT) and completer approaches. Baseline differences between clinical responders and non-responders were also explored. Statistically significant improvements with small-to-moderate effect sizes were observed in FIBROWALK+TAU vs. TAU regarding functional impairment and most secondary outcomes. In our study, the NNT was 5, which was, albeit modestly, indicative of an efficacious intervention. The results of this proof-of-concept RCT preliminarily support the efficacy of virtual FIBROWALK in patients with FM during the Spanish COVID-19 lockdown. This research was funded by the Vall d’Hebron Institute of Research Funding. 2022-05-11T08:45:43Z 2022-05-11T08:45:43Z 2021-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Serrat M, Coll-Omaña M, Albajes K, Solé S, Almirall M, Luciano JV, et al. Efficacy of the FIBROWALK Multicomponent Program Moved to a Virtual Setting for Patients with Fibromyalgia during the COVID-19 Pandemic: A Proof-of-Concept RCT Performed Alongside the State of Alarm in Spain. Int J Environ Res Public Health. 2021 Sep 30;18(19):10300. 1660-4601 https://hdl.handle.net/11351/7509 10.3390/ijerph181910300 34639600 000762762000002 http://hdl.handle.net/11351/7509 eng International Journal of Environmental Research and Public Health;18(19) https://doi.org/10.3390/ijerph181910300 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess application/pdf application/pdf MDPI Scientia