Developing and Implementing a Community-Based Model of Care for Fibromyalgia: A Feasibility Study

Background. Fibromyalgia (FM) is a complex disease posing challenges for primary care providers and specialists in its management. Aim. To evaluate the development and implementation of a comprehensive, integrated, community-based model of care for FM. Methods. A mixed methods feasibility study was...

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Main Authors: Michelle Teo, Bindu Mohan, Nelly D. Oelke
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2017/4521389
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author Michelle Teo
Bindu Mohan
Nelly D. Oelke
author_facet Michelle Teo
Bindu Mohan
Nelly D. Oelke
author_sort Michelle Teo
collection DOAJ
description Background. Fibromyalgia (FM) is a complex disease posing challenges for primary care providers and specialists in its management. Aim. To evaluate the development and implementation of a comprehensive, integrated, community-based model of care for FM. Methods. A mixed methods feasibility study was completed in a small urban centre in southern British Columbia, Canada. Eleven adults with FM and a team of seven health care providers (HCPs) participated in a 10-week intervention involving education, exercise, and sleep management. Monthly “team-huddle” sessions with HCPs facilitated the integration of care. Data included health questionnaires, patient interviews, provider focus group/interviews, and provider surveys. Results. Both patients and HCPs valued the interprofessional team approach to care. Other key aspects included the benefits of the group, exercise, and the positive focus of the program. Effectiveness of the model showed promising results: quality of care for chronic illness, quality of life, and sleep showed significant (P<0.05) differences from baseline to follow-up. Conclusions. Our community-based model of care for FM was successfully implemented. Further testing of the model will be required with a larger sample to determine its effectiveness, although promising results were apparent in our feasibility study.
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spelling doaj-art-da1b4acbcc99444eadc1bbc0a091b9632025-08-20T03:24:22ZengWileyPain Research and Management1203-67651918-15232017-01-01201710.1155/2017/45213894521389Developing and Implementing a Community-Based Model of Care for Fibromyalgia: A Feasibility StudyMichelle Teo0Bindu Mohan1Nelly D. Oelke2Balfour Medical Clinic, 1496 Balfour St, Penticton, BC, V2A 4Z1, CanadaBalfour Medical Clinic, 1496 Balfour St, Penticton, BC, V2A 4Z1, CanadaSchool of Nursing, University of British Columbia Okanagan, BC Support Unit Interior Regional Centre, FHSD, Kelowna, BC, V1V 1V7, CanadaBackground. Fibromyalgia (FM) is a complex disease posing challenges for primary care providers and specialists in its management. Aim. To evaluate the development and implementation of a comprehensive, integrated, community-based model of care for FM. Methods. A mixed methods feasibility study was completed in a small urban centre in southern British Columbia, Canada. Eleven adults with FM and a team of seven health care providers (HCPs) participated in a 10-week intervention involving education, exercise, and sleep management. Monthly “team-huddle” sessions with HCPs facilitated the integration of care. Data included health questionnaires, patient interviews, provider focus group/interviews, and provider surveys. Results. Both patients and HCPs valued the interprofessional team approach to care. Other key aspects included the benefits of the group, exercise, and the positive focus of the program. Effectiveness of the model showed promising results: quality of care for chronic illness, quality of life, and sleep showed significant (P<0.05) differences from baseline to follow-up. Conclusions. Our community-based model of care for FM was successfully implemented. Further testing of the model will be required with a larger sample to determine its effectiveness, although promising results were apparent in our feasibility study.http://dx.doi.org/10.1155/2017/4521389
spellingShingle Michelle Teo
Bindu Mohan
Nelly D. Oelke
Developing and Implementing a Community-Based Model of Care for Fibromyalgia: A Feasibility Study
Pain Research and Management
title Developing and Implementing a Community-Based Model of Care for Fibromyalgia: A Feasibility Study
title_full Developing and Implementing a Community-Based Model of Care for Fibromyalgia: A Feasibility Study
title_fullStr Developing and Implementing a Community-Based Model of Care for Fibromyalgia: A Feasibility Study
title_full_unstemmed Developing and Implementing a Community-Based Model of Care for Fibromyalgia: A Feasibility Study
title_short Developing and Implementing a Community-Based Model of Care for Fibromyalgia: A Feasibility Study
title_sort developing and implementing a community based model of care for fibromyalgia a feasibility study
url http://dx.doi.org/10.1155/2017/4521389
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