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Cited by 126Fibromyalgia and Chronic Fatigue Syndrome ResearchPatient-Provider Communication in HealthcareMusculoskeletal pain and rehabilitation

Evaluation of a patient-centred approach in generalized musculoskeletal chronic pain/fibromyalgia patients in primary care

Alamo, Miguel Muñoz, Moral, Roger Ruiz, Pérula de Torres, Luis Angel·2002·Patient Education and Counseling
DOI 10.1016/s0738-3991(02)00095-2
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Abstract

The aim of this paper is to assess whether patient-centred consultations are more effective than the usual style of consultations used by general practitioners with patients suffering from benign chronic musculoskeletal pain and fibromyalgia. It also seeks to evaluate the differential characteristics of these two clinical groups of symptoms. The study was designed as a cluster randomised and simple blind trial. Twenty general practitioners took part and 110 patients were recruited. Compared with patients who received the usual treatment from their family physician, those who received a patient-centred approach showed greater improvement after 1 year in terms of psychological distress (anxiety) and number of tender points, as well as showing positive trends in some important outcomes such as pain intensity. Significantly better results were observed in those patients suffering chronic pain than in those with fibromyalgia, particularly as regards associated symptoms, self-rated pain and physical mobility as measured by the Nottingham health profile.

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Crossref · 10.1016/s0738-3991(02)00095-2

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64 of 64 references verified0 citation errors · 0 not checkable

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  • Of the 37 studies with incomplete outcome data, 12 clearly adopted an intention-to-treat approach to statistical analysis.

    “Of the 37 studies with incomplete data, 12 clearly adopted an intention to treat (ITT) approach to statistical analysis (Alamo 2002; Briel 2006; Chenoweth 2009; Glasgow 2004; Joos 1996; Kennedy 2004; Margalit 2005; McLean 2004; Meland 1997; Smith 2006; Sorlie 2007; Wilkinson 2008), raising the possibility of bias in the remaining 25 studies.”

    From Interventions for providers to promote a patient-centred approach in clinical consultations (2012) · cites this paper as Alamo 2002

  • Only five studies appeared to be at high risk of bias from selective reporting.

    “Only five studies appeared to be at high risk of bias from selective reporting (Alamo 2002; Clark 2000; Fallowfield 2002; Haskard 2008; Pill 1998).”

    From Interventions for providers to promote a patient-centred approach in clinical consultations (2012) · cites this paper as Alamo 2002

  • Four studies made no adjustments for clustering.

    “while four made no such adjustments (Alamo 2002; McLean 2004; Pill 1998; Meland 1997).”

    From Interventions for providers to promote a patient-centred approach in clinical consultations (2012) · cites this paper as Alamo 2002

  • Thirty-two included studies randomized health providers or practices/clinics to intervention or control groups and then collected some data at the level of the individual patient or provider.

    “Thirty‐two of the studies included in this review (Alamo 2002; Alder 2007; Bieber 2008; Briel 2006; Chassany 2006; Chenoweth 2009; Clark 2000; Dijkstra 2006; Fallowfield 2002; Glasgow 2004; Harmsen 2005; Haskard 2008; Hobma 2006; Joos 1996; Kennedy 2004; Kinmonth 1998; Krones 2008; Levinson 1993; Lewis 1991; Loh 2007; Longo 2006; Margalit 2005; Meland 1997; Merckaert 2008; Moral 2003; Pill 1998;”

    From Interventions for providers to promote a patient-centred approach in clinical consultations (2012) · cites this paper as Alamo 2002

  • In the majority of studies, it was unclear or unlikely that protection against contamination was adequate.

    “However, in the majority of studies, it was unclear or unlikely that protection against contamination was adequate (Alamo 2002; Bieber 2008; Briel 2006;Chenoweth 2009; Dijkstra 2006; Harmsen 2005; Haskard 2008; Heaven 2006; Ho 2008; Howe 1996; Joos 1996; Kinmonth 1998; Langewitz 1998; Levinson 1993; Lewis 1991; Loh 2007; Margalit 2005; McLean 2004; Meland 1997; Merckaert 2008; Pill 1998; Robbins 1”

    From Interventions for providers to promote a patient-centred approach in clinical consultations (2012) · cites this paper as Alamo 2002

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Authors
Alamo, M. M., Moral, R. R., & Pérula de Torres, L. A.
Affiliations
University of Córdoba (ES)
Corresponding author
Moral, Roger Ruiz
ORCID
Moral, Roger Ruiz
Venue
Patient Education and Counseling
Publisher
Elsevier BV
Published
2002-09
Volume
48
Issue
1
Pages
23-31
ISSN
0738-3991 (ISSN-L)
DOI
10.1016/s0738-3991(02)00095-2
OpenAlex
W2008294384
Cited by
126
References
63
Citations by year
2025: 3 · 2024: 3 · 2023: 3 · 2022: 8 · 2021: 6 · 2020: 4 · 2019: 9 · 2018: 6 · 2017: 5 · 2016: 3 · 2015: 8 · 2014: 5 · 2013: 9 · 2012: 7
FWCI
3.20
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Patient Education and Counseling (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Keywords
patient-centered care, fibromyalgia, chronic musculoskeletal pain, primary care, general practitioners, psychological distress, anxiety, tender points, pain intensity, physical mobility, self-rated pain
MeSH terms
Adult, Chronic Disease, Female, Fibromyalgia, Humans, Male, Middle Aged, Pain, Primary Health Care, Patient-Centered Care

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