Evidence map›Paper›PMID 27821160›Full record

ArticleBMC musculoskeletal disorders2016

A pilot study of health and wellness coaching for fibromyalgia.

Kevin V Hackshaw, Marcal Plans-Pujolras, Luis E Rodriguez-Saona, Margaret A Moore, Erika K Jackson, Gary A Sforzo, C A Tony Buffington

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 24 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Kevin V HackshawInternal Medicine and Molecular Biochemistry, The Ohio State University, Columbus, USA. Kevin.Hackshaw@osumc.edu.
Marcal Plans-PujolrasNestlé-Purina, 3916 Pettis Road, Saint Joseph, 64503, MO, USA.
Luis E Rodriguez-SaonaFood Science and Technology, College of Food Agriculture and Environmental Science, The Ohio State University, 110 Parker Food Science and Technology Building, 2015 Fyffe Road, Columbus, OH, 43210, USA.
Margaret A MooreWellcoaches Corporation, Wellesley, USA.
Erika K JacksonWellcoaches Corporation, Wellesley, USA.
Gary A SforzoExercise & Sport Sciences, 323 Center for Health Sciences, Ithaca College, Ithaca, NY, 14850, USA.
C A Tony BuffingtonVeterinary Clinical Sciences, The Ohio State University College of Veterinary Medicine, Columbus, USA.
The Ohio State University · USAmerican Nurses Credentialing Center · USIthaca College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to test the hypothesis that a health and wellness coaching (HWC)-based intervention for fibromyalgia (FM) would result in sustained improvements in health and quality of life, and reductions in health care utilization.

methodsNine female subjects meeting American College of Rheumatology criteria for a diagnosis of primary FM were studied. The HWC protocol had two components, which were delivered telephonically over a twelve-month period. First, each patient met individually with a coach during the 12 month study at the patient's preference of schedule and frequency (Range:22-32 × 45-min sessions). Coaches were health professionals trained in health and wellness coaching tasks, knowledge, and skills. Second, each patient participated in bimonthly (first six months) and monthly (second six months) group classes on self-coaching strategies during the 12 month study. Prior to the intervention, and after 6 months and 12 months of coaching, the Revised Fibromyalgia Impact Questionnaire (FIQR) was used to measure health and quality of life, and the Brief Pain Inventory-Short Form (BPI) was used to measure pain intensity and interference with function. Total and rheumatology-related health encounters were documented using electronic medical records. Data were analyzed using repeated measures ANOVA.

resultsAll nine patients finished the HWC protocol. FIQR scores improved by 35 % (P = 0.001). BPI scores decreased by 32 % overall (P = 0.006), 31 % for severity (P = 0.02), and 44 % for interference (P = 0.006). Health care utilization declined by 86 % (P = 0.006) for total and 78 % (P < 0.0001) for rheumatology-related encounters.

conclusionThe HWC program added to standard FM therapy produced clinically significant improvements in quality of life measures (FIQR), pain (BPI), and marked reductions in health care utilization. Such improvements do not typically occur spontaneously in FM patients, suggesting that HWC deserves further consideration as an intervention for FM.

Indexed as

Patient Acceptance of Health CareAdultElectronic Health RecordsFemaleFibromyalgiaHealth PromotionHumansMentoringMiddle AgedPain ManagementPain MeasurementPilot ProjectsQuality of LifeSurveys and QuestionnairesFibromyalgiaHealth behavior interventionHealthcare costsMotivational interviewingPain management

Identifiers

PMID27821160
PMCPMC5100173
OpenAlexW2552238617

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.