Brief Acceptance and Commitment Therapy for Fibromyalgia: Feasibility and Effectiveness of a Replicated Single-Case Design
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Other documents of the author: Gómez Pérez, María Camino; García-Palacios, Azucena; Castilla, Diana; Zaragozá, Irene; Suso-Ribera, Carlos
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Title
Brief Acceptance and Commitment Therapy for Fibromyalgia: Feasibility and Effectiveness of a Replicated Single-Case DesignAuthor (s)
Date
2020Publisher
HindawiISSN
1203-6765; 1918-1523Bibliographic citation
María Camino Gómez-Pérez, Azucena García-Palacios, Diana Castilla, Irene Zaragozá, Carlos Suso-Ribera, "Brief Acceptance and Commitment Therapy for Fibromyalgia: Feasibility and Effectiveness of a Replicated Single-Case Design", Pain Research and Management, vol. 2020, Article ID 7897268, 11 pages, 2020. https://doi.org/10.1155/2020/7897268Type
info:eu-repo/semantics/articlePublisher version
https://www.hindawi.com/journals/prm/2020/7897268/Version
info:eu-repo/semantics/publishedVersionAbstract
Objective. Overall, the literature on the effectiveness of psychological treatments in general and those for fibromyalgia in particular
has been dominated by research designs that focus on large groups and explore ... [+]
Objective. Overall, the literature on the effectiveness of psychological treatments in general and those for fibromyalgia in particular
has been dominated by research designs that focus on large groups and explore changes on average, so the treatment impact at the
individual level remains unclear. In this quasi-experimental, replicated single-case design, we will test the feasibility and effectiveness of a brief acceptance and committed therapy intervention using ecological momentary assessment supported by
technology. Methods. ,e sample comprised 7 patients (3 in the individual condition and 4 in the group condition) who received a
brief, 5-week psychological treatment. Patient evolution was assessed one week prior to treatment onset and during the whole
study with a smartphone app. Because ecological momentary assessment and the use of an app are not frequent practices in
routine care, we also evaluated the feasibility of this assessment methodology (i.e., compliance with the app). Change was
investigated with a nonoverlap of all pairs index. Outcomes were pain interference with sleep and social activities, fatigue, sadness,
and pain intensity. Results. Patient change was not uniform across outcomes. Four patients (two in each condition) showed
relatively moderate levels of change (approximately 60% nonoverlap in several outcomes). ,e remaining patients showed more
modest improvements which affected a reduced number of outcomes. Based on nonoverlapping indices, there was no clear
evidence in favor of any treatment format. Conclusions. An alternative design to large-scale trials, one that focuses on the
individual change, exists and it can be implemented in pain research. ,e use of technology (e.g., smartphones) simplifies such
designs by facilitating ecological momentary assessment. Based on our findings showing that changes were not homogeneous
across patients or outcomes, more single-case designs and patient-centered analyses (e.g., responder and moderation analyses)
are required. [-]
Is part of
Pain Research and Management, vol. 2020, Article ID 7897268, 11 pages, 2020.Investigation project
UJI-B2016-39, GV/2019/095Rights
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Except where otherwise noted, this item's license is described as Copyright © 2020 María Camino Gómez-Pérez et al. ,This is an open access article distributed under the Creative Commons
Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.