• Pain Res Manag · Jan 2017

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

    • Michelle Teo, Bindu Mohan, and Nelly D Oelke.
    • Balfour Medical Clinic, 1496 Balfour St, Penticton, BC, Canada V2A 4Z1.
    • Pain Res Manag. 2017 Jan 1; 2017: 4521389.

    BackgroundFibromyalgia (FM) is a complex disease posing challenges for primary care providers and specialists in its management.AimTo evaluate the development and implementation of a comprehensive, integrated, community-based model of care for FM.MethodsA 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.ResultsBoth 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.ConclusionsOur 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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