FINE trial fails to find cure for fatigue

The aim of the MRC funded trial was to evaluate the effectiveness of home delivered pragmatic rehabilitation – a programme of gradually increasing activity designed collaboratively by the patient and the therapist – and supportive listening – an approach based on non-directive counselling—for patients in primary care with (CFS/ME).

They concluded that pragmatic rehabilitation delivered by trained nurse therapists improves fatigue in the short term compared with unconstrained GP treatment, but the effect is small and not statistically significant at one year follow-up. Supportive listening delivered by trained nurse therapists is not an effective treatment for CFS/ME.

Alison J Wearden et al Nurse led, home based self help treatment for patients in primary care with chronic fatigue syndrome: randomised controlled trial BMJ 2010; 340: c1777

 

 

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