{"id":9232,"date":"2016-08-03T09:44:26","date_gmt":"2016-08-03T09:44:26","guid":{"rendered":"http:\/\/wames.org.uk\/cms-english\/?p=9232"},"modified":"2016-08-03T09:44:26","modified_gmt":"2016-08-03T09:44:26","slug":"assessment-of-self-management-methods-for-severe-cfs","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/assessment-of-self-management-methods-for-severe-cfs\/","title":{"rendered":"Assessment of self-management methods for severe CFS"},"content":{"rendered":"<h3>Research abstract:<\/h3>\n<p><strong>Purpose: <\/strong>To assess the efficacy of fatigue self-management for severe chronic fatigue syndrome (CFS).<\/p>\n<p><strong>Methods:\u00a0 <\/strong>This randomized trial enrolled 137 patients with severe CFS.<\/p>\n<p>Participants were randomized to one of three conditions:<\/p>\n<ul>\n<li>fatigue self-management with web diaries and actigraphs (FSM:ACT);<\/li>\n<li>fatigue self-management with less expensive paper diaries and pedometers (FSM:CTR);<\/li>\n<li>or an usual care control condition (UC).<\/li>\n<\/ul>\n<p>The primary outcome assessed fatigue severity at 3-month follow-up. Analysis was by intention-to-treat.<\/p>\n<p><strong>Results:\u00a0 <\/strong>At 3-month follow-up, the FSM:CTR condition showed significantly greater reduction in fatigue severity compared to UC (p=.03; d=.58).<\/p>\n<p>No significant improvement was found at 12-month follow-up for the FSM:ACT or the FSM:CTR condition as compared to UC (p&gt;.10). The combined active treatment conditions revealed significantly reduced fatigue at 3-month follow-up (p=.03), but not at 12-month follow-up (p=.24) compared to UC. Clinically significant improvements were found for 24-28% of the intervention groups as compared to 9% of the UC group. Attrition at 12-month follow-up was low (&lt;8%).<\/p>\n<p><strong>Conclusion:<\/strong> Home-based self-management for severe CFS appeared to be less effective in comparison to findings reported for higher functioning groups. Home-based management may be enhanced by remotely delivered interventional feedback.<\/p>\n<p><a href=\"http:\/\/www.tandfonline.com\/doi\/full\/10.1080\/21641846.2016.1205876\" target=\"_blank\">Efficacy of two delivery modes of behavioral self-management in severe chronic fatigue syndrome<\/a>, by Fred Friedberg, Jenna Adamowicz, Indre Caikauskaite, Viktoria Seva &amp; Anthony Napoli <span style=\"text-decoration: underline;\">in<\/span> <em>Fatigue: Biomedicine, Health &amp; Behavior<\/em> Vol 4, no.3, pp 158-174 [Published online: 29 Jul 2016]<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Research abstract: Purpose: To assess the efficacy of fatigue self-management for severe chronic fatigue syndrome (CFS). Methods:\u00a0 This randomized trial enrolled 137 patients with severe CFS. Participants were randomized to one of three conditions: fatigue self-management with web diaries and &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/assessment-of-self-management-methods-for-severe-cfs\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[11,426,2347,1093,1540],"class_list":["post-9232","post","type-post","status-publish","format-standard","hentry","category-news","tag-cbt","tag-cognitive-behavioural-therapy","tag-dr-fred-friedberg","tag-jenna-adamowicz","tag-self-management-programme"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-2oU","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/9232","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=9232"}],"version-history":[{"count":2,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/9232\/revisions"}],"predecessor-version":[{"id":9234,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/9232\/revisions\/9234"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=9232"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=9232"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=9232"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}