Randomized controlled trial including 200 subjects with rheumatic diseases. Subjects will be randomized to either a self-promoting problem based learning (PBL) program or a control group with traditional care. The hypothesis is that a PBL program will improve health-related quality of life, empowerment and self-care ability.

Inclusion Criteria:

• Subjects should have one or several rheumatic diseases diagnosed more than a year.
• Subjects should have musculoskeletal pain, sleep disturbances and fatigue, overwhelming number of days during the last three months.
• Subjects should be registered on the waiting list to the rheumatologic clinic.

Exclusion Criteria:

• Subjects with difficulties speaking and/or read Swedish.
• Subjects with difficulties travelling to the clinic.