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The study has three parts:
Part 1: To evaluate, for adult female patients diagnosed with chronic widespread pain (including fibromyalgia), the effects of Free Movement Dance as an add-on intervention after interdisciplinary pain management/rehabilitation at a specialist pain clinic versus modified person-centered progressive resistance exercise. The cognitive-behavioural conceptualization of pain, effects on pain intensity, physical function, self-efficacy, pain catastrophizing, health related quality of life, anxiety and depression symptoms and quality of sleep will be evaluated.
Part 2: To explore, for adult female patients diagnosed with chronic widespread pain (including fibromyalgia), the processes of Free Movement Dance, as an add-on intervention after interdisciplinary pain management/rehabilitation at a specialist pain clinic, to generate a substantive theory useful for clinical praxis.
Part 3: To explore and describe why participants who agreed and signed consent choose to withdraw from participating in the interventions of the study's part 1.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interdisciplinary team treatment + add on Intervention - Free Movement Dance | Experimental | Interdisciplinary team treatment + add on Intervention - Free Movement Dance as a physiotherapy intervention |
|
| Interdisciplinary team treatment + add on Modified person-centered progressive resistance exercise | Active Comparator | Interdisciplinary team treatment + add on Control group - modified person-centered progressive resistance exercise as a physiotherapy intervention |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Free Movement Dance | Other | Free Movement Dance as a physiotherapy intervention |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Cognitive-behavioural conceptualization of pain | - measured with The Multidimensional Pain Inventory- Swedish (MPI-s) | Before and after the three months of interdisciplinary specialist interventions and after 12 months, which is standard procedure + after ending the add-on interventions and 24 months after the interdisciplinary treatments |
| Measure | Description | Time Frame |
|---|---|---|
| Self-reported Pain | measured by Numeric Pain Rating Scale (NPRS) | Before and after the three months of interdisciplinary specialist interventions and after 12 months, which is standard procedure + after ending the add-on interventions and 24 months after the interdisciplinary treatments |
| Health Related Quality of Life |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Smärthjälpen | Gothenburg | Sweden |
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| Modified person-centred progressive resistance exercise | Other | Modified person-centered progressive resistance exercise as a physiotherapy intervention |
|
- Physical function, Physical role and Quality of life measured by Rand - 36 |
| Before and after the three months of interdisciplinary specialist interventions and after 12 months, which is standard procedure + after ending the add-on interventions and 24 months after the interdisciplinary treatments |
| Self-efficacy | measured by The General Self-Efficacy Scale (GSE) | Before and after the three months of interdisciplinary specialist interventions and after 12 months, which is standard procedure + after ending the add-on interventions and 24 months after the interdisciplinary treatments |
| Pain catastrophizing | measured by the Pain Catastrophizing Scale (PCS) | Before and after the three months of interdisciplinary specialist interventions and after 12 months, which is standard procedure + after ending the add-on interventions and 24 months after the interdisciplinary treatments |
| Health Related Quality of Life | measured by the EuroQol-5 dimensions (EQ-5D-3L) | Before and after the three months of interdisciplinary specialist interventions and after 12 months, which is standard procedure + after ending the add-on interventions and 24 months after the interdisciplinary treatments |
| Anxiety and depression symptoms | measured by the Hospital Anxiety and Depression Scale (HADS) | Before and after the three months of interdisciplinary specialist interventions and after 12 months, which is standard procedure + after ending the add-on interventions and 24 months after the interdisciplinary treatments |
| Quality of sleep | measured by Insomnia Severity Scale (ISI) | Before and after the three months of interdisciplinary specialist interventions and after 12 months, which is standard procedure + after ending the add-on interventions and 24 months after the interdisciplinary treatments |
| ID | Term |
|---|---|
| D005356 | Fibromyalgia |
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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