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This study examined 125 working-age patients from the Turku Outpatient Clinic for Functional and Fatigue Disorders. "Patients participate in the clinic's biopsychosocial, multidisciplinary, and individually tailored rehabilitation. The aim of the rehabilitation is to improve patients' functional capacity and provide them with tools to manage and cope with their symptoms. In addition, the goal is to break the cycle of unnecessary examinations that cause harm to the patient. Socioeconomic data, as well as information related to functional capacity, symptoms, and quality of life, are collected from patients at the start of rehabilitation and again at six and twelve months after the beginning of rehabilitation. In addition, data on patients' use of social and health care services are requested from registers for the year preceding the start of rehabilitation and for the year following rehabilitation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients suffering persistent symptoms | The clinic's staff included a pilot project coordinator, a physician, an occupational therapist, a physiotherapist, a psychologist, a rehabilitation counselor, and a ward secretary. At the physician's initial visit, stress system sensitization, burden factors, and need for symptomatic medication were assessed. In a joint rehabilitation team meeting, the patient met a psychologist, occupational therapist, physiotherapist, and rehabilitation counselor, who conducted a multidisciplinary evaluation and created an individualized rehabilitation plan. Patients then attended a course for persistent bodily symptoms, with some joining a psychophysical breathing group. Individual rehabilitation or counseling was provided according to each patient's needs. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Biopsychosocial, multidisciplinary, and individually tailored rehabilitation for patients with persisten symptoms | Behavioral | The clinic's staff included a pilot project coordinator, a physician, an occupational therapist, a physiotherapist, a psychologist, a rehabilitation counselor, and a ward secretary. At the physician's initial visit, stress system sensitization, burden factors, and need for symptomatic medication were assessed. In a joint rehabilitation team meeting, the patient met a psychologist, occupational therapist, physiotherapist, and rehabilitation counselor, who conducted a multidisciplinary evaluation and created an individualized rehabilitation plan. Patients then attended a course for persistent bodily symptoms, with some joining a psychophysical breathing group. Individual rehabilitation or counseling was provided according to each patient's needs. |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life of the patients | WHOQOL-BREF | At baseline and at 6 and 12 months follow-ups |
| Measure | Description | Time Frame |
|---|---|---|
| Functional limitations of the patients | WHODAS 2.0 | At baseline and at 6 and 12 months follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Use of social and health services | Number of visits and service fee per visits | At baseline and at 6 and 12 month follow-ups |
Inclusion Criteria:
Exclusion Criteria:
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The study population consists of working-age patients with persistent symptoms in the wellbeing services county of Southwest Finland. Referrals to the clinic were made from primary health care, occupational health care, private health services, and specialized health care.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Academic Health and Social Services Centre | Turku | Southwest Finland | 20520 | Finland |
Only upon reasonable request.
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|
| ID | Term |
|---|---|
| D015673 | Fatigue Syndrome, Chronic |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D004679 | Encephalomyelitis |
| D000090862 | Neuroinflammatory Diseases |
| D009422 | Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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