Effectiveness of interdisciplinary health education programs for individuals with fibromyalgia: A systematic review
نویسندگان
1 Department of Physiotherapy, Speech Therapy and Occupational Therapy, Faculty of Medicine, University of São Paulo, São Paulo, Brazil
2 Department of Physiotherapy, Speech Therapy and Occupational Therapy, Faculty of Medicine, University of São Paulo, São Paulo, Brazil
3 Health Promotion Graduate Program and Cesumar Institute of Science, Technology and Innovation, Cesumar University, Maringá, Paraná, Brazil,
4 Department of Physiotherapy, Speech Therapy and Occupational Therapy, Faculty of Medicine, University of São Paulo, São Paulo, Brazil
5 Department of Medicine, Cesumar University, Maringá, Paraná, Brazil
6 Department of Physiotherapy, Speech Therapy and Occupational Therapy, Faculty of Medicine, University of São Paulo, São Paulo, Brazil
doi
چکیده
Fibromyalgia has been increasing worldwide and is considered a public health problem.Nonpharmacological treatment through exercise and education is recommended forfibromyalgia management. In this sense, there is a need for interdisciplinary programs topromote health and improve symptoms in fibromyalgia. The purpose of this study wasto verify the effectiveness of interdisciplinary health education programs for individualswith fibromyalgia. This is a systematic review that followed the Preferred ReportingItems for Systematic Reviews and Meta‑Analyses recommendations and was registeredat Prospective Register of Systematic Reviews (CRD4201913228). A search was conductedin the following databases: Scientific Electronic Library Online, Lilacs, Medical LiteratureAnalysis and Retrieval System Online, Scopus, Web of Knowledge ISI, PhysiotherapyEvidence Database, Excerpta Medica Database, Cumulative Index to Nursing and AlliedHealth Literature, Cochrane Library, and SPORTDiscus. The descriptors used were“Fibromyalgia” and “Health Education.” Clinical trials published between 1990 and 2019were selected. The Jadad Quality Scale and the Cochrane Risk‑of‑Bias Tool were used toevaluate the risk of bias and the methodological quality of the clinical trials. The searchfound 2887 articles, and only two studies were included in the analysis. Both studiesconducted the interventions through lectures and group activities. In particular, thetopics most frequently approached at the interdisciplinary health education programswere general information about fibromyalgia, body practices, physical activities, andpharmacological approaches. An interdisciplinary health education program can improvepain and quality of life in people with fibromyalgia; however, evidence shows lowmethodological quality. This systematic review indicates that studies are of low quality,interfering with the effectiveness of interdisciplinary health education programs.
