Study protocol for a three-arm randomized controlled trial investigating the effectiveness cost-utility and physiological effects of a fully self-guided digital Acceptance and Commitment Therapy for Spanish patients with fibromyalgia

Objective:Fibromyalgia (FM) is a prevalent pain syndrome with significant healthcare and societal costs. The aim of the SMART-FM-SP study is to determine the effectiveness, cost-utility, and physiological effects in patients with FM of a digital intervention (STANZA®) currently marketed in the Unite...

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Detalles Bibliográficos
Autores: Gallego, Ana, Serrat, Mayte, Royuela-Colomer, Estíbaliz, Sanabria Mazo, Juan P., Borràs, Xavier, Esteve Ràfols, Montserrat, Grasa Martínez, Maria del Mar, Rosa de la Cruz, Araceli, Rozadilla-Sacanell, Antoni, Almirall, Miriam, D'Amico, Francesco, Dai, Yifei, Rosenbluth, Michael J., McCracken, Lance M., Navarrete, Jaime, Feliu-Soler, Albert, Luciano, Juan V.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/215970
Acceso en línea:https://hdl.handle.net/2445/215970
Access Level:acceso abierto
Palabra clave:Fibromiàlgia
Teràpia d'acceptació i compromís
Aplicacions mòbils
Telèfons intel·ligents
Dolor crònic
Fibromyalgia
Acceptance and commitment therapy
Mobile apps
Smartphones
Chronic pain
Descripción
Sumario:Objective:Fibromyalgia (FM) is a prevalent pain syndrome with significant healthcare and societal costs. The aim of the SMART-FM-SP study is to determine the effectiveness, cost-utility, and physiological effects in patients with FM of a digital intervention (STANZA®) currently marketed in the United States, which delivers smartphone-based, fully self-guided Acceptance and Commitment Therapy (Digital ACT) for treating FM-related symptoms. Methods:A single-site, parallel-group, superiority, randomized controlled trial (RCT) will be conducted, including a total of 360 adults diagnosed with FM. Individuals will be randomly allocated (1:1:1) to treatment as usual (TAU), to TAU plus 12 weeks of treatment with Digital ACT, or to TAU plus 12 weeks of treatment with digital symptom tracking (i.e. FibroST). Participants will be assessed at baseline, post-treatment, and 6-month follow-up. An intention-to-treat analysis using linear mixed models will be computed to analyze the effects of Digital ACT on functional impairment (primary outcome), as measured by the Fibromyalgia Impact Questionnaire Revised at 6 months from the inception of the treatment. Secondary outcomes include impression of change, symptoms of distress, pain catastrophising, quality of life, cost-utility, and selected biomarkers (cortisol and cortisone, immune-inflammatory markers, and FKBP5 gene polymorphisms). The role of ACT-related processes of change will be tested with path analyses. Conclusions:This study is the first RCT that tests Digital ACT for Spanish patients with FM. Results will be important not only for patients and clinicians, but also for policy makers by examining the cost-utility of the app in a public healthcare context.

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