Daphne Kos, Inge van Eupen, Jill Meirte, Deborah Van Cauwenbergh, Greta Moorkens, Mira Meeus, Jo Nijs; Activity Pacing Self-Management in Chronic Fatigue Syndrome: A Randomized Controlled Trial. Am J Occup Ther 2015;69(5):6905290020. https://doi.org/10.5014/ajot.2015.016287
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© 2020 American Occupational Therapy Association
OBJECTIVE. The objective of this study was to evaluate the effectiveness of an activity pacing self-management (APSM) intervention in improving performance of daily life activities in women with chronic fatigue syndrome (CFS).
METHOD. A total of 33 women with CFS (age 41.1 ± 11.2 yr) were randomly allocated to APSM (experimental group; n = 16) or relaxation (control group; n = 17). Main outcome measures included the Canadian Occupational Performance Measure (COPM; primary) and Checklist Individual Strength (CIS).
RESULTS. COPM scores changed significantly over time in both groups (p = .03). The change in Satisfaction scores showed a significant difference in favor only of APSM (effect size = 0.74 [0.11, 1.4]). CIS scores decreased significantly in the experimental group only (p < .01).
CONCLUSION. APSM was found to be feasible and effective in optimizing participation in desired daily life activities in women with CFS. Replication in a larger sample with long-term follow-up is required.
A short APSM program may be feasible and effective for women with chronic fatigue syndrome when combined with a multidisciplinary rehabilitation program.
This study showed the intervention’s effectiveness in the short term; long-term follow-up studies are needed.
The personalized and graded approach in the APSM may be important components to support clients with CFS in their coping process and can be applied in other rehabilitation domains.
The COPM and activity diaries are useful tools in detecting and prioritizing desired daily life activity goals in CFS.
It is to be determined whether a combination of APSM and relaxation techniques would lead to increased effectiveness in activity performance and satisfaction.
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