Skip Navigation LinksHome > August 2013 - Volume 29 - Issue 8 > Cost-Utility of a Psychoeducational Intervention in Fibromya...
Clinical Journal of Pain:
doi: 10.1097/AJP.0b013e318270f99a
Original Articles

Cost-Utility of a Psychoeducational Intervention in Fibromyalgia Patients Compared With Usual Care: An Economic Evaluation Alongside a 12-Month Randomized Controlled Trial

Luciano, Juan V. PhD*,†; Sabes-Figuera, Ramon MSc; Cardeñosa, Eugenia MD§; T. Peñarrubia-María, María MD†,§; Fernández-Vergel, Rita MD†,§; García-Campayo, Javier MD, PhD†,∥; Knapp, Martin PhD‡,¶; Serrano-Blanco, Antoni MD, PhD*,†

Collapse Box


Objective: To determine the effectiveness of adding psychoeducational treatment implemented in general practice to usual care for patients with fibromyalgia (FM), and to analyze the cost-utility of the intervention from health care and societal perspectives.

Methods: Twelve-month randomized controlled trial. A total of 216 primary care patients meeting the American College of Rheumatology criteria for FM participated in the study. The intervention included 9, 2-hour sessions of psychoeducation (5 sessions of education about the illness+4 sessions of autogenic relaxation) added to usual care provided by a multidisciplinary group in general practice was compared to usual care in the public health system.

Results: At 12-month follow-up, patients who received psychoeducation showed greater improvement in global functional status (Cohen d=0.36; −2.49 to 3.81), physical functioning (Cohen d=0.56; 0.08 to 1.00), days feeling well (Cohen d=0.40; −0.16 to 1.02), pain (Cohen d= 0.35; −0.04 to 0.80), morning fatigue (Cohen d=0.24; −0.20 to 0.76), stiffness (Cohen d=0.34; −0.10 to 0.87), and depression (Cohen d=0.30; −0.26 to 0.93). Mean incremental cost per person receiving the intervention was €−215.49 (−615.13 to 287.81) from the health care perspective, and €−197.32 (−785.12 to 395.74) from the societal perspective. The incremental gain in quality-adjusted life-years per person was 0.12 (0.06 to 0.19), yielding a “dominant” intervention from both perspectives. The sensitivity analysis suggested that the intervention was cost-effective even imputing all missing data.

Discussion: Our findings demonstrate the long-term clinical effectiveness of a psychoeducational treatment program for FM implemented at primary care level and the cost-utility from a health care and societal perspective.

Trial Registration: NCT00550966

© 2013 by Lippincott Williams & Wilkins

Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.