Fibromyalgia & musculoskeletal pain

Self-guided digital behavioural therapy versus active control for fibromyalgia (PROSPER-FM): a phase 3, multicentre, randomised controlled trial

LancetPublished Randomised controlled trial

Primary result · Improvement on PGICResult — go to the resultDifference in proportions 48.4% 95% CI 37.9–58.9

Authors' conclusion

Digital ACT was safe and efficacious compared with digital symptom tracking in managing fibromyalgia in adult patients.

Study context

Population
Adults aged 22–75 years with FM, 25 US community sites257 women and 18 men
Participants
275 adults
Comparison
12-week self-guided smartphone-delivered digital and commitment therapy (ACT) vs active control
  • Digital ACTn = 140
  • Active controln = 135reference
Primary endpoint
Patient global impression of change (PGIC) response rate
Follow-up
Week 12
Methodological detailsmulticentre (25 US community sites), active-controlled, blind-to-hypothesis, 1:1 randomisation in permuted blocks of four, open-label for research staff, Research staff not masked to group allocation, Randomised 1:1 via web-based system in permuted blocks of four at site level
  • Multicentre (25 US community sites)
  • Active-controlled
  • Blind-to-hypothesis
  • 1:1 randomisation in permuted blocks of four
  • Open-label for research staff
  • Research staff not masked to group allocation
  • Randomised 1:1 via web-based system in permuted blocks of four at site level

Primary result

Improvement on PGIC · 12 weeks

Difference in proportions

48.4%

95% CI 37.9–58.9

P < 0.0001

Events by treatment group

Digital ACTvs Active control
difference in proportions 48.4% (95% CI 37.9–58.9); P < 0.0001

As reported in the abstract

Safety

No device-related safety events were reported

Original publication

Self-guided digital behavioural therapy versus active control for fibromyalgia (PROSPER-FM): a phase 3, multicentre, randomised controlled trial. Lancet. Published 8 July 2024. doi:10.1016/s0140-6736(24)00909-7

Composed by AI from the published abstract and checked against it. How Briefs are made →

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