RT Journal Article
T1 The Effectiveness of Adding a Health Education Program to Fibromyalgia Treatment: A Systematic Review of Randomized Controlled Trials and Meta-Analysis
A1 Arana Rodríguez, Andrés
A1 García Padilla, Francisca María
A1 Garrido Fernández, Almudena
A1 Sánchez Alcón, Miriam
A1 Sánchez Galloso, Julia
A1 Rodríguez Domínguez, Álvaro José
K1 Fibromyalgia
K1 Nursing
K1 Quality of life
K1 Health education
K1 Pain
AB ObjectivesEvaluate the effectiveness of adding health education programs to a fibromyalgia intervention, focusing on pain intensity and the impact of fibromyalgia on quality of life.DesignSystematic review and meta-analysis of randomized controlled trials.Data SourcesDatabases: Web of Science, Medline, Scopus, Cumulative Index to Nursing and Allied Health Literature, Latin American and Caribbean Health Sciences Literature and PsycINFO.Review/Analysis MethodsLiterature from 2005–2025 was reviewed. Risk of bias was assessed by two researchers using the Cochrane Collaboration’s tool. Quality of evidence was measured using the Grading of Recommendations, Assessment, Development, and Evaluation tool.ResultsThe systematic review included 7 randomized controlled trials. 6 studies were included in the meta-analysis of the impact of fibromyalgia on quality of life, and five in the pain intensity meta-analysis. Meta-analysis results showed that health education significantly reduced pain intensity (MD=-13.10; 95% CI [-22.06, - 4.14], p=0.004) and improved the impact of fibromyalgia on quality of life (SMD=-0.39; 95% CI [-0.55, -0.23], p<.001).Subgroup analyses showed that adding education to usual care led to clinically relevant reduction in pain intensity (MD=-19.53; 95% CI [-31.68, -7.39], p=0.002) and statistically significant improvement in the impacf of fibromyalgia on quality of life (SMD=-0.46; 95% CI [-0.66, -0.26], p < .001).ConclusionsHealth education programs are effective in improving pain intensity and reducing the impact of fibromyalgia on quality of life. Further research is needed to support findings.Nursing Practice ImplicationsBy implementing health education for fibromyalgia patients, nurses can improve outcomes, enhancing the quality of care provided.
PB Elservier
YR 2026
FD 2026
LK https://hdl.handle.net/10272/28168
UL https://hdl.handle.net/10272/28168
LA eng
NO Arana-Rodríguez A, García-Padilla FM, Garrido-Fernández A, Sánchez-Alcón M, Sánchez-Galloso J, Rodríguez-Domínguez ÁJ. The Effectiveness of Adding a Health Education Program to Fibromyalgia Treatment: A Systematic Review of Randomized Controlled Trials and Meta-Analysis. Pain Manag Nurs. 2026 Apr;27(2):e179-e189. doi: 10.1016/j.pmn.2025.08.010. Epub 2025 Sep 18. PMID: 40973573.
NO Funding for open access charge: Universidad de Huelva / CBUA
DS Repositorio Institucional de la Universidad de Huelva
RD 1 jun 2026