Suggestions
Idioma
Guide for authors
Searcher
Journal Information
Vol. 22. Issue 7.
(August - September 2026)
Cite
Cite
Share
Download PDF
More article options
Visits
580
Vol. 22. Issue 7.
(August - September 2026)
Original Article

A patient-centered journal club for health education in women with fibromyalgia: A pilot study

Club de lectura centrado en el paciente para la educación en salud de las mujeres con fibromialgia: un estudio piloto
Visits
580
Iván Cuyul-Vásqueza,b, Josefa Molinac, Diego Quidequeoc, Alfredo Paivac, Rocío Vásquezc, Carolina Roac, Javier Meneses-Pintod, Joaquín Salazar-Méndeze,
Corresponding author
jsalazar13@santotomas.cl

Corresponding author.
, Felipe Ponce-Fuentesf
a Departamento de Procesos Terapéuticos, Facultad de Ciencias de la Salud, Universidad Católica de Temuco, Temuco, Chile
b Facultad de Ciencias de la Salud, Universidad Arturo Prat, Sede Victoria, Chile
c Centro Comunitario de Rehabilitación, Padre Las Casas, Chile
d Escuela de Kinesiología, Universidad Academia de Humanismo Cristiano, Santiago, Chile
e Escuela de Ciencias del Deporte y Actividad Física, Facultad de Salud, Universidad Santo Tomás, Talca, Chile
f Escuela de Kinesiología, Facultad de Medicina y Ciencias de la Salud, Universidad Mayor, Temuco, Chile
This item has received
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Abstract
Background

This study evaluated the effects of a patient journal club educational program on quality of life, cyberchondria, and key pain-related variables (intensity, catastrophizing, acceptance, self-efficacy) in women with fibromyalgia.

Methods

A pre–post study design was employed. Twenty women with fibromyalgia (mean age 50.8±7.5 years) participated in a three-week patient journal club educational program. The journal club included collaborative planning, material preparation, and individual reading of adapted scientific articles. The sessions were moderated in person by a speech-language pathologist with six years of university teaching experience but no prior specialized training in chronic pain, ensuring a neutral facilitation of the group discussions. Outcome measures assessed were quality of life, pain intensity, pain catastrophizing, pain self-efficacy, pain acceptance and cyberchondria.

Results

Significant improvements were observed in quality of life (p=0.001, d=−0.85), pain intensity (p=0.005, d=−0.74), pain catastrophizing (p<0.001, d=−1.11), pain acceptance (p=0.028, d=0.53) and cyberchondria (p=0.003, d=−0.75). Pain self-efficacy showed no statistically significant change (p=0.083, d=0.41).

Conclusions

These findings suggest that the patient journal club is a promising tool for improving quality of life, and reducing pain intensity, pain catastrophizing and cyberchondria in women with fibromyalgia. Given the study's small sample size and lack of a control group, further research with larger, controlled trials is necessary to validate these results.

Keywords:
Fibromyalgia, Psychoeducation
Pain neuroscience education
Journal club
Health education
Chronic pain
Resumen
Antecedentes

Este estudio evaluó los efectos de un programa educativo de lectura de artículos científicos para pacientes sobre la calidad de vida, la cibercondría y variables clave relacionadas con el dolor (intensidad, catastrofización, aceptación y autoeficacia) en mujeres con fibromialgia.

Métodos

Se empleó un diseño de estudio pre-post. Veinte mujeres con fibromialgia (edad media 50,8±7,5 años) participaron en un programa educativo de lectura de artículos científicos para pacientes de tres semanas de duración. El programa incluyó planificación colaborativa, preparación de materiales, lectura individual de artículos adaptados. Las sesiones fueron moderadas por una logopeda con seis años de experiencia docente universitaria, pero sin formación especializada previa en dolor crónico, lo que garantizó una moderación neutral de los debates grupales. Las variables de resultado evaluadas fueron la calidad de vida, la intensidad del dolor, la catastrofización del dolor, la autoeficacia para el manejo del dolor, la aceptación del dolor y la cibercondría.

Resultados

Se observaron mejoras significativas en la calidad de vida (p=0,001, d=−0,85), la intensidad del dolor (p=0,005, d=−0,74), la catastrofización del dolor (p<0,001, d=−1,11), la aceptación del dolor (p=0,028, d=0,53) y la cibercondría (p=0,003, d=−0,75). La autoeficacia para el manejo del dolor no mostró cambios estadísticamente significativos (p=0,083, d=0,41).

Conclusiones

Estos hallazgos sugieren que el club de lectura de artículos para pacientes es prometedor como herramienta para mejorar la calidad de vida y reducir la intensidad del dolor, la catastrofización del dolor y la cibercondría en mujeres con fibromialgia. Dado el tamaño reducido de la muestra y la falta de un grupo de control, se requiere investigación adicional con ensayos controlados de mayor tamaño para validar estos resultados.

Palabras clave:
Fibromialgia
Psicoeducación
Educación en neurociencia del dolor
Club de lectura
Educación para la salud
Dolor crónico

Article

These are the options to access the full texts of the publication Reumatología Clínica (English Edition)
Member
If you are member of Sociedad Española de Reumatología (SER) or the Colegio Mexicano de Reumatología (CMR):
Please go to the member area of SER or CMR and log in.
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to
Reumatología Clínica (English Edition)
Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
References
[1]
L.M. Arnold, R.M. Bennett, L.J. Crofford, et al.
AAPT diagnostic criteria for fibromyalgia.
[2]
G.T. Jones, F. Atzeni, M. Beasley, E. Flüß, P. Sarzi-Puttini, G.J. Macfarlane.
The prevalence of fibromyalgia in the general population: a comparison of the American College of Rheumatology 1990, 2010, and modified 2010 classification criteria.
Arthritis Rheumatol, 67 (2015),
[3]
R.M. Bennett, J. Jones, D.C. Turk, I.J. Russell, L. Matallana.
An internet survey of 2,596 people with fibromyalgia.
BMC Musculoskelet Disord, 8 (2007), pp. 27
[4]
R.M. Bennett.
Clinical manifestations and diagnosis of fibromyalgia.
Rheum Dis Clin North Am, 35 (2009), pp. 215-232
[5]
J. Rodríguez-Andreu, R. Ibáñez-Bosch, A. Portero-Vázquez, X. Masramon, J. Rejas, R. Gálvez.
Cognitive impairment in patients with Fibromyalgia syndrome as assessed by the Mini-Mental State Examination.
BMC Musculoskelet Disord, 10 (2009), pp. 162
[6]
J. Jones, D.N. Rutledge, K.D. Jones, L. Matallana, D.S. Rooks.
Self-assessed physical function levels of women with fibromyalgia: a national survey.
Womens Health Issues, 18 (2008), pp. 406-412
[7]
L.M. Arnold, L.J. Crofford, P.J. Mease, et al.
Patient perspectives on the impact of fibromyalgia.
Patient Educ Couns, 73 (2008), pp. 114-120
[8]
C. Henriksson, G. Liedberg, B. Gerdle.
Women with fibromyalgia: work and rehabilitation.
Disabil Rehabil, 27 (2005), pp. 685-694
[9]
C.M. Galvez-Sánchez, S. Duschek, G.A. Reyes Del Paso.
Psychological impact of fibromyalgia: current perspectives.
Psychol Res Behav Manag, 12 (2019), pp. 117-127
[10]
C.J. Mun, M. Beitel, L. Oberleitner, et al.
Pain catastrophizing and pain acceptance are associated with pain severity and interference among methadone-maintained patients.
J Clin Psychol, 75 (2019), pp. 2233-2247
[11]
C.M. Galvez-Sánchez, C.I. Montoro, S. Duschek, G.A.R. Del Paso.
Pain catastrophizing mediates the negative influence of pain and trait-anxiety on health-related quality of life in fibromyalgia.
Qual Life Res, 29 (2020), pp. 1871-1881
[12]
C.I. Montoro, C.M. Galvez-Sánchez.
The mediating role of depression and pain catastrophizing in the relationship between functional capacity and pain intensity in patients with fibromyalgia.
Behav Neurol, 2022 (2022), pp. 9770047
[13]
R. Alok, S.K. Das, G.G. Agarwal, S.C. Tiwari, L. Salwahan, R. Srivastava.
Problem-focused coping and self-efficacy as correlates of quality of life and severity of fibromyalgia in primary fibromyalgia patients.
J Clin Rheumatol, 20 (2014), pp. 314-316
[14]
R.W. Apriliyasari, C.W. Chou, P.S. Tsai.
Pain catastrophizing as a mediator between pain self-efficacy and disease severity in patients with fibromyalgia.
Pain Manag Nurs, 24 (2023), pp. 622-626
[15]
P. Catalá, L. Gutiérrez, C. Écija, C. Peñacoba.
How to generate self-efficacy despite pain: the role of catastrophizing and avoidance in women with fibromyalgia.
[16]
S. Işık-Ulusoy.
Evaluation of affective temperament and anxiety-depression levels in fibromyalgia patients: a pilot study.
Braz J Psychiatry, 41 (2019), pp. 428-432
[17]
M. de Gier, M.L. Peters, J.W.S. Vlaeyen.
Fear of pain, physical performance, and attentional processes in patients with fibromyalgia.
[18]
G. Varallo, C. Suso-Ribera, A. Ghiggia, et al.
Catastrophizing, Kinesiophobia, and acceptance as mediators of the relationship between perceived pain severity, self-reported and performance-based physical function in women with fibromyalgia and obesity.
J Pain Res, 15 (2022), pp. 3017-3029
[19]
M.J. Lami, M.P. Martínez, E. Miró, A.I. Sánchez, M.A. Guzmán.
Catastrophizing, acceptance, and coping as mediators between pain and emotional distress and disability in fibromyalgia.
J Clin Psychol Med Settings, 25 (2018), pp. 80-92
[20]
M. Paschali, A. Lazaridou, T. Paschalis, V. Napadow, R.R. Edwards.
Modifiable psychological factors affecting functioning in fibromyalgia.
J Clin Med, 10 (2021), pp. 803
[21]
C. Conversano, A. Poli, R. Ciacchini, P. Hitchcott, L. Bazzichi, A. Gemignani.
A psychoeducational intervention is a treatment for fibromyalgia syndrome.
Clin Exp Rheumatol, 37 (2019), pp. 98-104
[22]
A.C.L.L. Carneiro, V. de Souza, L.K. Godinho, I.C.M. de Faria, K.L. Silva, M.F. Gazzinelli.
Health promotion education in the context of primary care.
Rev Panam Salud Publica, 31 (2012), pp. 115-120
[23]
L. Suso-Martí, F. Cuenca-Martínez, P. Alba-Quesada, et al.
Effectiveness of pain neuroscience education in patients with fibromyalgia: a systematic review and meta-analysis.
Pain Med, 23 (2022), pp. 1837-1850
[24]
R. Bennett, D. Nelson.
Cognitive behavioral therapy for fibromyalgia.
Nat Clin Pract Rheumatol, 2 (2006), pp. 416-424
[25]
L. Gómez-de-Regil.
Psychoeducation for patients with fibromyalgia: a systematic review.
Healthcare (Basel), 9 (2021), pp. 737
[26]
M.D. Antunes, L.A. Couto, S.M.M. Gomes Bertolini, F.C.N. da Rocha Loures, A.C. Basso Schmitt, A.P. Marques.
Effectiveness of interdisciplinary health education programs for individuals with fibromyalgia: a systematic review.
J Educ Health Promot, 10 (2021), pp. 64
[27]
I. Saracoglu, M.A. Leblebicier, F. Yaman, V. Kavuncu.
Pain neuroscience education combined with usual treatment for fibromyalgia syndrome: a randomized controlled trial.
Int J Rheum Dis, 24 (2021), pp. 1409-1418
[28]
M. Serrat, J.P. Sanabria-Mazo, M. Almirall, et al.
Effectiveness of a multicomponent treatment based on pain neuroscience education, therapeutic exercise, cognitive behavioral therapy, and mindfulness in patients with fibromyalgia (FIBROWALK Study): a randomized controlled trial.
Phys Ther, 101 (2021), pp. pzab200
[29]
M.J. Barrenengoa-Cuadra, M. Muñoa-Capron-Manieux, M. Fernández-Luco, et al.
Effectiveness of a structured group intervention based on pain neuroscience education for patients with fibromyalgia in primary care: a multicentre randomized open-label controlled trial.
Eur J Pain, 25 (2021), pp. 1137-1149
[30]
P.B. Areso-Bóveda, J. Mambrillas-Varela, B. García-Gómez, et al.
Effectiveness of a group intervention using pain neuroscience education and exercise in women with fibromyalgia: a pragmatic controlled study in primary care.
BMC Musculoskelet Disord, 23 (2022), pp. 323
[31]
S. Bhattacharya.
Journal club and post-graduate medical education.
Indian J Plast Surg, 50 (2017), pp. 302-305
[32]
Y. Deenadayalan, K. Grimmer-Somers, M. Prior, S. Kumar.
How to run an effective journal club: a systematic review.
J Eval Clin Pract, 14 (2008), pp. 898-911
[33]
J.O. Ebbert, V.M. Montori, H.J. Schultz.
The journal club in postgraduate medical education: a systematic review.
Med Teach, 23 (2001), pp. 455-461
[34]
J.O. Bello, P. Grant.
A systematic review of the effectiveness of journal clubs in undergraduate medicine.
Can Med Educ J, 14 (2023), pp. 35-46
[35]
B. Aweid, Z. Haider, M. Wehbe, A. Hunter.
Educational benefits of the online journal club: a systematic review.
Medical Teacher, 44 (2022), pp. 57-62
[36]
F. Wolfe, D.J. Clauw, M.A. Fitzcharles, et al.
2016 Revisions to the 2010/2011 fibromyalgia diagnostic criteria.
Semin Arthritis Rheum, 46 (2016), pp. 319-329
[37]
M. Gaete, S. Jorquera, S. Bello-Lepe, et al.
Resultados estandarizados del Montreal Cognitive Assessment (MoCA) para cribado neurocognitivo en población chilena.
Neurología, 38 (2023), pp. 246-255
[38]
A.N. Querejeta, Y.F. Sarquís, M.A. Moreno, et al.
Test Neuropsi: Normas según edad y nivel de instrucción para Argentina.
Cuad Neuropsicol, 6 (2012), pp. 48-58
[39]
I. Cuyul Vásquez, M. Contreras Fuentes, R. Ordoñez Vega, P. Neira Stegmaier, N. Maragaño Campistó, A. Rodríguez Alvarado.
Recomendaciones clínicas para la rehabilitación de personas con fibromialgia. Una revisión narrativa.
[40]
B. Kundakci, M. Hall, F. Atzeni, et al.
International, multidisciplinary Delphi consensus recommendations on non-pharmacological interventions for fibromyalgia.
Semin Arthritis Rheum, 57 (2022), pp. 152101
[41]
V.M. Arfuch, R. Caballol Angelats, C. Aguilar Martín, et al.
Patients’ lived experience in a multicomponent intervention for fibromyalgia syndrome in primary care: a qualitative interview study.
Int J Environ Res Public Health, 19 (2022), pp. 13322
[42]
B. Lennox Thompson, J. Gage, R. Kirk.
Living well with chronic pain: a classical grounded theory.
Disabil Rehabil, 42 (2020), pp. 1141-1152
[43]
M. Salgueiro, J.M. García-Leiva, J. Ballesteros, J. Hidalgo, R. Molina, E.P. Calandre.
Validation of a Spanish version of the Revised Fibromyalgia Impact Questionnaire (FIQR).
Health Qual Life Outcomes, 11 (2013), pp. 132
[44]
R.D. Treede, W. Rief, A. Barke, et al.
Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11).
[45]
G.A. Hawker, S. Mian, T. Kendzerska, M. French.
Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF.
Arthritis Care Res, 63 (2011), pp. S240-S252
[46]
A. Olmedilla, E. Ortega Toro, L. Abenza Cano.
Validation of the pain catastrophizing scale in Spanish athletes.
Cuad Psicol Deporte, 13 (2013), pp. 83-94
[47]
J. García, B. Rodero, M. Alda, N. Sobradiel, J. Montero, S. Moreno.
Validation of the Spanish version of the Pain Catastrophizing Scale in fibromyalgia.
Med Clín, 131 (2008), pp. 487-492
[48]
K.E. Dixon, B.E. Thorn, L.C. Ward.
An evaluation of sex differences in psychological and physiological responses to experimentally-induced pain: a path analytic description.
[49]
E. Moore, P. Thibault, H. Adams, M.J.L. Sullivan.
Catastrophizing and pain-related fear predict failure to maintain treatment gains following participation in a pain rehabilitation program.
[50]
M.J.L. Sullivan, P. Thibault, J. Andrikonyte, H. Butler, R. Catchlove, C. Larivière.
Psychological influences on repetition-induced summation of activity-related pain in patients with chronic low back pain.
[51]
A.G. Menéndez, P. Fernández, I. Torres.
Aceptación del dolor crónico en pacientes con À bromialgia: adaptación del Chronic Pain Acceptance Questionnaire (CPAQ) a una muestra española.
Psicothema, 22 (2010), pp. 997-1003
[52]
J.P. Briet, A.G.J. Bot, M.G.J.S. Hageman, M.E. Menendez, C.S. Mudgal, D.C. Ring.
The Pain Self-Efficacy Questionnaire: validation of an Abbreviated Two-Item Questionnaire.
Psychosomatics, 55 (2014), pp. 578-585
[53]
R. Robles-Mariños, G.F. Alvarado, J.L. Maguiña, J.C. Bazo-Alvarez.
The short-form of the Cyberchondria Severity Scale (CSS-12): adaptation and validation of the Spanish version in young Peruvian students.
PLoS One, 18 (2023), pp. e0292459
[54]
C.O. Fritz, P.E. Morris, J.J. Richler.
Effect size estimates: current use, calculations, and interpretation.
J Exp Psychol Gen, 141 (2012), pp. 2-18
[55]
E.P. Jones, N.R. Nelson, C.T. Thorpe, P.T. Rodgers, R.B. Carlson.
Use of journal clubs and book clubs in pharmacy education: a scoping review.
Curr Pharm Teach Learn, 14 (2022), pp. 110-119
[56]
H. Zhang, X. Hu, C. He, L. Wang, M. Yang, D. Lu.
A journal club format that combines literature reading and clinical cases is more conducive to improving senior undergraduate medical students’ overall competence.
Adv Med Educ Pract, 16 (2025), pp. 279-286
[57]
L.M. Lizarondo, K. Grimmer-Somers, S. Kumar, A. Crockett.
Does journal club membership improve research evidence uptake in different allied health disciplines: a pre–post study.
BMC Res Notes, 5 (2012), pp. 588
[58]
M. Häusler, R. Lalji, L. Hofstetter, C.A. Hincapié.
Feasibility of a new clinical journal club implementation and its association with knowledge, attitudes, and application of evidence-based practice among chiropractic students and trainees: a before-and-after healthcare education improvement study.
Chiropr Manual Ther, 31 (2023), pp. 22
[59]
R. Aljumaa, R. Elmokattaf, M. Aljumaa, et al.
Assessing medical students’ perception of implementing journal club activities: a qualitative study.
Cureus, 15 (2023), pp. e48726
[60]
D. Liang, X. Guo, J. Zhang, Z. Hu, R. Jiang.
Knowledge, attitude and practice toward fibromyalgia among fibromyalgia patients: a web-based cross-sectional study in China.
BMC Public Health, 24 (2024), pp. 3424
[61]
L.L. Black, W.R. Black, A. Chadwick, J.L. Christofferson, H. Katz, M. Kragenbrink.
Investigation of patients’ understanding of fibromyalgia: results from an online qualitative survey.
Patient Educ Couns, 122 (2024), pp. 108156
[62]
P.H. Duhn, E.E. Wæhrens, M.B. Pedersen, et al.
Effectiveness of patient education as a stand-alone intervention for patients with chronic widespread pain and fibromyalgia: a systematic review and meta-analysis of randomized trials.
Scand J Rheumatol, 52 (2023), pp. 654-663
[63]
D.S. Rooks, S. Gautam, M. Romeling, et al.
Group exercise, education, and combination self-management in women with fibromyalgia: a randomized trial.
Arch Intern Med, 167 (2007), pp. 2192-2200
[64]
N.C. Higgins, S.J. Bailey, D.L. LaChapelle, K. Harman, T. Hadjistavropoulos.
Coping styles, pain expressiveness, and implicit theories of chronic pain.
J Psychol, 149 (2015), pp. 737-750
[65]
J. Hill, H. Bird, S. Johnson.
Effect of patient education on adherence to drug treatment for rheumatoid arthritis: a randomised controlled trial.
Ann Rheum Dis, 60 (2001), pp. 869-875
[66]
H.B. Leake, G.L. Moseley, T.R. Stanton, E.T. O’Hagan, L.C. Heathcote.
What do patients value learning about pain? A mixed-methods survey on the relevance of target concepts after pain science education.
[67]
G. Musekamp, C. Gerlich, I. Ehlebracht-Kï Nig, et al.
Evaluation of a self-management patient education programme for fibromyalgia-results of a cluster-RCT in inpatient rehabilitation.
Health Educ Res, 34 (2019), pp. 209-222
[68]
U. Stenberg, M. Haaland-Øverby, K. Fredriksen, K.F. Westermann, T. Kvisvik.
A scoping review of the literature on benefits and challenges of participating in patient education programs aimed at promoting self-management for people living with chronic illness.
Patient Educ Couns, 99 (2016), pp. 1759-1771
[69]
M.J. Romm, S. Ahn, I. Fiebert, L.P. Cahalin.
A meta-analysis of therapeutic pain neuroscience education, using dosage and treatment format as moderator variables.
Pain Pract, 21 (2021), pp. 366-380
[70]
A.K. Kılıçaslan, S. Yıldız, C. Gür, K. Uğur.
Cyberchondria and health anxiety in patients with fibromyalgia.
Arch Psych Psych, 24 (2022), pp. 16-25
Idiomas
Reumatología Clínica (English Edition)
Article options
Tools
Supplemental materials