Fitzmaurice Bethany C, Grenfell Rebecca L, Heneghan Nicola R, Rayen Asius T A, Soundy Andrew A
Department of Pain Management, Sandwell and West Birmingham NHS Trust, Birmingham B18 7QH, UK.
School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham B15 2TT, UK.
Biomedicines. 2024 May 17;12(5):1116. doi: 10.3390/biomedicines12051116.
Recent evidence has identified great promise for the novel whole-body photobiomodulation therapy (PBMT) for individuals with fibromyalgia (FM). However, currently no evidence has documented the experiences of participants. The objective of this study was to qualitatively assess treatment experience and response in a group of participants with FM undergoing a course of whole-body PBMT.
An interpretive hermeneutic phenomenological study situated within the worldview of pragmatism was undertaken. A convenience sample of individuals with FM were included if they had undertaken a novel 6-week trial of PBMT. Individuals undertook semi-structured interviews exploring treatment experience and multidimensional treatment responses during Week 3 and Week 6.
Sixteen trial participants (47.3 ± 10.9 years) took part in this study. The analysis produced three overarching themes that were previously identified from a baseline study (namely, 'Body Structure & Function', 'Activities & Participation', and 'Environment') with an additional five sub-themes that highlighted the intervention experience. Subsequently, four important processes were observed and identified: increased motivation; feeling proud; improved confidence; feeling like 'old self'. This ultimately culminated in the identification of a positive spiral, which we have termed 'recomposition'.
We believe our study is the first in the field of chronic pain management to utilise qualitative methodology to directly assess the acceptability and efficacy of a specific medical intervention in a clinical trial, and the first study to qualitatively assess whole-body PBMT experience. The findings are compelling and warrant further work to support the introduction of this device into the National Health Service (NHS).
最近的证据表明，新型全身光生物调节疗法（PBMT）对纤维肌痛（FM）患者具有巨大潜力。然而，目前尚无证据记录参与者的体验。本研究的目的是定性评估一组接受全身PBMT疗程的FM患者的治疗体验和反应。
进行了一项基于实用主义世界观的解释性诠释现象学研究。纳入了一个便利样本，即那些参加了新型6周PBMT试验的FM患者。患者在第3周和第6周接受了半结构化访谈，探讨治疗体验和多维治疗反应。
16名试验参与者（47.3±10.9岁）参与了本研究。分析产生了三个总体主题，这些主题先前已从一项基线研究中确定（即“身体结构与功能”、“活动与参与”和“环境”），另外还有五个子主题突出了干预体验。随后，观察并确定了四个重要过程：动力增强；感到自豪；信心增强；感觉像“从前的自己”。这最终促成了一个积极螺旋的确定，我们将其称为“重新组合”。
我们认为我们的研究是慢性疼痛管理领域中第一项利用定性方法在临床试验中直接评估特定医学干预的可接受性和疗效的研究，也是第一项定性评估全身PBMT体验的研究。研究结果令人信服，值得进一步开展工作，以支持将该设备引入国民医疗服务体系（NHS）。
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