Effectiveness of a Blended Multidisciplinary Intervention for Patients with Moderate Medically Unexplained Physical Symptoms (PARASOL)

Authors Paula Elisabeth van Westrienen , Martijn F. Pisters , Suze Toonders , Marloes Gerrits , Cindy Veenhof , Niek de Wit
Published in JMIR Research Protocols
Publication date 2018
Research groups Innovation of Movement Care
Type Article

Summary

Background: Medically unexplained physical symptoms are an important health problem in primary care, with a spectrum from mild to chronic. The burden of chronic medically unexplained physical symptoms is substantial for patients, health care professionals, and society. Therefore, early identification of patients with moderate medically unexplained physical symptoms is needed in order to prevent chronicity. The preventive screening of medically unexplained physical symptoms (PRESUME) screening method was developed using data from the electronic medical record of the patients' general practitioner and demonstrated its prognostic accuracy to identify patients with moderate medically unexplained physical symptoms. In the next step, we developed a proactive blended and integrated mental health and physical therapy intervention program (PARASOL) to reduce complaints of moderate medically unexplained physical symptoms, stimulate self-management, and prevent chronicity. Objective: The primary objective of this study is to investigate the effectiveness of the blended PARASOL intervention on the impact of symptoms and quality of life in patients with moderate medically unexplained physical symptoms compared with usual care. Secondary objectives are to study the effect on severity of physical and psychosocial symptoms, general health, physical behavior, illness perception, and self-efficacy in patients with moderate medically unexplained physical symptoms as well as to determine the cost-effectiveness of the program.

researchcomponents.publicationcontent.personslist.publicationauthors

  • Cindy Veenhof | Professor | Research group Innovation of Movement Care
    Cindy Veenhof
    • Professor
    • Research groups: Innovation of Movement Care

Language English
Published in JMIR Research Protocols
Year and volume 7 5
Key words blended care, multidisciplinaire zorg, eerstelijns zorg, zorginterventies, onverklaarbare symptomen

Innovation of Movement Care