{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T01:09:28Z","timestamp":1788916168209,"version":"build-2803163510"},"reference-count":85,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2022,10,15]],"date-time":"2022-10-15T00:00:00Z","timestamp":1665792000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Fundaci\u00f3 Doctor Ferran","award":["PI1800943"],"award-info":[{"award-number":["PI1800943"]}]},{"name":"Fundaci\u00f3 Doctor Ferran","award":["FI19\/00254"],"award-info":[{"award-number":["FI19\/00254"]}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI1800943"],"award-info":[{"award-number":["PI1800943"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["FI19\/00254"],"award-info":[{"award-number":["FI19\/00254"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"name":"European Union ERDF","award":["PI1800943"],"award-info":[{"award-number":["PI1800943"]}]},{"name":"European Union ERDF","award":["FI19\/00254"],"award-info":[{"award-number":["FI19\/00254"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Fibromyalgia syndrome (FMS) disrupts patients\u2019 biopsychosocial spheres. A multicomponent intervention (MCI) program, which combined health education, cognitive behavioral therapy, and physical activity, was conducted in South Catalonia\u2019s primary care centers with the aim of improving symptom self-management and quality of life. A qualitative interview study was carried out to understand patients\u2019 lived experiences during the intervention program. Sampled purposively, 10 patients were interviewed via phone calls and face-to-face. The encounters were audio-recorded, verbatim transcribed, and analyzed through thematic analysis. As a result, four themes emerged: legitimizing fibromyalgia through the MCI, the MCI as a socializing experience, learning how to live with FMS through the MCI, and room for improving the MCI. Participants agreed on the program being an insightful experience that promoted illness knowledge and acceptance and that improved their coping skills and symptom self-management. The inclusion of additional psychological guidance, expressive psychological group therapy, and providing relatives with information were proposed for enhancing the program. Our findings have contributed to gaining insight into the subjective impact of the MCI and identifying new therapeutic targets to tailor the program to patients\u2019 needs, which will hopefully increase its effectiveness and improve their quality of life.<\/jats:p>","DOI":"10.3390\/ijerph192013322","type":"journal-article","created":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T00:04:55Z","timestamp":1665965095000},"page":"13322","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Patients\u2019 Lived Experience in a Multicomponent Intervention for Fibromyalgia Syndrome in Primary Care: A Qualitative Interview Study"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5935-6907","authenticated-orcid":false,"given":"Victoria Mailen","family":"Arfuch","sequence":"first","affiliation":[{"name":"Unitat de Suport a la Recerca Terres de l\u2019Ebre, Fundaci\u00f3 Institut Universitari per a la Recerca a l\u2019Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol I Gurina (IDIAPJGol), 20 Crist\u00f2fol Colom Avenue, 43500 Tortosa, Spain"},{"name":"Department of Pediatrics, Obstetrics and Gynecology and Preventive Medicine and Public Health Universitat Aut\u00f2noma de Barcelona, 08193 Bellaterra, Spain"},{"name":"Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 3 Berzelius v\u00e4g Street, 6 Floor, 171 77 Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Caballol Angelats","sequence":"additional","affiliation":[{"name":"Centre d\u2019Atenci\u00f3 Prim\u00e0ria (CAP) El Temple, Ger\u00e8ncia Territorial de Terres de l\u2019Ebre, Institut Catal\u00e0 de la Salut (ICS), Pla\u00e7a Carrilet sn., 43500 Tortosa, Spain"},{"name":"Unitat d\u2019Expertesa en Sindromes de Sensibilitzaci\u00f3 Central Terres de l\u2019Ebre, Ger\u00e8ncia Territorial de Terres de l\u2019Ebre, Institut Catal\u00e0 de la Salut (ICS), 20 Crist\u00f2fol Colom Avenue, 43500 Tortosa, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carina","family":"Aguilar Mart\u00edn","sequence":"additional","affiliation":[{"name":"Unitat de Suport a la Recerca Terres de l\u2019Ebre, Fundaci\u00f3 Institut Universitari per a la Recerca a l\u2019Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol I Gurina (IDIAPJGol), 20 Crist\u00f2fol Colom Avenue, 43500 Tortosa, Spain"},{"name":"Unitat d\u2019Avaluaci\u00f3, Direcci\u00f3 d\u2019Atenci\u00f3 Prim\u00e0ria Terres de l\u2019Ebre, Ger\u00e8ncia Territorial de Terres de l\u2019Ebre, Institut Catal\u00e0 de la Salut (ICS), 20 Crist\u00f2fol Colom Avenue, 43500 Tortosa, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3272-6861","authenticated-orcid":false,"given":"Alessandra Queiroga","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Unitat de Suport a la Recerca Terres de l\u2019Ebre, Fundaci\u00f3 Institut Universitari per a la Recerca a l\u2019Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol I Gurina (IDIAPJGol), 20 Crist\u00f2fol Colom Avenue, 43500 Tortosa, Spain"},{"name":"Unitat Docent de Medicina de Fam\u00edlia i Comunit\u00e0ria Tortosa-Terres de L\u2018Ebre, Institut Catal\u00e0 de la Salut (ICS), 44-58 Esplanetes Street, 43500 Tortosa, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5876-7082","authenticated-orcid":false,"given":"No\u00e8lia","family":"Carrasco-Querol","sequence":"additional","affiliation":[{"name":"Unitat de Suport a la Recerca Terres de l\u2019Ebre, Fundaci\u00f3 Institut Universitari per a la Recerca a l\u2019Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol I Gurina (IDIAPJGol), 20 Crist\u00f2fol Colom Avenue, 43500 Tortosa, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gemma","family":"Gonz\u00e1lez 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