Online Program

Effect of group empowerment drumming on cognition, mood states, and impact among women with fibromyalgia

Monday, November 4, 2013

Jordan Aquino, MPH, Department of Health Science; Fibromyalgia & Chronic Pain Center, California State University, Fullerton, Fullerton, CA
C. Jessie Jones, PhD, Department of Health Science, California State University, Fullerton, Fullerton, CA
Dana N. Rutledge, RN, PhD, School of Nursing, California State University, Fullerton, Fullerton, CA
Barbara Cherry, PhD, Department of Psychology, California State University, Fullerton, Fullerton, CA
Introduction: Fibromyalgia (FM) is characterized by chronic, widespread pain usually accompanied with mood and cognitive dysfunction. This study sought to answer: Would group empowerment drumming (GED) increase cognitive performance in women with FM? Additionally, it was hypothesized that women in the GED group would improve their mood states and would report decreased symptom severity (SS) compared to the educational (EDU) group. Methods: Twelve women with FM were age- and education-matched and randomly assigned to the GED or EDU group after completing a battery of baseline measures consisting of cognitive performance measures, the Profile of Mood States-Brief (POMS), the Pain Catastrophizing Scale (PCS), and the Fibromyalgia Impact Questionnaire-Revised (FIQR). Participants completed post-assessments after attending 1-1.5 hour EDU or GED sessions once/week for 6 weeks. A mixed-methods approach employed the use of audio recordings for structured GED sessions. Results: Post-test analyses showed that SS differed significantly between the EDU group (n=5; Mdn=33.50) compared to the GED group (n=4; Mdn =19.00), U = .000, z = -2.449, p < .008, r = -.82. Furthermore, total FIQR scores differed significant between the EDU group (Mdn =61.00) compared to the GED group (Mdn =33.75), U = .000, z = -2.449, p < .008, r = -.82. Cognitive performance measures, POMS, and PCS did not yield significant results; however, trends indicated an improvement in both groups after 6 weeks. Qualitative findings corroborated preliminary analyses and provided further insight into the impact GED had on participants. Conclusion: This data suggests that GED offered in a community setting may be effective in managing symptoms, but not cognitive dysfunction, associated with FM.

Learning Areas:

Administer health education strategies, interventions and programs
Chronic disease management and prevention

Learning Objectives:
Describe the group empowerment drumming protocol Compare the effectiveness of the intervention between study groups

Keyword(s): Self-sufficiency and Empowerment, Alternative Medicine/Therapies

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the co-investigator or project coordinator of multiple university-funded grants focusing on the chronic condition, fibromyalgia. This project fulfilled my Master in Public Health thesis at California State University, Fullerton.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.