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Randomised controlled trial
Nurse-delivered, home-based pragmatic rehabilitation has a short-term effect on improving fatigue in people with chronic fatigue syndrome compared with usual GP care, but effects were not sustained at 1 year
  1. Jo Armes
  1. Florence Nightingale School of Nursing & Midwifery, King's College London, London, UK
  1. Correspondence to Jo Armes
    Florence Nightingale School of Nursing & Midwifery, King's College London, 57 Waterloo Road, London SE1 8WA, UK; jo.armes{at}

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Chronic fatigue syndrome (CFS) is a debilitating condition for which there are few proven treatments that are not delivered by specialist therapists. Wearden and colleagues tested an intervention designed to test whether non-specialists can effectively manage CFS in primary care. The nurse-delivered intervention, known as pragmatic rehabilitation, involves the collaborative development of an activity programme between patient and the therapist. A randomised clinical trial format was used and 297 patients were randomly allocated to one of three treatments: (1) pragmatic rehabilitation, (2) supportive listening and (3) treatment …

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  • Competing interests None.