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Jo Nijs
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===Activity pacing self-management (APSM) === According to Nijs, the PACE-authors made a mistake by placing GET in opposition to pacing. He argues the two can and should be used together, in what he calls 'Activity Pacing Self-Management' (APSM). In a first phase, pacing is used to stabilize the health condition of the patient and let her know that exercise doesn't always have to result in a relapse. Only when this is achieved (and this can take several weeks) is it advised to move on to a second, graded phase where a progressive time-contingent approach is used. According to APSM, activities should only be increased incrementally according to a personalized, pre-set schedule. Sufficient rest periods are included after each activity to prevent serious [[relapse]]s. Nijs tested his APSM approach in a 2015 randomized controlled trial in which the control group received relaxation therapy. The results were favorable, though no objective performance measures were used. The study was also rather small as only 16 ME/CFS patients were involved in the experimental APSM group, of which 4 (25%) stopped the treatment prematurely.<ref name="Kos2015" />
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