RT Journal Article SR Electronic T1 Protocol of HOTFy: randomised clinical trial to hyperbaric oxygen therapy in fibromyalgia JF BMJ Open JO BMJ Open FD British Medical Journal Publishing Group SP e069153 DO 10.1136/bmjopen-2022-069153 VO 13 IS 1 A1 Mota Neto, José A1 Mendes, Adriano Fernando A1 Martins, Anita Fernanda Magalhães A1 Landa, Aline Teixeira de A1 Fraga, Rafael de Oliveira A1 Souza, Viviane Angelina de A1 Raposo, Nádia Rezende Barbosa YR 2023 UL http://bmjopen.bmj.com/content/13/1/e069153.abstract AB Introduction Fibromyalgia is a polysymptomatic syndrome with a prevalence between 0.2% and 13% of the population and causes work disabilities in approximately half of affected patients. Several treatments to fibromyalgia have been proposed with partial improvement. This study aims to evaluate the efficacy of hyperbaric oxygen therapy and when it should be introduced to fibromyalgia.Methods and analysis This is a protocol for an open-label, crossover, randomised clinical trial comparing treatment with hyperbaric oxygen therapy and standardised treatment to fibromyalgia. In the proposed study, 56 individuals with fibromyalgia will be randomised in a 1:1 ratio into a single, fixed, random block, in which one group will receive hyperbaric oxygen therapy and another will receive standard treatment. Subsequently, the groups will be crossed. Participants will be evaluated at baseline, eight and 16 weeks based on functional impairment assessed with the Fibromyalgia Impact Questionnaire—Brazilian Portuguese version, psychopathological symptoms questionnaire and short-form quality of life questionnaire. The improvement of symptoms concerning the moment of therapy used will be compared between groups. For sample size calculation, a moderate effect size, 80% power and 95% CI will be estimated, in a total of 46 patients. Considering a dropout of 20%, 56 patients should be recruited.Ethics and dissemination The study was approved by the Universidade Federal de Juiz de Fora Teaching Hospital ethics committee and assigned the number 53058421.9.0000.5133 (version 3). The results will be disseminated via publications in peer-reviewed journals and presentations in medical meetings.Trial registration number RBR-6prps8g)/UTN U1111-1278-3224.