Promoting unsupervised walking in women with fibromyalgia: a randomized controlled trial. Issue 4 (21st April 2021)

• Record Type: Journal Article
• Authors: Pastor-Mira, María A.; López-Roig, Sofía; Martínez-Zaragoza, Fermín; Lledó, Ana; Velasco, Lilian; León, Eva; Écija Gallardo, Carmen; Peñacoba, Cecilia
• Is Part Of: Psychology, health & medicine. Volume 26:Issue 4(2021)
• Page Start: 487
• Page End: 498
• Publication Date: 2021-04-21
• Subjects: Fibromyalgia -- chronic pain -- walking -- group intervention -- behavioral intention; Medicine and psychology -- Periodicals; Clinical health psychology -- Periodicals; 610
• DOI: 10.1080/13548506.2020.1774068
• Languages: English
• ISSNs: 1354-8506

Abstract

ABSTRACT: The objective of this study is to test the efficacy of a group motivational plus implementation intentions intervention in promoting adherence to an unsupervised walking program recommended for fibromyalgia, compared to an implementation intentions condition and to an active control condition. A triple-blind, randomized, longitudinal study with measures at baseline, short (seven weeks post-intervention), mid (12 weeks) and long-term (36 weeks) is performed. Data are analyzed using multilevel longitudinal growth curve two-level modelling. Participants are 157 women with fibromyalgia. In the short-term, adherence to the minimum and to the standard walking program (primary outcome measures) is explained by time (both p <.001), motivational plus implementation intentions intervention (both p <.001) and by their interaction (both p <.001). Regarding the secondary outcomes, only physical function is explained by time ( p <.001), motivational plus implementation intentions intervention ( p <.05) and by their interaction ( p <.05). Motivational plus implementation intentions intervention achieve the promotion of walking as an exercise in the short-term; furthermore, physical function of the women in this condition is better than in the other two intervention groups, which is a relevant outcome from a rehabilitation point of view. However, more studies are needed to maintain the exercise at mid and long-term.