Promoting unsupervised walking in women with fibromyalgia: a randomized controlled trial.
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.
['Pastor-Mira|María A|MA|0000-0002-9574-1666', 'López-Roig|Sofía|S|0000-0001-5303-4085', 'Martínez-Zaragoza|Fermín|F|0000-0003-0874-0962', 'Lledó|Ana|A|', 'Velasco|Lilian|L|', 'León|Eva|E|', 'Écija Gallardo|Carmen|C|', 'Peñacoba|Cecilia|C|']
D015444:Exercise D005081:Exercise Therapy D005260:Female D005356:Fibromyalgia D006801:Humans D008137:Longitudinal Studies D009042:Motivation D016138:Walking
walking Fibromyalgia behavioral intention chronic pain group intervention