Predicting walking as exercise in women with fibromyalgia from the perspective of the theory of planned behavior

Pastor-Mira, María Ángeles; López-Roig, Sofía; Peñacoba, Cecilia; Sanz-Baños, Yolanda; Lledó, Ana; Velasco, Lilian

doi:10.1080/03630242.2019.1662869

Cited by 18 publications

(41 citation statements)

References 35 publications

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“…In fact, our data showed that patients did not feel confident in carrying out physical activities and brisk walking at any level of intensity or duration. These results support the as-sertion that women with fibromyalgia need skills to overcome the barriers of becoming physically active ( Jones et al, 2004 ) and increase their control perception, which is a main factor in improving adherence to doing physical exercise ( Pastor et al, 2020 ). Techniques such as action planning, which has been useful in improving self-efficacy and physical activity in healthy adults ( Williams & French, 2011 ), would allow us to set specific and graded goals for physical activity (even for daily activities) and exercise, increasing the likelihood of mastery experiences.…”

Section: Discussionsupporting

confidence: 73%

“…Despite the benefits associated with health, women with fibromyalgia have reported low physical activity and low frequency of walking exercise ( López-Roig et al, 2016 ;McLoughlin et al, 2011 ). In previous studies, women with fibromyalgia who reported high control perception increased their likelihood of adhering to a walking program around threefold, in comparison with women with low control perception ( Pastor-Mira et al, 2020 ). These findings support the evidence in other…”

supporting

confidence: 76%

“…Second, our results are limited to rehabilitation settings. We could assume uncontrollability experiences in women with fibromyalgia in community settings, considering previous results about the low control perception in undertaking exercise ( Pastor-Mira et al, 2020 ). However, we need to test the SEPAS properties in those contexts.…”

Section: Limitationsmentioning

confidence: 99%

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Assessing Self-Efficacy for Physical Activity and Walking Exercise in Women with Fibromyalgia

López-Roig

Pastor-Mira

Núñez

et al. 2021

Pain Management Nursing

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Background: Exercise and physical activity are an evidence-based practice for chronic pain. Health professionals need instruments to assess self-efficacy for this practice taking into account the specific barriers of patients with these health problems. Purpose: To develop and test the psychometric properties of a new self-efficacy scale for physical activity and walking exercise in patients with fibromyalgia. Design: A cross-sectional and prospective study was conducted in a Spanish Fibromyalgia Unit. Two hundred and eleven new patients signed the informed consent and participated in the study. All of them were women, referred to by either Primary or Specialized Health Care. In addition to the new scale, they filled out several self-reported and validated instruments to collect the data present in this study. Results: Exploratory factor analysis showed a three-factor model (GFI = .99; RMSR = .06) that explained 74.2% of the total variance. They assessed how confident patients felt about walking quickly in both 30and 60-minute sessions, (Factor I: 10 items; α = .97), to perform daily physical activities (Factor II: 10 items; α = .93) and to undertake moderate physical activity (Factor III: 5 items; α = .95). The total score of the scale and the three-factor scores showed good criterion validity and adequate validity based on the relationships with other constructs. Conclusions: The scale showed adequate psychometric properties and can be a useful tool to help health professionals monitor patients' self-efficacy perception and customize both physical activity and walking exercise intervention goals and their implementation.

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Section: Discussionsupporting

confidence: 73%

supporting

confidence: 76%

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Assessing Self-Efficacy for Physical Activity and Walking Exercise in Women with Fibromyalgia

López-Roig

Pastor-Mira

Núñez

et al. 2021

Pain Management Nursing

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“…A high proportion present a sedentary lifestyle [10,17], impaired subjective and objective physical function [18], and low adherence to unsupervised walking exercise [19]. Exercise health benefits are undermined when patients do not maintain their routines [20]; however, long-term exercise adherence continues to be a clinical challenge when taking into account previous research [21,22]. In fact, some authors have suggested walking as a form of exercise along with strategies aimed at maintaining patients' participation [15].…”

Section: Introductionmentioning

confidence: 99%

Pain-Related Worrying and Goal Preferences Determine Walking Persistence in Women with Fibromyalgia

Pastor-Mira

López-Roig

Toribio³

et al. 2022

IJERPH

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Physical activity and exercise are relevant behaviors for fibromyalgia health outcomes; however, patients have difficulties undertaking and maintaining an active lifestyle. With a cross-sectional design, this study explored the role of pain-related worrying and goal preferences in the walking persistence of women with fibromyalgia. The sample included 111 women who attended a tertiary health setting. We adapted the Six-Minute Walk Test where participants decided either to stop or continue walking in five voluntary 6 min bouts. Women who were categorized higher in pain-related worrying reported higher preference for pain avoidance goals (t = −2.44, p = 0.02) and performed worse in the walking task (LongRank = 4.21; p = 0.04). Pain avoidance goal preference increased the likelihood of stopping after the first (OR = 1.443), second (OR = 1.493), and third (OR = 1.540) 6 min walking bout, and the risk of ending the walking activity during the 30 min task (HR = 1.02, [1.0–1.03]). Influence of pain-related worrying on total walking distance was mediated by goal preferences (ab = −3.25). In interventions targeting adherence in physical activity and exercise, special attention is needed for women who are particularly worried about pain to help decrease their preference for short-term pain avoidance goals relative to long-term goals such as being active through walking.

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“…With a multimodal approach to the treatment of FMS, non-pharmacological strategies (exercise and psychoeducational approaches etc.) should be added to the treatment and avoid the simple prescription of a drug (5,8,9). Drug therapy only plays a supporting role in the management of symptoms (pain, sleep disorders, and psychological disorders).…”

Section: Introductionmentioning

confidence: 99%

Fibromiyalji Sendromunda Demir Eksikliği ve Demir Eksikliği Anemisi Görülme Sıklığı

Baygutalp

Altıntaş

Kul

2020

SDÜ Tıp Fakültesi Dergisi

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AmaçEtiyolojisi tam olarak bilinmeyen kronik bir ağrı durumu olan fibromiyalji sendromu (FMS) temel olarak yaygın ağrı, uyku bozuklukları, hafıza sorunları ve yaşam kalitesini ciddi şekilde bozan yorgunluk ile karakterizedir. Kandaki azalmış demir seviyelerinin bir sonucu olarak biyojenik amin nörotransmiterlerinin üretimindeki azalma FMS'nin patofizyolojisinde rol oynayabilir. Bu çalışmada FMS'li hastalarda demir eksikliği ve demir eksikliği anemisinin prevalansının araştırılması ve FMS'li hastalarda demir eksikliği prevalansına dikkat çekilmesi amaçlanmıştır. Gereç ve YöntemHastanemiz fiziksel tip ve rehabilitasyon polikliniği'ne son beş yıl içinde müracaat eden hastalardan FMS tanısı alan ve serum ferritin, total demir bağlama kapasitesi (TDBK),vitamin B12 konstantrasyonları ile plazma hemoglobin konstantrasyonları belirlenmiş olan hastalar retrospektif olarak değerlendirilmiştir. Veriler SPSS 23 paket programı kullanılarak analiz edilmiştir. BulgularFMS'li kadın ve erkek hastalar arasındaki bağımsız grup karşılaştırmalarında, plazma hemoglobin ve serum demir düzeylerinin kadın hastalarda erkek hastalara göre anlamlı derecede düşük olduğu görülmüştür (sırasıyla, p = 0.009 ve p = 0.002). FMS'li erkek ve kadın hastalar arasında serum B12 düzeyleri ile serum ferritin düzeyleri arasında istatistiksel olarak anlamlı bir fark görülmemiştir (sırasıyla p = 0.344, p = 0,093). Ayrıca, tüm FMS hastalarının % 28'inde demir eksikliği ve% 12'sinde demir eksikliği anemisi olduğu belirlenmiştir. SonuçFMS tedavisinde başarının artırılması için FMS hastalarında serum ferritin seviyelerinin ölçülmesi ve gerektiğinde demir eksikliğinin tedavi edilmesi önerilmektedir.

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Predicting walking as exercise in women with fibromyalgia from the perspective of the theory of planned behavior

Cited by 18 publications

References 35 publications

Assessing Self-Efficacy for Physical Activity and Walking Exercise in Women with Fibromyalgia

Assessing Self-Efficacy for Physical Activity and Walking Exercise in Women with Fibromyalgia

Pain-Related Worrying and Goal Preferences Determine Walking Persistence in Women with Fibromyalgia

Fibromiyalji Sendromunda Demir Eksikliği ve Demir Eksikliği Anemisi Görülme Sıklığı

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