How can we increase walking exercise adherence in women with fibromyalgia?
Aim: This study aimed to identify the key beliefs underlying the performance of walking under a clinically established pattern in women with fibromyalgia, distinguishing between those held by high vs. low intenders and high vs. low performers. Design: Longitudinal prospective study with measures tak...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Elsevier
2025-11-01
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| Series: | Atención Primaria |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0212656725001192 |
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| Summary: | Aim: This study aimed to identify the key beliefs underlying the performance of walking under a clinically established pattern in women with fibromyalgia, distinguishing between those held by high vs. low intenders and high vs. low performers. Design: Longitudinal prospective study with measures taken at two time points (T1 and T2) over a seven-week interval. Location: Associations of fibromyalgia of Alicante and Madrid. Participants: At T1, 275 adult women with fibromyalgia diagnosis attending associations and that did not perform the walking exercise under the clinically established pattern. At T2, 219 women completing the follow-up. Main measures: With questionnaires, we assessed the strength of the behavioral, normative and control beliefs in relation to participants intention to engage in walking exercise (T1) and their actual performance (T2). Results: Among high and low intenders of performing the walking exercise, significant differences were found regarding the median strength of eight behavioral beliefs (rank: U = 4389.0, p ≤ .001; U = 2356.5, p ≤ .05) and one facilitator control belief (U = 4211.5, p ≤ .001). Significant differences among high and low performers were found regarding one inhibitor control belief (t = 2.6, p ≤ .01). Conclusion: To enhance motivation for walking exercise, eight specific behavioral beliefs should be targeted. However, for women to initiate and maintain adherence, reducing the strength of an inhibiting belief is required. This study provides the targets for primary health professionals to promote the walking exercise among women with fibromyalgia. Resumen: Objetivo: Identificar en mujeres con fibromialgia las creencias clave que explican la adhesión a la conducta de caminar, diferenciando entre las mujeres con alta y baja intención de caminar y con alto y bajo rendimiento. Diseño: Estudio longitudinal prospectivo con mediciones realizadas en 2 momentos (T1 y T2) durante un intervalo de 7 semanas. Ubicación: Asociaciones de fibromialgia de Alicante y Madrid. Participantes: En T1, 275 mujeres adultas con diagnóstico de fibromialgia que asistían a asociaciones y que no realizaban el ejercicio de caminar. En T2, 219 completaron el seguimiento. Medidas principales: Mediante cuestionarios, evaluamos el peso de las creencias conductuales, normativas y de control en relación con la intención de realizar el ejercicio de caminar (T1) y su rendimiento real (T2). Resultados: Entre quienes tenían alta y baja intención, se encontraron diferencias significativas en el peso medio de 8 creencias conductuales (rango: U = 4389,0; p ≤ 0,001; U = 2356,5; p ≤ 0,05) y una creencia de control (U = 4211,5; p ≤ 0,001). Entre las mujeres de alto y bajo rendimiento, solo se encontraron diferencias significativas en relación con una creencia de control (t = 2,6; p ≤ 0,01). Conclusión: Para aumentar la motivación para caminar, se deben abordar 8 creencias conductuales específicas. Para que las mujeres inicien y mantengan la conducta, es necesario reducir la intensidad de una creencia. Este estudio proporciona las creencias diana que profesionales de atención primaria deben abordar para promover la adhesión a la conducta de caminar en las mujeres con fibromialgia. |
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| ISSN: | 0212-6567 |