Strong evidence was found for interventions categorized for this review as  cognitive – behavioral interventions ; relaxation and stress management ; emotional disclosure ; physical activity ;  and  multidisciplinary interventions for improving daily living , pain , depressive symptoms , and fatigue .
There was limited to no evidence for self-management , and few interventions result ed in better sleep .
Although the evidence supports interventions within the scope of occupational therapy practice for people with fibromyalgia , few interventions were occupation based
This systematic review addresses the effectiveness of occupational therapy – related interventions for adults with fibromyalgia .
Effect of Moderate to Vigorous Physical Activity Intervention on Improving Dementia Family Caregiver Physical Function: A Randomized Controlled Trial
Objective Alzheimer ’s disease and related dementias ( ADRD ) affect more than five million Americans and their family caregivers . Caregiving creates challenges , may contribute to decreased caregiver health and is associated with $ 9.7 billion of caregiver health care costs . The purpose of this 12 month r and omized clinical trial ( RCT ) was to examine if the Enhancing Physical Activity Intervention ( EPAI ) , a moderate to vigorous physical activity ( MVPA ) treatment group , versus the Caregiver Skill Building Intervention ( CSBI ) control , would have greater : ( 1 ) MVPA adherence ; and ( 2 ) physical function . Methods Caregivers were r and omly assigned to EPAI or CSBI ( N=211 ) .  MVPA was assessed using a self-report measure ; and physical function was objective ly assessed using two measures . Intention-to-treat analyses used descriptive , categorical and generalized estimating equations ( GEE ) , with an exchangeable working correlation matrix and a log link , to examine main effects and interactions in change of MVPA and physical function over time . Results At 12 months , EPAI significantly increased MVPA ( p=<0.001 ) and number of steps ( p= < .01 ) ; maintained stable caregiving hours and use of formal services ; while CSBI increased hours of caregiving ( p=<0.001 ) and used more formal services ( p=<0.02 ) . Qualitative physical function data indicated that approximately 50 % of caregivers had difficulties completing physical function tests . Conclusion The EPAI had a stronger 12 month effect on caregiver MVPA and physical function , as well as maintaining stability of caregiving hours and formal service use ; while CSBI increased caregiving hours and use of formal services . A study limitation included greater EPAI versus CSBI attrition . Future directions are proposed for dementia family caregiver physical activity research
Strong evidence was found for interventions categorized for this review as  cognitive – behavioral interventions ; relaxation and stress management ; emotional disclosure ; physical activity ;  and  multidisciplinary interventions for improving daily living , pain , depressive symptoms , and fatigue .
There was limited to no evidence for self-management , and few interventions result ed in better sleep .
Although the evidence supports interventions within the scope of occupational therapy practice for people with fibromyalgia , few interventions were occupation based
This systematic review addresses the effectiveness of occupational therapy – related interventions for adults with fibromyalgia .