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 .
Research to Encourage Exercise for Fibromyalgia (REEF): Use of Motivational Interviewing, Outcomes From a Randomized-controlled Trial
Objectives : Regular exercise is associated with important benefits in patients with fibromyalgia ( FM ) . Unfortunately , long-term maintenance of exercise after a structured program is rare . The present study tested the efficacy of Motivational Interviewing ( MI ) to promote exercise and improve symptoms in patients with FM . Methods : A total of 216 patients with FM were r and omized to 6 MI sessions ( n=107 ) or an equal number of FM self-management lessons ( education control/EC , n=109 ) . Co- primary endpoints were an increase of 30 minutes in moderate-vigorous physical activity and improvement in the Fibromyalgia Impact Question naire (FIQ)-Physical Impairment score , assessed at pretreatment , posttreatment , and 3-month and 6-month follow-up . Secondary outcomes included clinical ly meaningful improvements in FIQ score , pain severity ratings , and a 6-minute walk test . Results : There were no significant treatment group differences in either co- primary endpoint at 6-month follow-up . However , more MI participants than controls exhibited meaningful improvements in FIQ score at 6-month follow-up ( 62.9 % vs. 49.5 % , P=0.06 ) . Compared with EC participants , MI participants also displayed a larger increment in their 6-minute walk test ( 43.9 vs. 24.8 m , P=0.03 ) . In addition , MI was superior to EC in increasing the number of hours of physical activity immediately postintervention and in reducing pain severity both immediately after the intervention and at 3-month follow-up . Conclusions : Despite a lack of benefits on long-term outcome , MI seems to have short-term benefits with respect to self-report physical activity and clinical outcomes . This is the first study in FM that explicitly addresses exercise maintenance as a primary aim . Clinical Trial Registration : NCT00573612
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 .