Intervention for Self-regulation to Physical Exercise in People With Fibromyalgia
Condition: Fibromyalgia
MeSH terms: Fibromyalgia; Myofascial Pain Syndromes
Study type: Interventional

Summary: 
      This work is part of a broader research with women with fibromyalgia. The aim of this study
      is to establish the effectiveness of implementation intentions to manage the preference for
      avoiding pain and fatigue and stop walking exercise, versus to maintain the approximate
      behavior (walking), taking into account high and low pain catastrophizing conditions.
    

Detailed description: 
      Fibromyalgia is a widespread and diffuse musculoskeletal chronic pain problem not associated
      with inflammatory or degenerative changes, often accompanied by fatigue and sleep problems,
      in addition to anxiety, depression and cognitive dysfunction. Its prevalence in Europe for
      adults is estimated at 2.5% with a higher proportion of women. The treatment incorporates
      physical activity and exercise as one of its therapeutic aims has shown positive effects on
      health outcomes.However, it has been reported that women with fibromyalgia are less active
      than others with similar socio-demographic characteristics.Theories of behavioral
      self-regulation that taking into account motivational and volitional processes
      (implementation intentions) provide a conceptual framework to work with the incorporation and
      maintenance of the exercise, helping these people to create strong goals and handle the
      different self-regulation problems that can arise. These include the ones related to the
      preference for avoidance goals (pain or fatigue avoidance) against performing or keep doing
      an activity (walking exercise). This work searches to help women with fibromyalgia to manage
      the above mentioned inhibitors to incorporate and maintain long-term physical exercise
      walking. We consider the heterogeneity of people with fibromyalgia in pain catastrophizing,
      which makes necessary to adapt interventions aimed to promote physical exercise.

      We expect participants with high catastrophizing and implementation intentions to control the
      preference for avoiding pain or fatigue will walk more time than the other conditions.
    

Intervention name(s): Goal intention; Implementation intention to initiate the behavior; Implementation intention to manage the goal preference (avoiding behavior or not)
Intervention type(s): Behavioral; Behavioral; Behavioral
Intervention description(s): Researcher instructs participants to adopt and learn the goal intention requesting them to write it three times and verbally repeat once.; Researcher instructs participants to adopt and learn the goal intention and the plan requesting them to write it three times and verbally repeat once.; Researcher instructs participants to adopt and learn the goal intention and the plan requesting them to write it three times and verbally repeat once.
Allocation: Randomized
Intervention model: Factorial Assignment
Intervention model description: Self-regulation condition (between-factor): Goal intention condition (IC), implementation intention condition focused on behavior initiation (IIC-Behavior), implementation intention condition focused on goal preference management (IIC-Motivational).
Pain catastrophizing (within factor): Low (equal or less 31 score on this variable) and high (more than 31 score in this variable)
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Primary purpose: Treatment
Keywords: fibromyalgia; walking exercise; implementation intentions; self-regulation; pain catastrophizing; women