Proof of concept of prehabilitation: a combination of education and behavioural change, to promote physical activity in people with fibromyalgia
Objectives To establish proof of concept of a prehabilitation intervention, a combination of education and behavioural change, preceding a physical activity programme in people with fibromyalgia (FM).Settings Open-label, feasibility clinical trial.Participants Eleven people with FM (10 women).Interv...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/7/e070609.full |
| _version_ | 1797746030960181248 |
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| author | Denis Martin Fernando Estévez-López Gareth Davison Fiona Cramp Nicola Adams Javier Courel-Ibáñez Brona M Fullen Ciara Hughes Ashley Montgomery Cristina Maestre Joseph G McVeigh |
| author_facet | Denis Martin Fernando Estévez-López Gareth Davison Fiona Cramp Nicola Adams Javier Courel-Ibáñez Brona M Fullen Ciara Hughes Ashley Montgomery Cristina Maestre Joseph G McVeigh |
| author_sort | Denis Martin |
| collection | DOAJ |
| description | Objectives To establish proof of concept of a prehabilitation intervention, a combination of education and behavioural change, preceding a physical activity programme in people with fibromyalgia (FM).Settings Open-label, feasibility clinical trial.Participants Eleven people with FM (10 women).Interventions The prehabilitation intervention consisted of 4 weeks, 1 weekly session (~1 to 1.5 hours), aimed to increase self-efficacy and understand why and how to engage in a gentle and self-paced physical activity programme (6 weeks of walking with telephone support).Primary and secondary outcome measures Primary outcome was the acceptability and credibility of the intervention by means of the Credibility/Expectancy Questionnaire. Secondary outcomes comprised scales to measure FM severity, specific symptoms and sedentary behaviour. An exit interview was conducted to identify the strengths and weaknesses and barriers to the intervention.Results One participant dropped out due to finding the walking programme excessively stressful. Participants expected the intervention would improve their symptoms by 22%–38% but resulted in 5%–26% improvements. Participants would be confident in recommending this intervention to a friend who experiences similar problems. The interviews suggested that the fluctuation of symptoms should be considered as an outcome and that the prehabilitation intervention should accomodate these fluctuation. Additional suggestions were to incorporate initial interviews (patient-centred approach), to tailor the programmes to individuals’ priorities and to offer a variety of physical activity programmes to improve motivation.Conclusions This feasibility study demonstrated that our novel approach is acceptable to people with FM. Future interventions should pay attention to flexibility, symptoms fluctuation and patients support.Trial registration number NCT03764397. |
| first_indexed | 2024-03-12T15:31:19Z |
| format | Article |
| id | doaj.art-44953955feb94005866fb7f2e6f530af |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-12T15:31:19Z |
| publishDate | 2023-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-44953955feb94005866fb7f2e6f530af2023-08-10T03:30:07ZengBMJ Publishing GroupBMJ Open2044-60552023-07-0113710.1136/bmjopen-2022-070609Proof of concept of prehabilitation: a combination of education and behavioural change, to promote physical activity in people with fibromyalgiaDenis Martin0Fernando Estévez-López1Gareth Davison2Fiona Cramp3Nicola Adams4Javier Courel-Ibáñez5Brona M Fullen6Ciara Hughes7Ashley Montgomery8Cristina Maestre9Joseph G McVeigh10School of Health and Life Sciences, Teesside University & NIHR Applied Research Collaboration for the North East and North Cumbria, Middlesbrough, UKDepartment of Social and Behavioral Science, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts, USASport and Exercise Sciences Research Institute, Ulster University, Belfast, UKCollege of Health, Science and Society, University of the West of England, Bristol, UKDepartment of Sport, Exercise & Rehabilitation, Northumbria University, Newcastle upon Tyne, UKDepartment of Physical Education and Sports, Faculty of Education and Sport Sciences, University of Granada, Melilla, SpainSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, IrelandSchool of Health Sciences, Ulster University, Belfast, UKPhysiotherapy Department, Ulster Hospital, Dundonald, UKDepartment of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, SpainDiscipline of Physiotherapy, College of Medicine and Health, University College Cork, Cork, IrelandObjectives To establish proof of concept of a prehabilitation intervention, a combination of education and behavioural change, preceding a physical activity programme in people with fibromyalgia (FM).Settings Open-label, feasibility clinical trial.Participants Eleven people with FM (10 women).Interventions The prehabilitation intervention consisted of 4 weeks, 1 weekly session (~1 to 1.5 hours), aimed to increase self-efficacy and understand why and how to engage in a gentle and self-paced physical activity programme (6 weeks of walking with telephone support).Primary and secondary outcome measures Primary outcome was the acceptability and credibility of the intervention by means of the Credibility/Expectancy Questionnaire. Secondary outcomes comprised scales to measure FM severity, specific symptoms and sedentary behaviour. An exit interview was conducted to identify the strengths and weaknesses and barriers to the intervention.Results One participant dropped out due to finding the walking programme excessively stressful. Participants expected the intervention would improve their symptoms by 22%–38% but resulted in 5%–26% improvements. Participants would be confident in recommending this intervention to a friend who experiences similar problems. The interviews suggested that the fluctuation of symptoms should be considered as an outcome and that the prehabilitation intervention should accomodate these fluctuation. Additional suggestions were to incorporate initial interviews (patient-centred approach), to tailor the programmes to individuals’ priorities and to offer a variety of physical activity programmes to improve motivation.Conclusions This feasibility study demonstrated that our novel approach is acceptable to people with FM. Future interventions should pay attention to flexibility, symptoms fluctuation and patients support.Trial registration number NCT03764397.https://bmjopen.bmj.com/content/13/7/e070609.full |
| spellingShingle | Denis Martin Fernando Estévez-López Gareth Davison Fiona Cramp Nicola Adams Javier Courel-Ibáñez Brona M Fullen Ciara Hughes Ashley Montgomery Cristina Maestre Joseph G McVeigh Proof of concept of prehabilitation: a combination of education and behavioural change, to promote physical activity in people with fibromyalgia BMJ Open |
| title | Proof of concept of prehabilitation: a combination of education and behavioural change, to promote physical activity in people with fibromyalgia |
| title_full | Proof of concept of prehabilitation: a combination of education and behavioural change, to promote physical activity in people with fibromyalgia |
| title_fullStr | Proof of concept of prehabilitation: a combination of education and behavioural change, to promote physical activity in people with fibromyalgia |
| title_full_unstemmed | Proof of concept of prehabilitation: a combination of education and behavioural change, to promote physical activity in people with fibromyalgia |
| title_short | Proof of concept of prehabilitation: a combination of education and behavioural change, to promote physical activity in people with fibromyalgia |
| title_sort | proof of concept of prehabilitation a combination of education and behavioural change to promote physical activity in people with fibromyalgia |
| url | https://bmjopen.bmj.com/content/13/7/e070609.full |
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