Proof of concept of prehabilitation: A combination of education and behavioural change, to promote physical activity in people with fibromyalgia

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dc.contributor.authorCourel-Ibáñez, Javieren
dc.contributor.authorEstévez-López, Fernandoen
dc.contributor.authorHughes, Ciaraen
dc.contributor.authorAdams, Nicolaen
dc.contributor.authorFullen, Brona M.en
dc.contributor.authorDavison, Garethen
dc.contributor.authorMontgomery, Ashleyen
dc.contributor.authorCramp, Fionaen
dc.contributor.authorMaestre, Cristinaen
dc.contributor.authorMartin, Denisen
dc.contributor.authorMcVeigh, Joseph G.en
dc.contributor.funderMinisterio de Ciencia e Innovaciónen
dc.contributor.funderHealth and Social Care Northern Irelanden
dc.date.accessioned2024-07-04T13:31:05Z
dc.date.available2024-07-04T13:31:05Z
dc.date.issued2023-07-14en
dc.description.abstractObjectives 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.en
dc.description.sponsorshipHealth and Social Care Public Health Agency, Northern Ireland (STL/5268/16); Ministerio de Ciencia e Innovación, Spanish Ministry of Science and Innovation (Ramón y Cajal 2021 Excellence Research Grant action from the Spanish Ministry of Science and Innovation (FSE/AGENCIA ESTATAL DE INVESTIGACIÓN, RYC2021-034311-I).)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleide070609en
dc.identifier.citationCourel-Ibáñez, J., Estévez-López, F., Hughes, C., Adams, N., Fullen, B.M., Davison, G., Montgomery, A., Cramp, F., Maestre, C., Martin, D. and McVeigh, J.G. (2023) ‘Proof of concept of prehabilitation: a combination of education and behavioural change, to promote physical activity in people with fibromyalgia’, BMJ Open, 13(7), p. e070609. Available at: https://doi.org/10.1136/bmjopen-2022-070609en
dc.identifier.doihttps://doi.org/10.1136/bmjopen-2022-070609en
dc.identifier.endpage8en
dc.identifier.issn2044-6055en
dc.identifier.issued7en
dc.identifier.journaltitleBMJ Open, 13(7), p. e070609en
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/16097
dc.identifier.volume13en
dc.language.isoenen
dc.publisherBMJ Publishingen
dc.relation.ispartofBMJ Openen
dc.rights© The Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.en
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectFibromyalgiaen
dc.subjectPhysical activityen
dc.subjectPrehabilitationen
dc.subjectInterventionen
dc.titleProof of concept of prehabilitation: A combination of education and behavioural change, to promote physical activity in people with fibromyalgiaen
dc.typeArticle (peer-reviewed)en
oaire.citation.issue7en
oaire.citation.volume13en
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