Research to Encourage Exercise for Fibromyalgia (REEF): Use of Motivational Interviewing, Outcomes From a Randomized-controlled Trial

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dc.contributor.authorAng, Dennis C.
dc.contributor.authorKaleth, Anthony S.
dc.contributor.authorBigatti, Silvia
dc.contributor.authorMazzuca, Steven A.
dc.contributor.authorJensen, Mark P.
dc.contributor.authorHilligoss, Janna
dc.contributor.authorSlaven, James
dc.contributor.authorSaha, Chandan
dc.date.accessioned2021-09-07T19:31:21Z
dc.date.available2021-09-07T19:31:21Z
dc.date.issued2013
dc.description.abstractObjectives 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 216 patients with FM were randomized 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 Questionnaire-Physical Impairment (FIQ-PI) score, assessed at pre-treatment, post-treatment, and 3- and 6-month follow-up. Secondary outcomes included clinically 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 to EC subjects, MI subjects also displayed a larger increment in their 6-minute walk test (43.9 vs. 24.8 meters, p=0.03). Additionally, MI was superior to EC in increasing the number of hours of physical activity immediately post-intervention 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 appears 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.en_US
dc.identifier.citationAng, D. C., Kaleth, A. S., Bigatti, S., Mazzuca, S. A., Jensen, M. P., Hilligoss, J., ... & Saha, C. (2013). Research to encourage exercise for fibromyalgia (REEF): use of motivational interviewing, outcomes from a randomized controlled trial. The Clinical journal of pain, 29(4), 296.en_US
dc.identifier.urihttps://hdl.handle.net/1805/26584
dc.language.isoen_USen_US
dc.publisherThe Clinical Journal of Painen_US
dc.subjectFibromyalgiaen_US
dc.subjectExerciseen_US
dc.subjectPhysical activityen_US
dc.subjectMotivational interviewingen_US
dc.subjectPhysical functionen_US
dc.subjectPainen_US
dc.titleResearch to Encourage Exercise for Fibromyalgia (REEF): Use of Motivational Interviewing, Outcomes From a Randomized-controlled Trialen_US
dc.typeArticleen_US
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