Document Detail


Research to Encourage Exercise for Fibromyalgia (REEF): use of motivational interviewing design and method.
MedLine Citation:
PMID:  20828634     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fibromyalgia (FM), defined as the presence of both chronic widespread pain and the finding of 11/18 tender points on examination, is an illness associated with major personal and societal burden. Supervised aerobic exercise is an important treatment modality to improve patient symptoms. Unfortunately, adherence to an exercise regimen after a structured supervised program is disappointingly low. Since FM is a chronic illness, studies are needed to test strategies that would enhance exercise adherence in these individuals. Individuals who are able to adhere to exercise almost always maintain the symptomatic benefits of exercise. The objective of this paper was to describe the protocol of the Research to Encourage Exercise for Fibromyalgia (REEF). REEF is a randomized attention-controlled trial that seeks to test the efficacy of 6 sessions of telephone delivered motivational interviewing (MI) that targets exercise adherence to improve FM-relevant clinical outcomes (i.e., physical function and pain severity). The trial has recently completed enrolling 216 subjects, and randomization has resulted in well-balanced groups. Details on the study design, MI program, and treatment fidelity are provided in the paper. Outcome assessments at week 12, week 24 and week 36 will test the immediate, intermediate and long-term effects of exercise-based MI on adherence (as measured by the Community Health Activities Model Program for Seniors/CHAMPS and accelerometer) and clinical outcomes. When completed, REEF will determine whether exercise-based MI could be utilized as a management strategy to sustain the clinical benefits of exercise for FM.
Authors:
Dennis C Ang; Anthony S Kaleth; Silvia Bigatti; Steve Mazzuca; Chandan Saha; Janna Hilligoss; Mimi Lengerich; Robert Bandy
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2010-09-07
Journal Detail:
Title:  Contemporary clinical trials     Volume:  32     ISSN:  1559-2030     ISO Abbreviation:  Contemp Clin Trials     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-14     Completed Date:  2011-04-07     Revised Date:  2012-01-04    
Medline Journal Info:
Nlm Unique ID:  101242342     Medline TA:  Contemp Clin Trials     Country:  United States    
Other Details:
Languages:  eng     Pagination:  59-68     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Inc. All rights reserved.
Affiliation:
Division of Rheumatology, Department of Medicine, Indiana University, Indianapolis, IN 46202,, United States. dang@iupui.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Clinical Protocols
Counseling / methods
Exercise / psychology*
Exercise Therapy / methods
Female
Fibromyalgia / prevention & control*,  rehabilitation
Health Behavior
Humans
Interviews as Topic / methods*
Male
Middle Aged
Motivation*
Patient Compliance / psychology*
Research Design
Telephone
Grant Support
ID/Acronym/Agency:
1R01AR054324-01A1/AR/NIAMS NIH HHS; R01 AR054324-01A1/AR/NIAMS NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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