Combining motivational and volitional strategies to promote unsupervised walking in patients with fibromyalgia: study protocol for a randomized controlled trialReport as inadecuate

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, 15:120

First Online: 11 April 2014Received: 25 November 2013Accepted: 21 March 2014DOI: 10.1186-1745-6215-15-120

Cite this article as: Pastor, MÁ., López-Roig, S., Lledó, A. et al. Trials 2014 15: 120. doi:10.1186-1745-6215-15-120


BackgroundFibromyalgia patients are often advised to engage in regular low- to moderate-intensity physical exercise. The need of fibromyalgia patients to walk has been stressed in previous research. Behavioral self-regulation theories suggest that a combination of motivational aspects to develop or strengthen a behavioral intention: Theory of Planned Behavior and volitional aspects engagement of intention in behavior: implementation intentions is more effective than a single intervention. In this paper, we describe a protocol for identifying the motivational processes using the Theory of Planned Behavior involved in the practice of walking phase I and for studying the efficacy of an intervention that combines motivational and volitional contents to enhance the acquisition and continuation of this exercise behavior phase II. The paper also shows the characteristics of eligible individuals women who do not walk and ineligible populations women who walk or do not walk because of comorbidity without medical recommendation to walk. Both groups consist of members of any of four patients’ associations in Spain who are between 18 and 70 years of age and meet the London Fibromyalgia Epidemiology Study Screening Questionnaire criteria for fibromyalgia. Furthermore, using this study protocol, we will explore the characteristics of participants eligible women who agreed to participate in the study and nonparticipants eligible women who refused to participate.

Methods-designTwo studies will be conducted: Phase I will be a cross-sectional study, and phase II will be a triple-blind, randomized longitudinal study with two treatment groups and one active control group. The questionnaires were sent to a total of 2,227 members of four patients’ associations in Spain. A total of 920 participants with fibromyalgia returned the questionnaires, and 582 were ultimately selected to participate.

DiscussionThe first data gathered have allowed us to identify the characteristics of the study population and they support the appropriateness of the inclusion criteria

When the study is complete, the results will enable us to establish whether this kind of intervention can be used as a self-regulation tool for increasing and maintaining walking as unsupervised physical exercise of low to moderate intensity in fibromyalgia patients.

Trial registrationTrial registration number:ISRCTN68584893

KeywordsFibromyalgia Implementation intention Intervention Theory of planned behavior Walking AbbreviationsCGControl group


IGImplementation intention group

MIGMotivational and implementation intention group

TPBTheory of Planned Behavior.

Electronic supplementary materialThe online version of this article doi:10.1186-1745-6215-15-120 contains supplementary material, which is available to authorized users.

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Author: María-Ángeles Pastor - Sofía López-Roig - Ana Lledó - Cecilia Peñacoba - Lilian Velasco - Inge Schweiger-Gallo - Marga


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