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Scioli-Salter ER, Smith BN, McSheffrey S, Bair MJ, Sillice MA, Driscoll M, Higgins DM, Allsup K, Amalathas A, Gerber MR. Self-Efficacy for Adoption and Maintenance of Exercise Among Fibromyalgia Patients: A Pilot Study. Am J Lifestyle Med 2017; 14:437-442. [PMID: 33281524 DOI: 10.1177/1559827617745264] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Objective. While multimodal treatment approaches for fibromyalgia (FM), incorporating exercise, have been found most effective, information about factors associated with exercise adoption and maintenance is lacking. Design, Setting, and Methods. Women veterans with FM (N = 19) completed an anonymous Internet survey measuring FM impact (FI), adoption of exercise behavior, and self-efficacy for exercise. Using classifications of behavior specified by the transtheoretical model, the self-efficacy of participants classified in the action or maintenance (AM) stages was compared with those in earlier stages (precontemplation through preparation) of exercise readiness. Multivariate analysis of variance analyses examined differences in FI domains by stage of change. Analysis of covariance examined whether exercise self-efficacy differed by stage of change while controlling for FI. Results. Higher levels of self-efficacy were detected among participants in the AM stages. Participants in the AM stages also reported higher levels of FI symptoms. After controlling for FI, self-efficacy did not differ significantly between the 2 groups; however the effect size was large (η2 = .11). Conclusions. Findings of this pilot study suggest a role for self-efficacy in exercise adoption and maintenance, even in the setting of higher FM symptoms. Replication of this study with a larger sample size is warranted.
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Affiliation(s)
- Erica R Scioli-Salter
- Women's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts (ERS, BNS, DMH, AA).,Research Service, VA Boston Healthcare System, Boston, Massachusetts (ERS, SM, DMH).,Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts (ERS, BNS, DMH).,Richard L. Roudebush VA Medical Center, Center for Health Information and Communication, Indianapolis, Indiana (MJB).,Indiana University School of Medicine, and Regenstrief Institute, Indianapolis, Indiana (MJB).,Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island (MAS).,Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island (MAS).,VA Connecticut Healthcare System, West Haven, Connecticut (MD).,Yale University School of Medicine, New Haven, Connecticut (MD).,Research Division, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania (KA).,Women Veterans Program, VA Boston Healthcare System, Boston, Massachusetts (MRG).,Department of Medicine & General Internal Medicine, Boston University School of Medicine, Boston, Massachusetts (MRG)
| | - Brian N Smith
- Women's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts (ERS, BNS, DMH, AA).,Research Service, VA Boston Healthcare System, Boston, Massachusetts (ERS, SM, DMH).,Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts (ERS, BNS, DMH).,Richard L. Roudebush VA Medical Center, Center for Health Information and Communication, Indianapolis, Indiana (MJB).,Indiana University School of Medicine, and Regenstrief Institute, Indianapolis, Indiana (MJB).,Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island (MAS).,Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island (MAS).,VA Connecticut Healthcare System, West Haven, Connecticut (MD).,Yale University School of Medicine, New Haven, Connecticut (MD).,Research Division, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania (KA).,Women Veterans Program, VA Boston Healthcare System, Boston, Massachusetts (MRG).,Department of Medicine & General Internal Medicine, Boston University School of Medicine, Boston, Massachusetts (MRG)
| | - Savannah McSheffrey
- Women's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts (ERS, BNS, DMH, AA).,Research Service, VA Boston Healthcare System, Boston, Massachusetts (ERS, SM, DMH).,Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts (ERS, BNS, DMH).,Richard L. Roudebush VA Medical Center, Center for Health Information and Communication, Indianapolis, Indiana (MJB).,Indiana University School of Medicine, and Regenstrief Institute, Indianapolis, Indiana (MJB).,Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island (MAS).,Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island (MAS).,VA Connecticut Healthcare System, West Haven, Connecticut (MD).,Yale University School of Medicine, New Haven, Connecticut (MD).,Research Division, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania (KA).,Women Veterans Program, VA Boston Healthcare System, Boston, Massachusetts (MRG).,Department of Medicine & General Internal Medicine, Boston University School of Medicine, Boston, Massachusetts (MRG)
| | - Matthew J Bair
- Women's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts (ERS, BNS, DMH, AA).,Research Service, VA Boston Healthcare System, Boston, Massachusetts (ERS, SM, DMH).,Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts (ERS, BNS, DMH).,Richard L. Roudebush VA Medical Center, Center for Health Information and Communication, Indianapolis, Indiana (MJB).,Indiana University School of Medicine, and Regenstrief Institute, Indianapolis, Indiana (MJB).,Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island (MAS).,Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island (MAS).,VA Connecticut Healthcare System, West Haven, Connecticut (MD).,Yale University School of Medicine, New Haven, Connecticut (MD).,Research Division, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania (KA).,Women Veterans Program, VA Boston Healthcare System, Boston, Massachusetts (MRG).,Department of Medicine & General Internal Medicine, Boston University School of Medicine, Boston, Massachusetts (MRG)
| | - Marie A Sillice
- Women's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts (ERS, BNS, DMH, AA).,Research Service, VA Boston Healthcare System, Boston, Massachusetts (ERS, SM, DMH).,Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts (ERS, BNS, DMH).,Richard L. Roudebush VA Medical Center, Center for Health Information and Communication, Indianapolis, Indiana (MJB).,Indiana University School of Medicine, and Regenstrief Institute, Indianapolis, Indiana (MJB).,Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island (MAS).,Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island (MAS).,VA Connecticut Healthcare System, West Haven, Connecticut (MD).,Yale University School of Medicine, New Haven, Connecticut (MD).,Research Division, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania (KA).,Women Veterans Program, VA Boston Healthcare System, Boston, Massachusetts (MRG).,Department of Medicine & General Internal Medicine, Boston University School of Medicine, Boston, Massachusetts (MRG)
| | - Mary Driscoll
- Women's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts (ERS, BNS, DMH, AA).,Research Service, VA Boston Healthcare System, Boston, Massachusetts (ERS, SM, DMH).,Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts (ERS, BNS, DMH).,Richard L. Roudebush VA Medical Center, Center for Health Information and Communication, Indianapolis, Indiana (MJB).,Indiana University School of Medicine, and Regenstrief Institute, Indianapolis, Indiana (MJB).,Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island (MAS).,Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island (MAS).,VA Connecticut Healthcare System, West Haven, Connecticut (MD).,Yale University School of Medicine, New Haven, Connecticut (MD).,Research Division, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania (KA).,Women Veterans Program, VA Boston Healthcare System, Boston, Massachusetts (MRG).,Department of Medicine & General Internal Medicine, Boston University School of Medicine, Boston, Massachusetts (MRG)
| | - Diana M Higgins
- Women's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts (ERS, BNS, DMH, AA).,Research Service, VA Boston Healthcare System, Boston, Massachusetts (ERS, SM, DMH).,Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts (ERS, BNS, DMH).,Richard L. Roudebush VA Medical Center, Center for Health Information and Communication, Indianapolis, Indiana (MJB).,Indiana University School of Medicine, and Regenstrief Institute, Indianapolis, Indiana (MJB).,Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island (MAS).,Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island (MAS).,VA Connecticut Healthcare System, West Haven, Connecticut (MD).,Yale University School of Medicine, New Haven, Connecticut (MD).,Research Division, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania (KA).,Women Veterans Program, VA Boston Healthcare System, Boston, Massachusetts (MRG).,Department of Medicine & General Internal Medicine, Boston University School of Medicine, Boston, Massachusetts (MRG)
| | - Kelly Allsup
- Women's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts (ERS, BNS, DMH, AA).,Research Service, VA Boston Healthcare System, Boston, Massachusetts (ERS, SM, DMH).,Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts (ERS, BNS, DMH).,Richard L. Roudebush VA Medical Center, Center for Health Information and Communication, Indianapolis, Indiana (MJB).,Indiana University School of Medicine, and Regenstrief Institute, Indianapolis, Indiana (MJB).,Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island (MAS).,Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island (MAS).,VA Connecticut Healthcare System, West Haven, Connecticut (MD).,Yale University School of Medicine, New Haven, Connecticut (MD).,Research Division, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania (KA).,Women Veterans Program, VA Boston Healthcare System, Boston, Massachusetts (MRG).,Department of Medicine & General Internal Medicine, Boston University School of Medicine, Boston, Massachusetts (MRG)
| | - Aneline Amalathas
- Women's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts (ERS, BNS, DMH, AA).,Research Service, VA Boston Healthcare System, Boston, Massachusetts (ERS, SM, DMH).,Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts (ERS, BNS, DMH).,Richard L. Roudebush VA Medical Center, Center for Health Information and Communication, Indianapolis, Indiana (MJB).,Indiana University School of Medicine, and Regenstrief Institute, Indianapolis, Indiana (MJB).,Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island (MAS).,Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island (MAS).,VA Connecticut Healthcare System, West Haven, Connecticut (MD).,Yale University School of Medicine, New Haven, Connecticut (MD).,Research Division, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania (KA).,Women Veterans Program, VA Boston Healthcare System, Boston, Massachusetts (MRG).,Department of Medicine & General Internal Medicine, Boston University School of Medicine, Boston, Massachusetts (MRG)
| | - Megan R Gerber
- Women's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts (ERS, BNS, DMH, AA).,Research Service, VA Boston Healthcare System, Boston, Massachusetts (ERS, SM, DMH).,Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts (ERS, BNS, DMH).,Richard L. Roudebush VA Medical Center, Center for Health Information and Communication, Indianapolis, Indiana (MJB).,Indiana University School of Medicine, and Regenstrief Institute, Indianapolis, Indiana (MJB).,Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island (MAS).,Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island (MAS).,VA Connecticut Healthcare System, West Haven, Connecticut (MD).,Yale University School of Medicine, New Haven, Connecticut (MD).,Research Division, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania (KA).,Women Veterans Program, VA Boston Healthcare System, Boston, Massachusetts (MRG).,Department of Medicine & General Internal Medicine, Boston University School of Medicine, Boston, Massachusetts (MRG)
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