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Exercise and Pain Reduction Therapy (EXPRT): The Feasibility of Community-Based Exercise and Cognitive Behavioral Therapy for Patients with Fibromyalgia

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abstract
The purpose of EXPRT was to assess the feasibility of community-based exercise and cognitive behavioral therapy (CBT) for fibromyalgia (FM). Feasibility was determined by recruitment, retention, acceptability of treatment, and limited efficacy. Twenty-one FM patients underwent a 12-week intervention involving three supervised group-based exercise sessions and one CBT session per week at a YMCA. The Revised Fibromyalgia Impact Questionnaire (FIQ-R) and Brief Pain Inventory (BPI) were used to assess FM-related outcomes. Attendance, change in exercise minutes, and participant satisfaction were assessed to evaluate acceptability of treatment. Twelve participants completed follow-up assessment, yielding 57% retention. A total of 387 patients were screened, of which 21 (5.4%) were eligible and participated in the study. Within group analyses revealed statistically significant improvement in both outcome measures (p’s < 0.05). Mean number of sessions attended was 15.14 10.46 out of 36 sessions. Average walking time per session increased from 11.8 to 22.6 minutes. Participants reported feeling satisfied with the exercise sessions, CBT sessions, and their pain management post-treatment. Although the reported effects on pain measures are likely inflated and recruitment and retention posed significant challenges, it appears combined community-based exercise and CBT may be well-tolerated and potentially beneficial for the management of FM.
subject
behavioral
exercise
fibromyalgia
pain
contributor
DiCicco, Natalie Lynn (author)
Katula, Jeffrey A (committee chair)
Mihalko, Shannon L (committee member)
Brubaker, Peter H (committee member)
date
2017-06-15T08:35:51Z (accessioned)
2018-06-14T08:30:12Z (available)
2017 (issued)
degree
Health and Exercise Science (discipline)
embargo
2018-06-14 (terms)
identifier
http://hdl.handle.net/10339/82185 (uri)
language
en (iso)
publisher
Wake Forest University
title
Exercise and Pain Reduction Therapy (EXPRT): The Feasibility of Community-Based Exercise and Cognitive Behavioral Therapy for Patients with Fibromyalgia
type
Thesis

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